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Home My WebLink About18547-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 0£fice of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No Z-18724 Date JANUARY 17, 1990 THIS CERTIFIES that the building ADDITION Location of Property 2775 MARRATOOKA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 1984 pursuant to which Building Permit No. 18547-Z dated SEPTEMBER 26, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate >s issued i.s FOUNDATION UNDER A ONE STORY EXISTING BUILDING AS APPLIED FOR. The certificate is issued to ANNE SHANNON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO, N-110316 - JANUARY 11, 1990 PLUMBERS CERTIFICATION DATED N/A ui ding Inspector Rev. 1/81 70EM N0. f TOWN OF SOUTHOLD 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°- 18 5 4 7 2 Date ...~,/~,2..~ 1983 Permission is her y grouted to: ~ . B"1. G~O~... .tiJ.'!~...... ~G........~!/l!~ll~i........ c.......~.~.~..~..~.1 .r, ,ll....g~3s of premises located at ...wc~....7.7v ,7x..~/ .1................................... .~....~isr- ,~'7,,, ........r................................................................ . County Tox Map No 1000 Section 3.... Block Lot No.....~'.~r...... . pursuant to application doted 19.~~ and approved by the Building Inspector. Oo Fee S..•~',~ Build g Inspect r Rev. 6/30/80 . ~ `V ` TOWN OF SOUTIIOLB BUILDZNG DEPART.`ICNT r"~.~~~~~ ~~~'~r a~ TOWN QALL ~ ~ ~ • SOUTIIOLD, NEW YORK 119 ~ ~ D ~ 765 - 1802 BLDG OEPT TOWN OF SOUTHOlD APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~j, < HEW CONSTRUCTION ....._.OLD OR PRE-E%ISTING BUILDING..Y __VACANT LAND....._.. Location of Property..l:~~L~._..i:/J~J~.+L~.~G~~~J?..~(./~~ DOUSE NO_ STRCET UAMLET Ovner or Ovners of Property....~1~ 5~.~1.~,~~~~ CounCy Taz Map No. 1000 SecCion Block Lot Subdivision__Cr.{{ . FilCled Ma//ppp ........LoC...__..... Permit No_ I_o d.~~__DaCe of Permit _ 1.!26~8_`~_Applicant .~.1?'~?'.~~~h:~G~~ Bealth DepC_ Approval Undcrvriters Approval..._......_... Planning Board Approval Request for Temporary Certificate Final CertiEicaCC Fee SubmiCted: $ APPLICANT.... :L/{f~/'J~=".V.,:t - • _ _ r rev. 10/{4/88 Qyzc.388GD FORM NO. 6 TOWN OF SOUTIIOLD _ BIIILDING DEPARTMENT TOWN DAL: 765 - 1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRDCTIONS A. This application must be filed in typewriter OR ink and submitted to the Huilding Inspector with [he following; for new buildings 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 of Health Dept. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn 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 Planning Board Approval of completed site plan requirements. B. 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 ownership of [he entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing [o the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C_ Por Vacattt Land Certificate of Occupancy: 1. An application For vacant land 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 lot prior to April 9, 1957 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_ D. FEES: 1, CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration Co Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporarq Certificate of Occupancy - $25.00 Residential $50.00 Commercial eo. IO/14/S$ ~~~Y~ 765-1802 BUILDING DEPT. INSPECTION [ ] F UNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ti y -~`f------"_`-~ l ' ~ c DATE c~ ~ INSPECTOR f ~h~~p. j~~f~ ~9'- ,,ri1 , { ' 'r ('i ll~~n C) r r f U C~ i r- i 'p~.i i i „w ( ~F~Iz I,r N E5~ . i .-,j(` i (~fU1 ~ i9 iC. r;'r' t;JE P1'~[ 7 f .'r\fC ~ f C' 6 ~o ((~}j , ryE ~~~T.SI ~ ~ .w U~ ' ~ ~ ~ ~ _ _~1.- ~ C) F5 ~ 'T' f7 ry ~ r1 I~ Lf (}7 l• ~ ~}fly N 1, fol. Y~ i r;,t ~ ! ~ 1111 r 4;t,'u II- , r}? It~t~rs ~ t~. ~r ii - i I • i ~ ~ - tD - 6. ~ ~ O _ ~ F..tirc.• ~.r,.aat ni' Ek~ f E `1~,^~-. I " ~ , ss DlJc_~C,ES ~ i l 7 y ~ '~;G it i ~ f~i , , -t i rj ;~1' ,I-~j;~ 1J ~i~iJ •y I(i ~t~ ~ E . • - f . , 1L:..J l.. a. ...r..l..• IJh.~. I Vl. a.