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Home My WebLink AboutZ-25487FORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25487 Date JANUARY 15, 1998 THIS CERTIFIES that the building STRUCTURE Location of Property. 10643 NEW SUFFOLK AVE. House No. Street County Tax Map No. 1000 Section 116 Block 1 Subdivision Filed Map No. CUTCHO~IIE, N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Requirements for a storage structure built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25487 dated JANUARY 15, 1998 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 TWO CAR WOOD FRAME GARAGE & METAL STORAGE SHED * The certificate is issued to HADLEY S. WILLIAMS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A //u~ing :nspector Rev. 1/81 AI)HITTI~.I) I[¥: HICIIAEL CAPIJANO A(:(:()I41'ANII[I) llY.. · ~()IIII(:E OF lll.~(}lll[,?lh___ PAUL CAHII~ITI, ATT~ ])A.iIi(I DEC. 12, 1998 TYflr. ()Iz (]ONS'I'IIII(;TIOH FOIIHI)ATTOIsl 'I'OTAI, IIOOH.';: )s'r lq.Il. 2II1) Iq.Il. ]III) FI.Il. ]IATIIITOOH (e) 1'01~(:1! TY l'l~ IIIII~I~ZI~AY TI)II.I(T III)OH (.) III{(:K, TYI~F. A 1 IT (:ONI) ['r ] ON I H(; . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: I. 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 c6mpleted site plan requirements. 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, Swin~ning pool $25.00, Accessory building $25.00, Additions to accessory, building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm-~.$_~O0~00~~ 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate - New Construction ........... Old Or P~e-existing Building ....... · ......... ~ Location of Property..~.N~ '~' '~' '~' ' ' ' '~'' '~' '~f' (~ ~r~ '~'~ ~' '~--'''' '~' ?-''' '~f~' ['~~ Onwe or Own rs of Property ...... ,...J.~....~. .... ~ ........................................... County Tax Map No 1000, Section. f I~P .Block.. /.~ .Lot. ~ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... ,Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cert~i.~...~... Fee Submitted: $ ............................. //'//~- ]/ ~ ~ ) ]>4~ame(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at · xvhich is shown and designated on the Suffolk County tax map as District 1000, Section //6 , Block / , Lot ~ 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 3t5e 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 rnay be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the T~w/n~of/S~6uthold Dated: / (print name) (signature) (print name) BAXTER AREA = 3.039 ACRES OR 132,369.32 $.F. $84' 19' W N 84' 19' E 454 ' 87' 15' W 480.54' SUFFOLK .434.80' SALT MEADOW AREA = 5.549 ACRES OR 154,609.07 S.F. AVE. SURV£Y OF DESCRIBED PROPERTY SI TUA TE