HomeMy WebLinkAbout16467-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19181 Date JULY 5, 1990
THIS CERTIFIES that the buildlng.
Location of Property 1575 FOUNDERS PATH House No.
County Tax Map No. 1000 Section 64 Block 4
Subdivision Filed Map No.
ACCESSORY
SOUTHOLD~ N.Y.
Street Hamlet
Lot 15
Lot No.
conforms substantially to the ApplicatIon for Bulld~ng Permit heretofore
filed in this office dated SEPTEMBER 14r 1987 pursuant to which
Bulldlng Permit No. 16467-Z dated SEPTEMBER 25~ 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 Ks REPLACE EXISTING ACCESSORY SHED WITH NEW ONE AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO N/A
PLUMBERS CERTIFICATION DATED N/A
ANDREAS & VICTORIA MARKAKIS
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO_ 16467
...~,~~-~:: ...... ~ ....................................................................................
o, ~,,, ,o~,.~ o, ...... .,...~..?..~....". ';. '~i~i..r...,~...~ .........
County Tax Map No. 1000 Section .... ~ ~.~ Bilk ~ ~ot No .) ~
Building Inspector.
F. ,..~.:....../... ....
Rev 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
1~7/ 765-1802
APPLICATION FOR CERTIFICATE OF OCCI
BIOG. DEP
~ow~ o~ sou~o~-o_._J
This application must be filled zn by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
~ 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 state~ent from plumber certifying that the solder used in system cont~ns
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, or buiidimgs and
"pre-existing" land uses:
i. 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 inspeet signed by the applicant.
If a Certificate of Occupancy is den~ed, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
· I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ew Construction ........... O~q~_Or ?re-e×lst±n~ Build~n~ .................
~ecation of ~roperty.. ~.7~.. r.e~...~..~.....~..~-. ..... ~.~./~. ......... ~.~..V..~...~. .........
House No. Street Hamlet
Onwer or Owners of Pro-art· ' .......................
County Tax Map No i000, Section .............. Block ........... Lot ..................
Subdivision .................................... Filed Map ............ Lot ......................
~ealth Dept Approval Underwriters Approval ....
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
G,~. 3~ 933 APp~zc~,rr
TOWN OF SOUTIIOLD
OFt'ICH OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN IIALL
SOUTIIOLD, N,Y. 11971
June 28, 1990
TEL. 765-180,2
ANDREAS MAKAKIS
1575 FOUNDERS PATH
SOUTHOLD, N.Y. 11971
To Whom This May Concern,
We are unable r,o complete your Certificate
of Occuoancy because of the follo%;lng reasons.
/_//An-a~plication~ for Certificate of Occupancy
is not on file. (ENCLOSED)
~--l/No under,,rzters Co. rtif~cate on file.
/~[he-/,., check L:,(ox~X~X~{not on file.) $25.00
/~/ No }Ica]th Dept. Approval on ~ile.
/--/ No final inspection has been made.
Pleaso contact our office on this matter.
Thank you for your cooperation.
lht~ld~ng PermLt tt I 6 /~ 6 7 Z
Build ing Dept.
*~/--/ Ho Plumber Solde~ Certificate on file.
( all permitu involv3ng plumbing being
issued after April 1,1984 )
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
e
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [/~'i~L
DATE