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Home My WebLink AboutZ-22630 FORM NO. 4 TOWN OF SOUTHOLD k' BUILDING DEPARTMENT Office of the Building Inspector' Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22630 Date OCTOBER 1, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 320 SAILORS NEEDLE ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 5 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22630 dated OCTOBER 1, 1993 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & ACCESSORY PLATFORM WITH TRELLIS NEXT TO BULKHEAD The certificate is issued to PHILIP & JEANNE MARRINER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 Form No. 6 6 TOWN OF SOUTHOLD ,f JP 2 8 i993 BUILDING DEPARTMENT .� TOWN HALL ; <. _ - -_=-. a - 765-1802 E,i ��.DES T. j_Cia!jN C)F S(3E1THOL 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: ( v1. 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 Certif icate 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. A,,�2. Certificate of Occupancy on ,Pre-existing Building - $100.00 3. ' Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . �:Y. .l. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Buil�ing. . .�. . . . . . _ . Location of Property. . . .ZQ .St4 r oa S ./1�FEDrF. . . . . I. 44,4 �! . l_)!C j./v . II C1.J�2. . . . . House No. . • . . . • Street . . . . • . . Hamlet . • . . Onwer or Owners of Property. . . . .��,fi� r s� 8 ounty Tax Map No 1000, Sec�ti/on. . l�, , , , , , ,Block. . . . . . . . . . . . . . .Lot. A. . . . . . . . . . . . . . . . . . Subdivision. . . .��.r.fi.LA,eF VJ�/ F dTr . . . . . .Filed Map./A/D �✓o"f/ ,ot 1�. . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . .. . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . ... . Request for: Temporary-Certificate. . . . . . . . . . . Final Certicate.t_�, , , , , , . 0� Fee Submitted: $.1Q�- . . . . . . . . . . . . . . . . . . . s�,,. bgg'�.., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT ,r F, z � L Q LL a L o! ° Ow ° J � 1U PICKET FENCE WOOD FENCE ��- • 8PO50 OO'E O ENCE N W WD DECK ro/OO.OQ 147.591 . Vl / FR.SHED SHOWER YI 21 P8 - • 20.3' 9.1' j14.3 DO -ASPHALT Al ry .p DRIVEWA 4G v N a 2 UN �Q STORY FRAME N I'a�\W 13.3' HOUSE 4 GARAGE m ¢@ O 53.G' To Lti U t ci 4zlvj �' -I.4 p DN i 13 m� o �0 �� Cis `''ems ya E % • a ro • A� _ORS R=1600 �� h oti��y S � 5d .o. am IV.79005r0�IE. 119 �o� ��RF �o0 6 y. ri �0 20 60ro 32 oy 5 y6 1 5 00 o N� 1 � - •sky; -�- 4 oh2 U 3 wf LtIJ VEY-IS A.Y1QEAttON Of G J --�y�7209'Of•!ME I/PW YORK StAl' 7 NWOM to W, qF T)+rs SuRlify MAP NOT KARML I: :SSrYiYCti'y J%-I)%IAS GP SYA:;.Srw.:I Nj:,?}t C�i}jit0l�fl REVISIONS YOUNG & YOUNG Nr6dgN.iHAM 4W SEPT.24,/993 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK <3ea Ua'p(}5 L:r1/i/ r'J?pl'E ALDEN W. YOUNG HOWARD W. YOUNG '�YSi ?;{t„C;Cctka�:RL+cYAl Aii'!i{CM PROFESSIONAL ENGINEER AND LAND SURVEYOR .3 Wic falK ap t'i.ncr,IG-t4ily,{,Af'p LAND SURVEYOR, N.Y.S. LIC. NO, 12845 N.Y.S. LIC. NO. 45893 r A98t)'.fi1S!'}.+i,i:{��,;i.t.„•�:i1G 1NS:'f+ , aCs,E.3UW/rlAM SURVEY FOR: PH/LIP R. MARR/NER & JEANNE P. MARR/NER LOT NO. //, "SALT LAKE VILLA G It NOTE � NFI /. AT SUBDIVISION NAP FILED /N THE OFFICE OF THE Qg Y CLERK OF SUFFOLK COUNTY ON NAY/O,/940 AS NAP NO./3/O. MATT/TUCK �oya QG �� 2. ■ = MONUMENT FOUND TOWN of SOUTHOLD 3. SUFFOLK COUNTY TAX MAP 1 BY D/ST, /000 SECT. /44 BLK._5 LOT28 SUFFOLK CO., N.Y. SCALE: to = 40 0 DATE:✓UNE 17s I9 ds 3 _ SEP 2 s CONSENT TO INSPECTION RIP/// /� � ✓�IQ/1//yE T, •��2�//►/l�/L the and 0 vner(s) Name(s) undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at 5.411p21S . /�/,E� DJ.� �j /;U_/7-i lUGfZ which. is shown and designated on the Suffolk County tax map as District 1000, Section Block S Lot 2g That the undersigned (has) (have) filed; or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises. comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained .in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. . Dated: Z1 ` gnature) (print name) (signature) `J aA/Nr . (print name) .