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Home My WebLink About18831-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18978 Date APRIL 19r 1990 THIS CERTIFIES that the building Location of Propert~ 7995 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision DEMO AND ACCESSORY Block 02 Filed Map No. EAST MARION Street Lot 29 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 21~ 1990 pursuant to which Building Permit No. 18831Z dated MARCH 1, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is REMOVE EXISTING ACCESSORY METAL SHED AND CONSTRUCT AN ACCESSORY SHED. The certificate is issued to STEVE MORAITIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 18831 Z Permission is hereby granted to:~ · ~ .... z~...~...~..~ .................... ,o ..................................................... at premises Iocat~/ ed at ..~.~...~..~............~..~..~..~ ...................................................................... County Tax Map No. 1000 Section ........ .~..~.. ...... Block ......... ~ ....... Lot No ........~_...c~.. .......... pursuont to application dated ............ ...~./..~....~ ....................... , 19...~..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 - ---'~'[~'hl o~-i~i7- '~--~ ?o~JN or SOOT~gOt 0 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildiags and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00 Location of Property.'.-~..~..~o .~.~7... ..~/[~. [ ~.~ ..... ,.~. P ~S~ /~[~/~ ...... House No. Street Ha~et Onwer or Owners of ~r pe y ................................................. County Tax ~p Ro 1000, 8ecr~on..~.~ ........ Block ................ Lot ................. Subdivision .................................... ~led ~ap ............ Lot ...................... Permit No...~.~/~.g.~.~Date Of Pemit~...~ ..... Applicant ............................. Health Dept. Approval .......................... Unde~riters Approval Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate...~... ..... ., Fee Submitted: ,...,.... .................... ~ 3~33! ...................................... C o ~ /~? ?~ ~'FLIC~T TOWN OF $OUTtIOLD OF[qCI{ ()I'~ IIUILDING INSPECTOR ILO. I~OX 728 TOWN HALL sOUrlIOI.D, N.Y. 11971 t~rll 12, 1990 TEL. 765-1802 Steve Moraitis 7995~4ain Road East Marion, N.Y. 11939 To Whom This May Concern, We are unable to complete your Certificate of ~upancy becau3e .of thc following reasons. /_~// An application for Certificate of Occupancy is not on fil~.. (E~CLOSEB) /--//:to ',laderwriters Certificate on file. /-~/ T! c check is~[X~]~/not 0:% file.) $25.00 /_-/ [lo IInalth Dept. Approval on file. /_--/ I:c~ final inspect:ion has been made. Please contact our office on this matter. Thank yOU for your cooperation. nuildinq Permit tt I 8 8 3 I Building[ Dept. ***1-/ Z ~Io Plumber Solder Certificate on all permits involving plumbing bein~ issued after April 1,1984 .' OUND.TIO.I FOUXDATIOX ROUGH FRAME & (1st) (2nd) .PLUMBING INSULATION FERN. Y. STATE ENERGY CODE Fi;!AL ADDITIONAL COXME~:TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ....... 19~ Examined - · · Disapproved a/c ..................................... BOARD OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY .................... C~ECK .~¢~..l~e~ ............ SEPTIC FORM ............... NOTIFY: CALL .................... MAlL TO: sets of plans, accurate plot plan to scale· Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree or areas, and giving a detrSied description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work· ¢. No building shall be occupied or used in whole or in part for a~y purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tln Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of' buildings, additions or alterations, or for removal or demolition, as herein describe~ The applicant agrees to comply with ail applicable laws, ordinances, building code, housin~ code, and regulations, and t admit authorized msp'~iJtfdi~ on premises and m bmldm= for necessary inspections. · : - '?' . . · . (Sighature of a~'ehnff, or name, i~ a corporanon! .............. ili'" ,l .... } ....... i) ........... :' (Ma ng a resso applican State whether applican~is:t~vner,' lessee; agent, architect, engineer, general contractor, electrician, plumber or builde~ Name of own ~ ........................... ?'¥~h't 'I~H~ ;~"~. JiJF'r'::~:'.~f~ ( · ) . t~ a'l~ tO 8~5':".dM~' ,;~'"' ~ ' . If applicant zs~a ~ra~Wo~3gnblJAre ef,4uly, guthomzed officer. (marne and title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Tradc's License No ...................... I. Location of land on which proposed work wdl be done, · ..... ..... ..r%/.? ...... .................... Ilouse Number Street, Hamlet County Tax Map No. I000 S~ction ....... '~ ] 'BIock ~' Lot .... Subdivision .............................. ....... Eiled Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'/,.!~,~.._.C'~..~..~.~../.../.~..~-..~... ,~-,~./....~ .~. ..... '"' '.' 7 ............. · and occupancy _.C?~. · ~ ~ .:i;'..' ......... 3. Nature or,york (check which applicable): New Building., ........ : 6.d~tion .......... Alteration .. Repair .............. gbmoval .............. Demolition '.'~.: ........... Swimralng pool .......... Tennis Court ......... Accessory Building.~ ........ Fence ....... Other Work ........... (to be paid on fiIing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... Il' garage,, number of cars ...................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ............ Heieht 7.. Number of Stories ............................ Dimensions of same structure with alterations or additions: Front ................. Rear ............... Depth ...................... Hezght ......... .~ .....Number of Stories .......... ' ......... 8. Dimensions o£entire new construction: Front~. ,O., Rear ............... Depth ........... Height ............. Nun her of Stories .............. : ............................... i. 9. Sizeoflot: Front tg~..97-.d~..~v~'.. ........ Rear ...................... Depth ................... Date of Purchase'~' ./.... ........................... Name of Former Owner .......................... II. Zone or use district in which premises are situated ............................ '' ' ' '~ ~' $' ....jl~i_~,.~.1 .......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ i~' [ ...... 13. Will lot be regraded .: .......................... Will excess fill be removed frc~, ~rcmises: "'"Yes .... No 14. Name of Owner of premises ................ ' .... Address ................. Name of Architect ........................... Address ................... 'Ph~ng-~5~o~.L.~.""t "~ ~ -z/i.' .... '; :'. · .. Name of Contractor ................ ~ ...... Address ................... Phone No .... : ~; ........ 15.Is this property located within !00 feet of a tidal wetland? mYE$ .... NO .... mil yes, $outhold Town Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property limes. Give street ~nd block number or description according to deed, and show street names and indicate whether interior or corner lot. ~../_ /-"~ ~ API ROVED AS NOTED DATE: ~ B.P. # ~,~ 765-1~2 9 AM ~ FOLLOWING ~NSPE~ONS: 1, FOUNDATION - FOR POURED 2. ROUGH - ~MING 3. INSU~ON 4. FINAL CON~U~N MUST BE COM~I~ FOR C,O. A~ ~~N ~ ME~ TNE REQU~E~ ~ ~ N.~ ~ATE ~N~ A ~GY CODES. N~ ~~ DESIGN OR ~S~ STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applican · (Name of individual signi~xg contract) above named. the ............................ ......................... - (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or bare performed the said work and to make and file thi application: that all statements contained in this application are trne to the best of his knowledge and belief; and that th~ Work will be performed in the manner set forth in tho application flied therewith. Sworn to before me this ............. ........dayor ..... .......... 197 . Notary Public, ttEI,E'd It O~ NOTARY PUSI.IC, SI~, of New ~dl No. 470787~ Str~dl~ ~/ Te~'m Expires March 30.19 -Jl (St.nature of apphcan