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Home My WebLink About23468-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24471 Date JUNE 28, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 3675 STARS ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Block 2 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 1996 pursuant to which Building Permit No. 23468-Z dated MAY 23, 1996 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 GARAGE "AS BUILT" AS APPLIED FOR. The certificate is issued to CARMEN VAZQUEZ & GARY MATTHEWS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-389037 - JUNE 18, 1996 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 J FORM 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 Z ................. .ct ......................... 2346� Date ................ Permission is hereby granted to: v :✓.....g .�..:. r..................... ....%.erl..................... 7** ..�. ..f d. ..F ..P ......... ...... .... at premises located at ..... .zJ�.� ...�J�lt,.. ....lea,'................................................................ ............................................, ri:........ >. c? .................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ... .............. Block ..... .. ....... Lot No. �v 19 pursuant to application dated ... ......e.'A............................ ./.. PP Y the and approved b Building Inspector. e $.............. ........ ... ..... , ................. w ng Inspector, r Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JUNE 18,1996 Application No.on file 11866596/96 N 389037 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of C. VAZQUEZ/G. MATI-EWS, STAIRS ROAD, EAST HAMPTON, N.Y. in thefollowinq locution; ❑ Basement ❑ Ist Ft. ❑ 2nd Ft. G'Ar"/OUT Section Block Lot was examined on JUN 13,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 1 3 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO, A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP, TYPE METER 1_,2W I.0.3W 3,0'3W 3,0'AW NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W G. EQUIP. PER.e OF CC.COND. OF HI-LEG OF NEUTRAL 1 100 CB 1 X 1 4 1 OTHER APPARATUS: PANELBOARUSs1-5 CIR. 10.0 G.F.C.I3-2 ig Es JIM SAGE ELEC. INC. LIC.43635E L 350 KARINE PLACE GREENPORT, NY, 11944 GENERAL MANAGER 11 �, Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST .NOT BE ALTERED IN ANY MANNER. Foam No. 6 TOWN OF SOUTHOLD !P BUILDING DEPARTMENT I � FEB 2 6 1996 TOWN HALL 765-1802 L ' BLDG.[3EDT. .� TOWN OFF 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 11 '-'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' poof $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. :Temporary Certificate of Occupancy - Residential $15.00,GCommercial $15.00 Date �� l . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . . yOld Or Pre-existing BBuilding. .�Me.67A . . . . .�J Location of Property. . .J.�4'./ 5� . :STfi. lam?. IRMO . . . . . . . . . . . . . . . .4��!!l��. . . . . . . . . House No&CAC�A Street/ Ham/let P y.. .Onwer or Owners of Pro ert . c- : County Tax Map No 1000, Section. . � .'. A .0 . lock. .. . ... � . .a.t .Lot. . ..%/ s v 0 . . . . . . Subdivision. . . . . . . . . . . . . , . .Filed Map. . . . . . . . .Lot. ..... . . . . . .. . ... . . . . . . . . , JJ �J Permit No. /Y /.r�. . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . DD Fee Submitted: $. s. ... . . . . . . . . . . . . . . . . . . . . . ..I ` APPLICANT CIO-?- 0?1/1/ 7l 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING INAL [ ] FIREPLACE 4 CHIMNEY �L GI REMARKS: DATE � INSPECTO � 3 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR V»} k � �m � ---- m '-__�-----__---_-_--_'-_-'--- -'-----_-_-_'_----'----__--'----'_'-- � ~�� --' _^-'--_-'-_'----_'----_'__----_'---__-'_� ---'__- -__-_--__-_-----_-''___- '-'- / BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . Q 4' BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . �4 4 FEB 2 6 1996 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . L �A_ SOUTHOLD, N.Y. 11971 SLDG. DEFIT TEL: 765-1802 NOTIFY:TOWN OF ``// - CALL . y . . . . . . Frnined...:. .. ......., 19. MAIL TO:C 2(�t/ Z - - - - - - 0/1 Approved......��.�.3......, 19,Ae. Permit No. .. .iLlofD�. Disapproved a/c ................................... -,`!!.T,�Ca!�7 {:S �[.!!!!...._... ....................................................... / 7 7 .... ........ (Buildi I.spector) APPLICATION FOR BUILDING PERMIT Date, �L'.�:a . . . - . 19`;�- INSTRUCTIONS a. Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 9 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 ,streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application my not be commenced before issuance of Building Permit. d. Upon approval. of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall 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 Occupancy shall have been granted by the Building Inspector. APPLICNnON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Nov York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. �.................... (Signature of licor if a co rati ). (Mailing`address of lino State'w)ether:a " licant1s'o0i n'dr"lessee agent, architect '(mp ge. , engineer, general contractor, electrician, plumber or builder. ,....1...` .. .....---. .......... ........... ....... .............................. Name of owner of premises IA.MN. ..VA 1)�. .. ( �I.'. 7.T.HL. S....................... as on the tax roll or latest-deed) If applicant is a corporation, signature of duly authorized officer. .................................... .................