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Home My WebLink About24044-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25009 Date MAY 6, 1997 THIS CERTIFIES that the building ADDITION Location of Property 8985 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1, 1997 pursuant to which Building Permit No. 24044-Z dated APRIL 15, 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SYLVIA DALEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspec or Rev. 1/81 YONM NO. 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° 24044 Z Date ............. . ../�........................., lld Permission is hereby granted to: Xw4r..�.. rali✓.lr.. L:.... -. . b I «......� ...... ..1 .,r .�.................. % to ...cwwo--o-,ae ........it....... ........ . . . .. ..............z7v ............. ..1f ............ ......../.;iY�`'!.` F. ........� ......:.:�;... V ................................................................................ ................................................... ......................... of premises located of......F%:P.. ..../..'! ':�... ............/..... ... .................... County Tax Map No. 1000 Section ......&.......... Block ....`��.......... Lot No. ...e ............... pursuant to application dated .......�1*(4....... ....................... 19 ., .7, and approved by the Building Inspector. cw Fee $... ..... ......... ............ ....................... ... Ing for Rev. 6/30/80 Form No. 6 / y�C S' S TOWN .OF SOUTHOLD rel_ BUILDING DEPARTMENT ��q 8 TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 1% 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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. C. 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 - .25¢. •4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.08q0, Commercial $15.00 Date . . �,��3. �J.�. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . ... .Q ppOld Or Pre-exist' g Building. . . . . . . . . . . . . . . . . Location of Property. ..0.(O.i A� . .. . . . . . . . . . . . . . r-. . . ...dvV . . . . . . . . . House No. Street Hamlet SVLVj Onwer or Owners of Property... ......... . .. . . . .W. L.Cy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ... .0.31. . . . .Block. . . .3. . . . . . . . . .Lot. . . . J. .(. . . . . . . . . . . . . . . Subdivision. . .[... . . . . . .FilQe^d� Map. . . . . . . . . ./.Lot. . . . . . . . . . . . .,.`.. .. . . . . Permit No. . � 1.I .`.. . .Date Of Permit. . �:�. !./. . .Applicant. I^• • �"=y'C 'J c, Health Dept. Approval. . . .. .. .. . .. . . . . . . . .. . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. .. ... . . . ... . . . . . . . . . . .. / V Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . aJ Fee Submitted: $. . . . �: . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . .`. . . • i • . . . . . . . . . ICANT Cot-�5rioy V-0 suiLuINa DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [P FINAL [ ] HIMNEY REMARKS: t d 6 iADATEIdI17 INSPECT �: I1:1.11 I Il;il'I_l:l 11111 141:1'Ull l I)I�fl•: Q.,► 1) 12 -n n„n n*+rr+.---,n n n- 1 :1)111!11 ITIIAIII! /. _z t� +„n.•...n.nn._-n_n_„«_« •d_n.,n..n, --.r..n_n.------w..__na w,I,_.w.w_«wn«w_w_««wr.nn.-•,wnrrr ill;Il1.�'I'11)11 1'I:It if. Y fa)UI! ------------------ -- .. ,..,., ... ` It I IIAI. . w-_wn««nh--_«-_wnh«_« � . . .. , n«�.n.,« �...-. ..n«.... .,n ,...,.�,.n ------------------------ nr►11 I T I t)11nr. t:tlltnrrl' ; ..------------------------- I • o � 47VAW .f- Derrl To ID v Lu L I I ][ «� __ -- - r>._. _ `G..4 �.. ----- - S u 40 ri M ` lt�y. Dzenkow.s,k, 1 t ' (�:.. .... .'L.•.J�CONS..w..1 N. 72— b..� Gni _-„tPr wnL'i I AONty def lint c, ;-;.Cr rte isr hr:.