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Home My WebLink About11188-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25336 Date OCTOBER 27, 1997 THIS CERTIFIES that the building Location of Propert~ 945 FLEETWOOD ROAD House No. County Tax Map No. 1000 Section 137 Subdivision ALTERATION CUTCHOGUE, N. Y. Street Hamlet Block 4 Lot 23 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1987 pursuant to which Building permit No. 11188-Z dated JTJ~q~ 14, 1987 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 ALTERATION TO EXISTING ACCESSORY COTTAGE The certificate is issued to TIMOTHY McNALL¥ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-147310 - SEPTEMBER 5, 1990 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Building Inspe~or FOEM-bO. :~ ~TOWN BUILDIN~ ~ TOWN HALL SOUTH'OL~D, N~ '~. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON ~H,E PR~EMIS~S UNTIL COMPLETION OF THE WORK AUTHORIZED) N9 11188 Z Permission is hereby grarited to: ULL · ",,! Date ...i..t....~ ............ , ......................... , .'; ..................... ~ ................. ' ......... .r';:"? ............. i' ~o ..... ~.~-~ ......... ~C7:.~..~.~:.~. ........ c2~... ...... co~ ,~ ~ ~o. ~00o s~,o~ ....... .~.~..T,}. ~o~ ..... ,...~ ......... ~co~ ~o ............ D. ....... pursuant to application:dated ....................... ~...,, ...... ,..:..:.;.;....'.: .... , 19... ~.,., and approved by the Bu Idlng Inspector. Rev. 6~30/80 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: 1. 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 completed site plan requirements.. For existing buildings (prior to April 9, 1957) non-conforming uses, er 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 i. Ce~rt~ificate_ of 0ccup~ncy - ~¢_w dwelling $25.00, Additions to dwelling $25.00, _f~erations to dwelling $25.00~ Swimming pool $25.00, Accessory building $25.00, ~------~ons fD~a-~r-y/~ ~q~ng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildinm - $i00.00 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..~ .......... Location of Property. ~O~ ~ooO ~F~ .~.~._.~..~..~..~. ~F~ ~q~ House No. Street Hamlet Onwer or Owners of Property..:...~.~-,-..~... ...~..--....~...~ ............... County Tax Map No 1000, Section.. ~.~.. ....... Block...7.;! ............ Lot..~.~. ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..././/. ~..~.~. .... Date Of Permit.. ?/../~/F./ .... Applicant..~.~.~/.~...~.~. i .~.~..~...~.~..~. -~- ~-~..~ Health Dept. Approval .......................... Underwriters Approval~ ...................... Planning Board Approval ...................... Request for: Temporary Certificate ..... ~~ Fee Submitted. $ ....................... ~ Ill FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. S'rATE ENERGY G~ODE FINAL k~