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Home My WebLink About9100-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17227 Date AUGUST 25, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 155 WOODCLIFF DRIVE House No. Street County Tax Map No. 1000 Section 107 Block 07 Subdivision Filed Map No. MATTITUCK Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1977 .pursuant to which Building Permit No. 9100Z dated MARCH 21~ 1977 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 BUILDING. The certificate is issued to MICHAEL T. & LINDA J. BURKE (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In~ector Rev. 1/81 FOi~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9100 Z Date ......................... ,t~a~......~.l .............. , 19....7.7 Permission is hereby granted to: .... ~..q.n..a..?:.z....~:.r.~ .e. ............................................ .............. lf, a.t~ k.t, nck ............................................ to ...~.n..~..~ ~...~.~.~;...;~ ~:.~ .v.~.~ .~...~.~..c..~. a ,%o. ~....f,.a .~ .o. ~;.a~e. )...D.~q,.a..i...n. ~ .......................................... at premises located at ..?'.;../.~..~r..°...°.~?-.~.Jr.~...?..r.. ................................................................................... ......................................................... ~e,.t.t LtucA; ................................................................................. pursuant to application dated ...................... ?:.;..z.~.....~.J ................... 19.~.~...., and approved by the Building Inspector. Fee ,... ~ .r.q.....O..O. ......... Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 features. 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 bui'ldings and installa- 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occapancy 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. C. Fees: Additions $25.00 ?OOLS $2$.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling,$25:Q0, Acce~._.._~3usiness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 year~ $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... -..~ ........ . ....... New C ons tp u c t, i on Old or Pre existing Building ....... Vacant Land Location of Property .~.'~--)~ ~4~, ~'°~-~-//~-,~' ..z~..,~. ..~..~7. ?.?~.~...~/-~..~.,~_ House No. · .... . .... Street Ham/et Owner or Owners of Property . County Tax Map No. 1000 Section / ~ ."'~ ~ ~..~. ............. Block ............. Lot .......... Subdivision ................................. Filed Map No ........... Lot No .............. G/~ ~ ?.: .~/S ?~.Applicant Permit No ......... Date of Permit -- Health Dept. Approval ........................ Labor Dept. Approval ..................... ;.. Underwriters Approval ........................ Planning Board Approval Request for Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p.~.n~mee~ all applicable codes a~gulations Applicant .... /,- Rev. 10~10-78 ~' / ~ ' ' '~ ' ' ...... 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ] ROUGH PLBG. [ ]FOUNDATION ZND [ ] INSULATION [ ]FRAMING [/.~INAL REMARKS: /), /</~ {F//'L~ ~-- '0' DATE