~C.Nly l0 ~ =0UliDATIO:l--.. (1st) 2. ?OUGH FRAt~1E & PLUMBIiJG ~I v 3. I m n I!lSULATIO!! PER N. Y, +I y STATE E!lERGY CODE I ~ ~ I } S -J • H 1 FII7AL I - o ADD_TTIOPIAL COMh1E!lTS: M ' x~ ^o H 9 H H O . ! ~-1 b ~ _,~r TEL. 7~s-I am ~~,~oC~<< TQ~'iV c?F SOUTIZQI.D -n ~ ~ ~ ~ OPi'ICG OC UUILDIIv'G INSPECTOR ~ ;~44 x I'.O. UO`C 1 1 7 9 ~ '';~i' ~ T05VNlIALL SOUTSIOLD, N.Y. 1 1971 rLa 7~ November 27, 1989 Raymond Nine Box ]401 Mattituck, New York 11935 RE: Anne Shannon To 49hom Thin May Concern, D7e are unable ro complete your Certificate of Occupancy because oL the folloc~ing~reasons. /_y'/// An application for Certificate of Occupancy is not nn fi]c. (ENCLOSED) *IO Underwriters Certificate on file. / 't•he ckiccFc is; (cXNCf8c8,IC~dIuYXnut on file.) $25.00 / / t•JO 13en]th Dept. Approval on tile. c:o final ~nsl~ection ham been made. Pleaa,e contact our office on this matter. ' Thank you for your cooperation. 13uL1<3in~1 Pcrmi.t• 1 8 5 4 7 Z Building Dupt. '*k/ / tlo I'lumbcr Solder Certificate on file. ' ( all pnrrtits involv~.ng plumbincl briny i~succt after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS f"°T~ 7 7 110 117 7 7. BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date iiANUARY l 1 , I990 Application No. on fDe 666AG$$9/8N N 11 Q7 LE: THIS CERTIFIES THAT only the electrical equipment w dsscrihed ftsloty and introduced 6y the oppllcont Homed on the above application numher in the prenuws of ANNE; SHANNON, 2'175 rrj~N(~jARRA'1'lx)KA ROAD,E/S, POLk;1~, MATTI't'UCK, N.Y. in the follouinq lncaGaq,,,,N.L.J_BaeCm~q;t. ,.1 ? /st F/. ? Ynd FI. OUT •Sertian Black Lae Tvw examined an UEEt4,. GG HHRR~i1I(( ??55 and found to 6e in campliance with the reyuirementx of thin Board. q%TWF TAQES SWITCNB R%TURES RANGES COOKING DECKS OVENS DISH WASHERS EXIUUST FANS OUTLETS INGNDESCENT FIUORESCEM OTHEn AMT. K. W. AMT. K. W. AMT. K.W. MIT. K. W. AMT. H. P. 9 1 4 A DRYERS FURNACE MOTORS PUTURi APMIANCE PEpEK SPECIAL RELIT ilAlE CLOCKS ENl UNIT MEATEES DIMMERS AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AM15. 7RAN5. AMT. N. P. DIO.OP gIET AMT. WAIIS 3 F SRRVIC7 DISCONNKT teO.OP S E R V 1 C E AMT. AMP. TPE ~ R, t / TN 1 / ]W 9 L ]W 3 X AW ~R ).COND. Of CC. COMD. NO. Of H4lEG HI's NO. GF NEYIIIALS pF yAl OTHER AP?ARATUS: MCT'!LRS:l-F~ H.P. , I-~7 H.V. RULANll BLBC/W.B. RI)I,AND Lic'.528l. E BOX 1d3 /~/~.c' MATTIT7)GK, NY, 7.7. W'r;; BMlAE MAHfAORR " IJ Per ' This carHficah must not be akered in any monwr; return to the office of the Board if incorrsd. Inspectors may fH identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN,ANY MANNER. ..::AfL 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: f~s~-r'~ DATE / ! ~ INSPECTOR D BOARD OF HEALTH 3 SETS OF PLANS FORM NO 1 SURVEY a•I~, TOWN OF SOUTHOLD CHECK ?~.ZS~ - ! BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL NOTIFY BLDG. DEPT °OUTHOLD, N.Y 11971 _ TOWNpFSOU7HpLD ~ CALL • • /Q TEL..7G51802 MAIL T0: ~ 0/ Examrned . ~ (O.. , 19~ ~y -3't')e,~z- Approved 19~Permrt No. ~a'.~r-~ / Drsapproveda~c -~e In5 tor) ~ APPLICATION FOR BUILDING PERMIT c Date .s7G~~_ 2~ 79 INSTRUCTION S a. This application must be completely filled rn by typewriter or rn ink and submrtted to the Bur(ding Inspector, with sets of plans, accurate plot plan to scale. Fee accordrng to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public stre~ or azeas, and grvmg a detailed description of layout of property must be drawn on the dragram which rs part of ttus app catron. c. The work covered by tlus application may not be commenced before issuance of Building Pennrt. d. Upon approval of thrs application, the Burldmg Inspector will issued a Building Pennrt to the applicant. Such pecir shall be kept on the premises available for inspectron throughout the work. e. No building shall be occupied or used rn whole or rn part for any purpose whatever until a Certificate of Occupan shall have been granted by the Burldrng Inspector. APPLICATION IS HEREBY bIADE to the Building Department for the rssuance of a Braiding Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construcrion of buildings, addrtrons or alteratrons, or for removal or demolitron, as herein descnb: The applicant agrees to comply wrth all applicable laws, ordinances, wilding cod housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. , tt ~l1-G~?....... ~ tr~~` ot~apphcant, or name, rf a corporatron) ' „ - riu:-~..