( )n end 4�L uwrea..nme !o c a. subsegtr_+n't Owns r i V) ti" 1 q s� MAP OF PA20PERTY SUR VE YED Aroje AT EA57T MAPIaN, N. Y: v � Scam f 1 . stow$ a <z Area-0.-"9 Ac. � McrYaryerr t Z i PJA Sofi�lk C_..o.72M htp tlmiq.f<�M, SM- Gil, �t� 5, PC v NAS_ 3 "S • i (;uarn rr feed �`o BOARD OF DEALTH . . . . . . . . . . . . . . . APR FORM No. 1 3 sirs OF PLANS . . . . . . . . . . . . . . . 11997 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . - j BUILDING DEPARTMENT CHECK OF OTOWAL P� �'� SOII'fI01.D,11N1.Y. 11971 SEPTIC FORM . . . . . . . . . . . . . . . . . . . --� TRI,: 765- 11102 NOT 1FY: CALL Frcmitrcrl...... /�J , I MAIL TO: . . . . . . . . . . . . . . . . . . . . Alprrovecl.......#1.r. I 7 Permit No. .K(� I?— Disapprirveda/c .................................. .................................... ...................................................... (Builol' rg spector)� APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 919. . . . INSTRUCTIONS a. 'Ibis app]Kation must Ire completely filled in by typewriter or in ink and mdmitted to Lire fluilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slrowirrg location of lot and of Wildings on premises, relationship to adjoining, premises or public streets l icatian.areas, aril gdvdrp, prl this ala detailed description of layout of property mist be elrawn on lis diagram ,hirli is part of e. Tire work euvered Iry this application my our be compne d before issuance of Building Permit. cl. Upon approvalof this application, Lhe fluilding Inspector will issue a Ikrilding Permit to the applicant. Such permit shall Ile kept on the premises awailalile for inspection throughout the work. e. No building shall be occupied or used in wlnle or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS 11EREI5Y MNlli to the Wilding, Department for the issuance of a Ikuilding Permit pursuant to the Ikrilding Torre Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatiais, for the construction of Wildings, arkliticns or alterations, or for remnval or demolition, as herein described. Thril Tile applicant agrees to comply with all applicable laws, ordinances, building code, Irousing code, a regulations , and to admit authorized inspectors on premises and in Wilding, for necessary inspections. .................................................. (Signature of applicant, or name, if a corpornLion) (Mailing address of. applicant) State wlletlrer applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or milder. CtkJ.�'c �— Y ............................................................................................ Narrre of owner of Sys Uri D� �r`�� APPROVED AS NOTED premises ...�...................... .. .......... ........... .......... . 7 (as on flue tax roll or latest deed) DATE: i1.Ps If al pn canC is a torpor 'bn, signature of duly autlxrrized officer. FEE: BY; C NOTIFY BUILDING DEPARTMENT AT �f �r 765-1802 9 AM TO 4 PM FOR THE �� "-"" l C FOLLOWING INSPECTIONS: �( am aril tit f corporate officer) 1. FOUNDATION - TWO REQUIRED / FOR POURED CONCRETE J / 2. ROUGH - FRAMING & PLUMBING Wilders License No. ..,��Cl .L 3. INSULATION Plumbers License No. .._...,,__ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electricians License No. ..................... ALL CONSTRUCTION SHALL MEET 011rer Trade's License Ter, ,,,,,,,,,,,,,,,, THE REQUIREMENTS OF THE N.Y.STATE CONSTRUCTION & ENERGY / 1. Location of land on which proposed work will be done ...�� c Yl "D ` �T RWgM�1 1 DESS N' R'CANS TION' A RS' ..................... ............................................. ............................ Iknse Nfirer Sqtreet1L--m1e Canty Tax Map No. 1000 Section ...