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... _ , 1. Location of land on which proposed work will be done..36,1-5-_...,5 71qkS A�'�.............. .. ------------- -------------------------------------- 5� .`.. K..1 - . ........._ Ilotmse Number Street Hammlet County Tax Map No. 1000 Section .....r��. .... Block _... ........ Iot ... ....... Subdivision ...................................... Filed Map No. ............... Lot ......... (Name) 2. State existing use and occupancy of premisesand intended use and occupancy of proposed construction: a. Existing use and occupancy .............................................. b. Intended use and occupancy ............................................................................. t. N•U►n-e of Work (clieck wl►id► applicable): W--w Ikrilding Acklition .......... Alteration .......... Repair ............ Removal ............. DailoliLion ............ Other Work ................................ (Description) Est 1►►rate(l Cos L �0U,'.0..�c.�.......... fee .....•........................................ (to lie paid on filing this application) i. 1E rhre]ling, ncnixer of dcaelliry; units ............ lkxiber of ckielling rnits on each floor ................ If garage;'nuiiber of cars .......ON�'........................ if business, com►ercial or mixed occupancy, specify nature arxi extent of each type of use....................... 1)iinensia►s of existing structures, if any: Front....�.!. ?.._ Rear ..I .... Depth rOAL ..... IIE:igi►L AAnber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Dept.lr .................... Height .................... Umber of Stories ............... S� Qa . Rear ...... De nth ...... ,. Diu►ensians of entire new construction: Front ............. ......... f ••-•-••- lieil)►L ......................... lAxiber of Stories // ..................... J. Size of lot: IYrxia _/ .:lCl'. .. ... Rear ..1. ......_..... ;0. Mite of Purchase . �l.L?��...�.7.�.0... flame of Former Owner Af)0`I.E.cLpj .�/��(,16:Z .. :I. "Lcxie or use district in whid► premises are situated ............................................................... J2. Does proposed construction violate any zoning law, ordinance or regulation: ...!d. ................ 3. Will lot lie regraded ..... /V.0......�.f.... Will excess f.i l 1. lie renx-medfrom premises: Axxle NOIb. Names of O►nrer of premises -°'�mGnv� IEL....._._: Address _.[/_ b4!.( .. No. �3......... .O Niue of Architect: .................................... Address .............................. 1'1►one No. .............. Itme of Contractor ................................... Address ...............................Phone No. .............. IS. Is this property within 300 feet of a tidal wetland? * YES NO ..✓..... *IF YES, `aynl[MD 7Cll,1N imis C-s P awn MAY w, RG(XJI rm- PLOT DIAGRAM lcx:ate clearly and distinctly all lnuil(lings, %Aiether existing or proposed, and indicate all sea-hack dimensions frcn block► property lines. Give street and blo nnber or description according to deed, and slncxa street:nanes and indicate tAiether interior or corner lot. SeA- r v e APPROVED AS NOTED C C�.0 PA N �� O DATE: �� B.P.# A� g o?3F� USF i ��IEy 'Ef��IL FEE. 3 BY. r7 c �` G NOTIFY BUILDING; DEPARTMENT Tr 1 p� t�l ITIA U� Y I FB CAE,OLLOWING INS ECTIONS O 4 M FOR THE s FOtJ ' OF OCCUPANCY ' I. FOUNDATION D - TWO REQUIRED 2. ROUGH - FRAMING & PLUMBING 3. INSULATION TE 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. �eREd3 ALL CONSTRUCTION SHALL MEET THE R.EQUIREMLNTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES., NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .;[,Nil, (V Ni:W Yow, SS MINH (V .S.l1F.,F.DL.K.......... _•__•.•._� /�� // �`� !%�_ .. ...__._Ixtinp; duly sworn, delxoses and says that he is Lhe applicant: m f individual. si nin contract (Na iv-, o . signing ) alx)ve n:l►cA, Ileis die ....... ............................................................................................ (Contractor, agent, corporate officer, etc.) of: said (xnx!r or c"x:rs, arxi is duly aut.horized to perform or have lx�rfonnecl the said work and to make aril file t-his appl icaLion; Lhal: all. sLatonents contairx-d in this appl icat:ion are L'nre to the hest of his knowledge and Ix'Aief; and thaL Lhe murk will be performed in Lhe uiann►er set forth in Lhe application filed therewith. Sworn to before me this ....._.. .�......clay of •...!..- / ...... I .. Nolan hlblic .. � MADEUN 0..R�j,Y 9o9r k � (Signature of Applian WOTARY� � � c RR n27w& In S Commssion Emles 1 x,bl +415 6 13 lid �4 311 r q U#,,k-F4 T 41 W.Ta- 107.76 -X mv 7 & 7- 74. UnrrhcAI altPration or adiMM ...... to thi,S,urv-y is a violntion of -.m 72.:of thn Nmw York SO." 1'20.0 C.'!j�TJ(?n Lnw. Cc- e tbir runiry mxp w.1 or > j w..-t ba conaldmdl J!valv�trun c,,y. G vj.%mot,-m,v Indicrtk-.�herTon th-11 run v!--_w P�r whom the eurvvy R�.d an Ns tehalf to tli,�g co--vy,g(wernmonH, aj-.ncy nnrl institation listed hcr,�om arJ ,A to lvii,m mr,of the londinq imzti- :--n. I',%voweaq arc not T,;v�,tV'Jonql inslituVorm or suSsQquont IL ff NF,. f/\F Cy- V-1 G A AT 1.S 2 Sb I MAP-1 C L AND Tk�WN OF SOUT�40(_Ul fIly. Aut\�'AWT44-4 TO -M�- Lw 40 'm 1 40. - //\O N U AM-N T A!� d�O Q",'E:y E Q JOLY2,198-7 )F'f- CQ.74Y twlAr- DATA'.IC�_Xj'-Z2-2.'Z11_S. A Ab\E-�J r E::U -PT r - ISE 1-3*196t. 6 tJ L?T 1-4 /c:;y rp-L_/ `/ MRY-16--tyye by�i� U1,41 yr-m71 1 f-1I JI VI'1I lii'ulA\ J10 IJJG 11OL {�.LI'G IV J i / 1 _ o klLp M E IS Ilk! A FU UT CERTIFICAT OF OCCUPANCY • l 6 OCCO s eA-Y-rde LAP, C - j y,q- 'S o2. *' 4. i eng - Z t TOTAL P.02