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Home My WebLink About16246-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-16194 Date: 09/11/87 THIS CERTIFIES that the building ADDITION Location of Property: 285 MEADOW BEACH ROAD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tm Map No. 473889 Section 111 Block 10 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 1987 pursuant to which Building Permit No. 16246-Z dated JULY 19, 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 STORAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~he certificate is issued to WILLIAM & THERESA M. MEEHAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u N/A N/A ~u'/~o~nature Rev. 1/81 FORM NO. O TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16246 Permission is hereby granted to: ...~,..k,..~.,.....~ .................. q.~~~~...'~ ~.~.~.~.-.~~.~: .......................................................... at premises located at .~..~..~..~....~~....~...~.,....~~ ......... ~......w...~~~ ~ .................................... County Tax Mop No. lO00 Section ...... l.I..I ............ Block ....... L..~ ........ Lot No...l.~ ................ ~u~uo., ,o o~,,~a,,o. ~o,~ ...... .~t...~.~ .................... , ,~.~...~., approved by the Building Inspector. Fee $ .~..'~. · :..~ ...'~.., ....... Rev. 6/30/80 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 ~ 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 buildings 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 pz~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. C. Fees: Additions $25.00 1. Cartificate of occupancy New Dwelling $25.00, Accessory ,.$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 over 5 , years $ 10.~0 / o.oo 5.Updated C.O. $ 50.00 Oate ................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. House No. Street Ham/et Owner or Owners of Property . ...[/~. ]/..L~ J~{C~ .. ~/~ ~..~/~..Fbi. ................................. County Tax Map No. 1000 Section .... /.[./ ........ Block ... !.(~ ......... Lot... J..~. ........ Subd v,s on ............ Map No. ..... Lot No. .... Permit No./.~.~.L,~- Date of Permit .~'~/l .?...Applicant ~o~/'~J..~)~/~ .~. ......... Health Dept. Approval ........................ Labor Dept, Approval ...................... . Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $. ~.~ ~ .................... Construction on above described building and p~mit m~ets all,~cable codes and regulations. Applicant ................................. Rev. 10-10-78 UNDATION ( UNDATION (2nd) UGH FRAME/ FLUMBING SULATION FERN. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTtlOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. [~_/ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. ~.--/ The check is(outdated~not on file0) /5/ No IIealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Tt~ank you for your cooperation. Building Permit II / ~ ~ ~ Building Depto this matter. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) BOARD OF HEALTH 3 SETS OF PLANS '~..''. 'FORM NO. 1 SURVEY . [ .~". ...... ., : TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1'802 MAILCALL Td: .......... ~'~Y' Approved ...~.~..[~.., 19~..~.PermitNo t b'~t[b-2= Disapproved a/c ..................................... ~1 ~'5 ................................... ~ .......... ~ TOWN OF 'SO~THOL_ D (Building Inspector) APPLICATION FOR BUILDING PERMIT V/g ~.~. Date ..... i ............. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit ]shMl 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 g 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 in building for nece~ns~ . ~/(.~a/~-M.(~gnature.o,9~f a~'plica'n~ [ ;; ~n'e] ii ~ 'c~}~;;a'ti(~) .... (Mailing address of applicant) State whether applicant is. owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................ ....................................... Name of owner of premises .. ~ .~r./. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST .~g~?fFOLK COUNTY LICENSED Builder's License No..../.~,.k/.. ~.~ ........... Plumber's Licens~ No .... Z~/f.A ................ Electrician's License No.. A.//A ................ Other Trade's License No...z4f~q ............... 1. Location of land on which proposed work will be done[ ................................................. .... ~ ?.7.?.~.,., .~..z:~. ~.¢ .~....~..~.~... ~ .~..~.,.-.,...~..~.~ ~.~..~....,...: ......... House Number Street Hamlet County Tax Map No. I000 Section ...... ./././ ......... Block ..... ./..O. ......... Lot J'~ ... Subdivision . .~.."q.~.~..~..~. · .,~..~./.d(../. ................. Filed Map No ..... / .:J'.~ ......Lot . .~..~. ~. :.¢e). .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · ............................ a. Existing use and occupancy ~//M..trd-¢. ~,9.fOl , .~.. ~[. . ~.. [/'v.C~.. .,~.~¢ b. Intended use and occupancy ........................................................... )u~o!ldd~ oq~ s.~ o~ :[~q~ sArs pu~ s~sodop 'u.Io~s 4[np ~u.~oq