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HomeMy WebLinkAbout8378-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office ot: the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- 16234 Date October I , 1987 THIS CERTIFIES that the buriding ...G.A..R.A.G.E...&..S.T.O..R.A.G.E...S.H.E.D. .................... 540 Cedars Road Cutchogue, New York Location of Property/-t3~s~ 'tv'o~ ....................... 'S't/ebi ....................... County Tax Map No. 1000 Section .. ! .0 .9 ....... Block .... .5 .......... Lot ... [ .7 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated September I 7, 1976 pursuant to which Braiding Permit No. 8378z dated ............................ S e p t emb e r 17, 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 ......... GARAGE & STORAGE SHED AS APPLIED FOR EDWARD F. & DIANNA SCHILLER The certificate m issued to ..................... [ohJn'o'r, 'l$~$eYe~avnJO ...................... of the aforesaid building. Suffolk County Department of Health Approval ........... ~./.A. ........................... UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: /' yfiding Inspector Rev. 1/81 FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES'UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8378 Z Permission ~s hereby granted to: ~ ~/~!~,.~e~e~ ................................................. ............ .~u~a..r,~ ....... gnteho&'wa...: ............ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instalta- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 yeats $]0.00 4.Vacant Land C.O. $ 20.00 ~.~.1/~..7 5.Updated C.O. $ 50.00 Date ................. New~°nstruc%i°n. . ~,.. O~d or Pre-existing Building ............ Vacant Land ............. Location of Property....~.'"~ .O....C~.~Ca... House No. ~ ~.~ A ?treet '" t (J Ham/et Owner or Owners of Property...~. ~.~..~.~..f.. ~.'.~ ~ ./~.O,,...~5...C~.~. f~.. .............. -' ....... County Tax Map No. 1000 Section .../.~.~ ........ Block ...~9~. ......... Lot.. · Subdiwsion ................................. Filed Map No ........... Lot No .............. PermitNo. ?~$?~z/_ DateofPermit¢¢?/~ .Applican~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... /~ ............... Fee Submitted $ ............................. Constructmn on above described building s d regulations. Apphcant ~,~~. ~ .~%....~-~"~'~ ........................ Rev. 10-10-78 765-1802 BUILDING DEPT. INSPECTION 'FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION