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HomeMy WebLinkAbout16234-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19203 Date JULY 9~ 1990 THIS CERTIFIES that the building. Location of Property CENTRAL AVENUE House No. County Tax Map No. 1000 Section 10 Subdivision ADDITION FISHERS ISLAND~ N.Y. Street Hamlet Block 1 Filed Map No. Lot 8.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1987 pursuant to which Building Permit No. 16234-Z dated JULY 15~ 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 DECK ADDITION TO EXISTING RESTAURANT BUILDING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SU~'~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GOOSE ISLAND CORP. N-136575 - JUNE 19~ 1990 N/A ' - ~6ilding Ins~ec-to~ Rev. 1/81 1~ bO. ~ TOWN OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 162~ Z Permission is hereby granted to: .._..--~.....o....~..~.~ ................................................. ...... ...... ............ ~ ....... ~.-..._. ....................................................... : ............................................................ County Tax Map No. 1000 Section ...... .~.!...~.. ....... Block ........ ...~..~ ....... Lot No .....~..:.~ ........... pursuant to application dated ........ ...~.~..~ .................. , 19..~...~.., and approved by the Building 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 limes, 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 contaims 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 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 1. 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 j Date ..... ~...~..~...~...~.~..~ .............. New Construction ........... Ol~Or P~xi~ting Building ............ ~._.~ Location of Property ......... ~,~.~_~/~.. ~ .............. .~..~..~ .......... House No. ~ Street Hamlet Onwer or Owners of Property..~,z.~..~..~...i~ .............. County Tax Map No 1000, Section.~../~ ....... Block..~./ ......... Lot .... -~.~.. 'L ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit ~]. i/.A~. ~jl~_Z_Dite.Of Permit?~..~---/..~ ..~...Applicant .~. ~. ~~. ~ Health p . pp .-~ .~ ................. Underwriters Approval.~Z/~.~..~._~:]. ~ ..... Planning Board mpproval...~,.~~~.~.. .~//' Request for: .Temporary Certificate ........... Final Certicate .......... Pee Submitted: .................