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Home My WebLink About18860-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-i8882 Date MARCH 13~ 1990 THIS CERTIFIES that the building. ACCESSORY Location of Property 600 EAST LEGION AVENUE MATTITUCKr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 04 Lot 11 Bubdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9~ 1990 pursuant to which Building Permit No. 18860-Z dated MARCH 12, 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to MOKAI LIM (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED u~lding Inspector-~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18860 Z Permission is hereby gronted to: ................. o, premises located ot ..b...~,........~.~¥x.~.~~...~..,. ......... ...J~.. ~~ .... County Tax Mop No. ]000 Section ..... L..~,,~:'~ ....... Block ...... ,~,,,~ ........ Lot No...J,/ ................... pursuant to opplicotion doted ......... .~~.....c~ ................... , 19.~...~..., ond approved by the Building Inspector, Building Inspector Rev. 6/30/80 TO~N OF SOfT'OLD BHILDIN~ DEPART~IEHT TO~N RALL SOUT~OLD~ NE~ YOR~ 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF 0CCUPA:~CX DATE NEW .OLD OR PRE-EXISTING BUILDING Location of Property HOUSE NO. STREET HAMLET O~ner or Owners of Property ................................................. Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. UnderwriCers Approval Plaaulng Board Approval ................ Rnquest for Temporary Certificate ....... Final Certificate ~ee Submitted: $ .................... APPLICANT ................................. rev. 10/14/88 FORM NO. 6 TOWN OF SOU~IOLD BUILDING DEPARTMENT TOWN P~LL 765- 1802 A~FLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: [. Final mnrwey of property with meenrate location of all buildings, property lines, streets, and unusual natural or topographin features. 2. Final approval of Health Dept. of water supply amd sewerage-disposal(S-9 ferm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swum statement from plumber certifying that solder used in system contains less' than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Flannimg Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate owmership of the entire lot prior to April 9~ 1957. · If a Certificate of Occupancy is denied, the BuildinG Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent inforzaation required to prepare a certificate. For Vacant Lamd Ceztificate of Occupancy: 1. An application for vacant laud Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of,the entire lbt prior to April 9, I957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: I. CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00,-Swimming Fool, $25.00. Accessory building $25.00 Addition ~o Accessory buildings, $~5.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$]5.00 Residential Corm~ercial er. I0/14/$8 FOUNDATIO:; ( ls t ) ?OU~;DATI0~ 12nd} ROUGH FRAME -?LUMBING !NSULATIO~! PER.N. Y. STATE E~:ERGY CODE FI;~AL ADDITIO~I~L CO:4.~EL~TS: TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 19~?. Approved . .~. ta,~,c~ ./. ~., 197.0. Permit No. ?~. ~.?.G..cO....~ Disapproved a/c ..................................... · J..,~..~.. C,,-/.,.., ., ..,, (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARB OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY .................... CHECK ..................... SEPTIC FORM ............... NOTIFY CALL INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building I~speetor, with 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 detailed description of layout of property must be drawn on the diagram which is part of this app cation. ¢. 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 appEcant. Such perm shatl be kept on the premises available for inspection throughout the work. , e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupam .*hail have been granted by the Building ~nspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of thc 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 descrlbe~ The applicant agrees to comply with all app!~cab]'e laws. ordiq.~nces, bufldLug code, housing code, and regulations, and t admit authorized inspectors on premises and LB. building for necessary inspections. (Signature ot apphcant, or name, if a corporauon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builde, Name of o,~ner of premises ........... . .......................... ~l~ ~~I. IIWt...~.~..~;. ..... (as on the tax roll ~1:751 ~.ed~..-- ~ _~ If applicant is a corporation, signature of duly authorized officer. ~ ~ ~P~TMENT AT (Name nd title of co orate officer) ~. ~~ · ~ Builder's License No ..... ~]~f '~ ...... ~ ~* X ~ ~ ~ Plumber's License No .......... ~ ~ ' ~ ~ I. Location of land on which proposed work will be donel House Number Street ' ' / ............ Hmnlet Coun x Map No I000 S~ction.. ............ .. · Block .. ..----.......... Lot . Subdivision ..................................... Niled Map No Lot (Name) .............................. 2. State existing use and occupancy of premises and intended use and occupar~cy of proposed construction: a. Existing use and occupancy ~. Intended use and occupancy ......................... ~ ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rbmoval .............. Demolition .............. Swimraing pool. ........... Tennis Court ......... Accessory Building...~.. ~Fe~ce ....... Other Work; .......... · - · .... 4. estimated Cost ..... '~ ................................................................ ' (to be paid on filing this application) 5. If dwelIing, nuraberofdwettingunits...-..........- NumberofdwelIingunitsoneachfloor. ............. . . If 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 .. Heiaht Number of Stories ....... Dimensions of same structure with alterations or additions: Front ................ Rear ..... Depth.,:, .................. He,ght ...................... Numbcr of Stories ....... ~ .... ~i~' ~ 8. Dimensiddi~'of entire new con~tmction: Front ............ Rear .............. Depth'. ... Height ............... · eI. of Stories .................... r .................................. 9. Sizeoflot: Front ..................... Re.,: .... _qO'..5'C Deoth o .............. 10. Date of Purchase .......... , ................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction~iglat.: any zoning law, ordinance or regulation: ............................... · 13. Will lot be regraded .................... Will excess fill be remr red f~om premises Yes .... No?. .... o '~' I ' ' - 14. Name of Owner of premises ...Fh.. !..~ ..... /7..t..fl2-... Address6P.% .~.'.[:...~"~..~,L7~.. ?.'( Phone No..~. ~ 77..~.[ f .... Name of Architect Address ............... Phone No ............. Name of Contractor ............. i ........ Address ................... Phone No ...... , ...... : ·, , 15.Is this property l~'c'ate~ within I00 feet of a tidal wetland? *YES...~NO-~(~. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. tuly sxvo.rn, deposes and says that he is the applicant above nam~[)'~ ~J~Sl~lO*~B'll$ ~ ~ ~'~ :~ ~ is the ........................................... ; ......................................... ~.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file thi~ application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforated in tim rnmme~ act forth in the application hied therewith. ' Sworn to before me this 7. ...................... day of ............ .~ ........ 19 . Notary Public, ' /~ 4~ount (Signature of applicantl