The URL can be used to link to this page

Home My WebLink About8618-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~NT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27188 Date: 07/12/00 THIS CERTIFIES that the building Location of Property: 56340 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 62 Subdivision Filed Map No. __ ADDITION SOUTHOLD (STREET) (HAMLET) Block 3 Lot 22.1 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1976 pursuant to which Building Permit No. 8618-Z dated JUNE 1, 1976 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 ADDITION TO ~?~TING EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to ALBERT W ALBERTSON of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H/A N/A N/A Rev. 1/81 TOWN OF SO~THO£D BUILDING DEPARTMENT TOWN CLERK'S OFF)CE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 8618' Z Permission is here, by granted to:" ................ ~l~.J~.l.....*.:,.~o.~..~..:.....~om at promises located at ...]Z~;.~~,.~;;..: ....... :..,.,.:'. ..................... ;.:.'; .................................. ............................................... :.$~1~.: ........ : .......................... ~ ....... L... ................................. :~ppmved by the pursuant to application, ~ated, ~.,~,-.-....~.,-, Building, Inspector. ]i[~[~$ ]~1t~*!11~ Fee $.:t~,.~..., ........ TOWN OF SOUTHOLD BUILDING DEPARTP[ENT 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: 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 fomn). 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 i% 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-conf~q~' ~%e~, or buildings and '!pre-existing" land uses: ~'..t '. ......... &,~ i Accurate survey of property showing all property lines~'~,,~ee~buv-t~%ng and unusual natural or topographic features. \',.i,j -- 2 A properly completed application and a consent to inspect~ §'igne4,&y 'the applicant. If a Certificate of Occupancy is denied, the Building In~pec'n~%shall~ reasons therefor in w~iting 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 $25,0~, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildine - $100.00 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 Date ........................... New Construction .... .~. .... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owners of roper y ............... ~ ~ Albert Albertson ................. County Tax Map No 1000, Section. 0~.00 ~u 03.00 Lot 02~.001 Subdivision . . .Filed Map ............ Lot ...................... Permit No...~!;~ ...... Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate...~q ..... Fee Submitted: $ ............................. '~]O~' ' '~ '~' ~'~ ~J [~A~£~ (~~ '~