~: as ; . "(blaiLng address of applicant) i • i• , ar , , M; . n• a State whether applicant rs owner, lessee agent, arcmtect, enorneer, general contractor, electncran, plumber or builds Z~c•Iri~ ' Name of owner of premrses S.//.91YN. P.I+! . . . (as on, the ta~c roll or latest deed) If applicant rs a corporation, signature of duly authorized officer ` , • • ~ OCCUPANCY OR - (Name and tale of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LZCEU~ fS UNi.AWFUL Burlder's Lrcense No . . Plunrbcr's Lrcense No ~YITUCUT CERT1FlCATE Electrrcran's Lrcense No . OCCUPANCY ....H Other Trade's Lrcense No. ~ 1. Locatron of land on whrch proposed work wrll be done . House Number Street Hamlet 5 County Tax hfap No 1000 Section .Block Lot fa......... . $ubdrvisron Frled i\Iap No Lot . (Name) 1. State exrsUng use and occupancy of premises and intended use .rnd occupancy of proposed constructron a. Exrsting use and occupancy S,l,R!/~.ls' ....F~j'1~.~y ...JI ~!'i b. Intended use and occupancy ,S/f. thJ,~' . , l~'h.'.. • ~.~r./nL,/P/p . 3. Nature of work (check which applicable). New Building Addition ....:~'}j..~ i~v'rJtt~dir$$~ ~ , Repair • - Removal DemohGOn ~ flier work . ~ ~•~?JdO: ~ipSion) 4. Estimated Cost 7 ~?!!G'~ Fee ~ . • (to be paid on filing thi"s apphcatioCi) ~ . , 5. If dwelling, number of dwelling units Number of dwcllrng units on each floor . If garage,numbcrofcars 6. If business, commercial or mrxed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any. Front Rear Depth . Hei~tit Number of Stones Dunensions of same structure w`itlt alterations or additions Front Rear . , ,Depth Height...................... NumberoCStones...................... 8. Drmensrons of entire new construction Front . Rear . Depth . Height ...............NuiiiberofStones 9. Size of lot: Front Rear pth . De .10. Daie of Purchase ....Name of Former Owner . 1 1 Zone or use district in which premises are situated . . , . #2. Does proro~zd con~~n.cuun violate any zoning law, ordman<.e or regulatron . I3. 1~'di lot be regraded 5Vi1! excess fill be removed from premises: Yes No 14. Name of Owner of premises Address ................Phone Iv'o............... . Name of Architectf~ .Address ...................Phone No........ . Name of Contractor ~ry Address . mI~TT. l,T~~.,~`: • - • • • Phone No.~ IS. Is this property located within 300 feet of a tigidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOfi DIAGRAM ed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions from property fines Give street and block number or descnption accorduig to deed, and show street names and indicate whether :ntenor or corner lot. ~ X ~ 4 ~ /6 ~ ~ ~ 2io26'.ck s f~ ~ A AE NOTED PC R?~4'ZiIE~~ ~~S;APPROVA. DATE: 9 ~ d.R>Y ~7 TO REMt~,(E F,XCESS FILL FEE• ~ ~ BY: ~FRON~ ABOVE QREMISES BY NOTIFY UI iNO OE AT R; GRADING LOT 765-1802 9 AM TO 4 PM FOR THE DR'VEWAY CONSTRUCTION FOLLOWING INSPECTIONS 1 FOUNDATION TWO REQUIRED CESSPOOL CONSTRUCTION FOR POURED CONGRETE CELLAR CONSTRUCTION _ 2. ROUGH - FRAMtNG & PLUMBING ~ ~ O,,__ ~ _ 3 INSULATION A FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O ALL CONSTRUCTION SHAL4 MEE? ' THE REQUIREMENTS OF THE N Y STATE CONSTRUCTION & ENERGY ` COl}E6 NOT RESPONSIBLE FOR urSIGN OR CONSTRUCTION ERRORS ~TATEOFT~L-SV'YORK, aS.S being duly sworn, deposes and says that he is the applicant (Name of mdiilduaI signing contract) oovc named. ieisthe (Contractor, agent, corporate officer, etc ) f said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file this ppiication: that all statements contained m this application are true to the best of Itis knowledge and belief; and that the ork wd1 be performed m the manner set forth m the application filed therewith wpm to 6cfore me this otary• Public, County FPELEN K OE 110E . ~~707878.S~uflo{k NewYarlc ( ignatu f a phcant) Term Expres M:rch 30.1~9._`Z,r