(Jz✓. L...... Block ...... ....... Int ... . Surlxlivisio. ...................................... Filed Map No. ............... Lot ............... (Name) 2. Slate existing use and Occupancy of premises aril intended use and occupancy of proposed coxrstructiorr: a. Existing use and occupancy ... t ��'�_..t.� —rla"r X1--"1 �v.� (_(_��✓� . ................ .... ..................... b. Intended use and occupancy ...Z5—� ............. .................................... ... .._ .IE 1. Naure of lurk (check %Adds applicable); Mtj Iklildio It:pair ............ l(ulraral !, Acklilial ^ Alteration ... .... . .. Dalr;Iition ............ 011ier Work .....C .......... ...... ....... .... (I)esc:rlpCial) 4. Est hunted Cost .. _°a ............ fee ....... ... .............................. ...... (lo Ile [Witt Oil flllnl; this applicaLicxl) 5. If (Ax ling, txuler oEcArellilq; units IAnller of /Aaellin units on each floor 1f garage, 1lurher of cars ......... ... 6. If Ixlsiness, mnnercial or mixed occ,lialx:y, specify nature slid extent of eacJI type of use................. 1. Diuxnsi(x1s of existing tartwturea, if ally; FlooL................ hear ........ . .. .... Ik:plh ....... .......... Ikil)IL fAeher of Stories .............. . )1111eA8iOos of Battle strlNaure with alterations Or ;Nklitiolls: 1''rnnC ... ... Ik: rlll hear ... .. ......IA lieigllt Umber of Storien .. . ........ .... 11. Diulo:osiol.s of entire new coostroctiou: Fruit ................ hear ... . ... ........ Depth .............. height ......................... Nadler of Stories .............. ..... .. 9. Size of lot: Froot Rear .................... 1(1. ICHe of lluillase Male of Porner Wier ....... ....... ...... ........ I I. Z04 be or use districC in wllidl preaises are situated .......... ..................... 11. IkOes proposed ajllstr.lclicxl violate any zcxling law, ordiamwe lir regular.icxt: ........................ I1. Will lot Ile re8raele(1 Will excess fill be rcmluved from prenises: YES tC) 14. PLmx:s of Owner of prraai ses ..................... Acklress .... ............ ............. . lixxle No. .......... .. Mahle of Ardlitect ................................. ... NMIess ............................. Plane No. flax: of Ccxilractor . lvklress ..... .. .......................... ..... .. .. ... 15. Is Ibis pmlx:rt:y within 300 feet of a ti(Ial wetlarxl? * YES *It' YES, SlIlfI1ClA 'IC71Jt1 '11111511J�S lis1d11'1' !NY ISIL Itls(11I11tI D. l PLOT DIAGRAM Inc:ate clearly aril distinctly all Ixlildings, whether existing or proposed, still ilxlicate all set-Imwk diuensions frrin property lines. Give street: aril block limber or descriptioll according to (lee(1, aril show scree noires stili irxlicare Wilether interior or corner lot. Sod (� PNOW `F PECK L 10 ll y- #9' r k 0 ,)51: Bran: (!r 1`114 Y(AK, L ,�sv�1....e ., cr L o•J X20...... . . . ... . . .. ..Ixein, dui Y !")Fit, delxts+s a,Nl t;;rya that he i;: the appl.icanl (tl;rlx: of individual. signing, contract) above lumrxl. Ile it; Ihet ...� ((bntractor, IIgenl', corlxmI(e officer, el c.) ............... of raid fulictr of <MIN!I ti, a1Nl is duly nulhol ized to lx:l lol111 (11 11;1v0 lx:l l(IIIlk-d (Ile ';!,ill work a1Nl to ncd(e ;a Nl file. II ygtlic;ll ion; thal. lilt slalalnul COIll;1111(Yi in Illis application art! LIoc to the Ixa;l: of his klxrulevlge alNl alNl Ihnl. the walk will Ix: perfomed',in (he arllloel. ;;el forth in IIle applicalioo filed Ihertwiilk. ;;Wrm1 to before fit! Illia % . . .. .... . .i........day of Molary Public (...... ... C . 11'OBERTI.SCOTT,JR u ;igu.lturnn e of :� tpl ic' l) sry Public.Stets of Nova'o Qualified in Suffolk County No.01SC4725W9,nn p .