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Home My WebLink About8118-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26163 Date: 12/10/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 455 LINNET STREET (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 2 Lot 38 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 1975 pursuant to which Building Permit No. 8118-Z dated AUGUST 1, 1975 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to BENIGNO DEJESUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Build~ing I~~ FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N°. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8.8 z .,e ................... ~~t'""l ....... ' '~"?'"~: Building Inspector. Fee $./....~i~ii... ...... Butldmg Inspector ............ ~ TOWN OF SOUTHOLD ' i ~ ~ f 'i TOWN HALL t~ ~" 765-1802 ,/~F~iCAT~O~ FO~ C~CA~ O~ OCCU~C~ BLDG. DEPI ~OWN~F~OU~OLD _j ...... in b- t,,~ewriter OR ink and submitted Three'application ~s~-~oe [[~ ~ :v to the building inspector with the following: for new building or new use: 1. Final su~ey 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 fo~). 3. Approval of electrical i~stallation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of 1% lead. 5. Co~ercial b~ilding, ~dnstrial building, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submi~ Plann~g Boar& Approval of complece~ site plan requir~ents. Fom ~iscing b~il~gs (prior ~o ~ril 9, 1957) non-confo~ing ~ses, or buil~gs and Vpre-~ist~g" land uses: 1. Accurate su~ey of property sho~g ~1 property lines, s~reeCs, budding and unusu~ natural or topographic features. 2. A properly completed application an& a consent to inspect si~ed by the applicant. If a Certificate of Occupancy is ~e~ieG, the Building lmspector shall state reasons therefor in~iting to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~m~ng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ -25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, C~mercial $15.00 ..... : ................... Construction... ~ ..... Old Or pre.-ex~stigg Building ..... ~~ ". ~ _ ~cr-~d .7/Y/,~ .~....~.. .......... ~ ............ i~atlon or ~roperty.z.~-.v ......................... ' / Hamlet House.~-~~/a No. ~ ~ Street [ ~bdivision ............. ' ' ....................... Filed M~p ............ Lot ........ ~ ........... .o.. .... ~ . .Underwriters Approval.. ~. ................. ~.alth Dept. Approval ..... ':Lanning Board Approval ....................... ~*.quest for: Temporary Certificate ........... Final Certicate .... FOH, M NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ....... , , proved .... ....... . ....... Disapproved a/c ~.~'2~.....~~~- INSTRUCTIONS Application No..~.~Z ./.~ ............. a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of 10t and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may 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. APPLICATION 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, New 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 ir~ buildings for necessary inspections. .... (Signature of~.6ppJicant, or noj~e~J'if a corporat~h) ..... (Address of applicant) / / / )e whether applicant i~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. ....................................................................................................................r..__ ~ ~t.,_ .__~ ~ '_'¥~ ................... ~i ........................................ Jf applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~,gq Location of land on wl~ich, propgsed ~ork~w~Ie dgrt~..,Map No.: ........................................ Lot No ....... ?.......~. ........ State existing use and occupancy of premises and intended use and occupancy of proposed construction:/ a. Exisiting use and occupancy*~,~...~..~. ................................................................. , ........ ~ ................ property lines. Give street and block number or description according to deed, and show street names whether interior or corner lot. 3. Nature of work (check which applicable): New Building' ...,K...~ ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) 4. Estimated Co~t~....~..~ .~.....'.~..~.....:. ................................. Fee /. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Real, ~ ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... .~.[.....~...~.....:....... Rear ....~.:.."~,,-.~..... Depth ...~,~J~....:...~:... Height ..... I..~Dt ........ Number of Stories ........ ........................................................................................................... 9. Size of lot: Front ...~"~..,.....'~...,..'~.. ......................... Rear ..... ~...(~)......~..~ ....... ,..... Depth ..,.~...~.'~-~...~--..~:.... ...... 10. Date of Purchase .....~....'~......~....~'~ ~"' ............................. Name of Former Owner ...~....~.~..~¥,,~.~..~..~....~...y. 11. Zone or use district in which premises are situated ......................................................... .~..-~. ~,: .......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... . ..~.........t:.,~ .................................. 13. Will lot be regraded . .......................... Will excess fill be removed frol~ prf~r~ises: ( ) Yes ~,~,o 14. Name of Owner of premis~.~[.~...~.~.k.~. ....... Addres~l~.~.~.. ...... .~]~oneNo. ....~...~'~.;%...~..~'F~ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll set-b~ck dimensions from and indicate STATE OF NF_.~ .Y~_,.~t %/ [SS COUNTY OF .-:'~-~..I..k.'~.....f ' ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, otc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ell statements contained in this application are true to the best of his knowledge and belief; end ti,at the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................ -OWNSEN~ ' / (Signature of/JTpplicant) ~ ' My C0mm~Ssion ~ires ~