HomeMy WebLinkAbout23620-ZFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OC~umANCX
No Z-24556
Date AUGUST 7, 1996
THIS CERTIFIES that the building
Location of Property 480 OAKWOOD DRIVE
House No.
County Tax Map No. 1000 Section 70
Subdivision
ACCESSORY
SOu'£mOLD, N.Y.
Street Hamlet
Block 12 Lot 22
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JIFLY 30, 1996 pursuant to which
Building Permit No. 23620--Z dated AUGUST 6, 1996
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 S~n IN REARYARD AS APPLIED FOR "AS BUILT"
The certificate is issued to MAP~ E. McCARRICK
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
W/A
N/A
Rev. 1/81
Building
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, bi. Y.
BUILDING PERJVUT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl_
COMPLETION OF THE WORK AUTHORIZED)
23520 Z
D~te AUGUST 6. 19...9..6..
Permission is hereby granted to:
F~ary E. McCarrick
480 OAK1,/OOD DR.
SOUTHOLD, N.Y. i 1971
to ........ .A..C..C..E..S..S..0..R..~....S...T~....P~....G~....S~ IN PEAR YARD AS APPLIED FOR "AS BUILT"
at premises located at 480 OA~T~TOOU DR. SOuxflOLD, ~T.¥.
County Tax Map No. 1000 Section ..... ,7.0. ............... Block 12 lot No. 22
pursuant to application dated JULY 30, , 96
........................................................ 19 ........ , and appravc~l blt the
Building Inspector.
Building ~~ .............
Rev. 6/30/80
Form No. 6
TO~ OF SOUTHOLD
BUILDING DEPARTME~
TOWN HALL
765-i802
~LOG. OS~T. APPLICATION FOR CERTIFICATE OF OCCUPANCY
~._ !OWN OF squ~T~Oa___p .......
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:
!. 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-disposa!(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.
B4
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 Buildin~ - $t00.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $$0.00
5. ~Temporary Certificate of Occupancy - Residenniat $15.00, Commercial $15,00
Location of Property..d Se ............ ~,~'~ ~. ~ ~..~.."'~.'.¥'~...
House No. Street Hamlet
Onwer or Owners of Property...~¥~.4.~. ~ ~ff- ~
Connt Tax No 000, Section .... ].7.@ ..... Blem .... ...... .............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No~.~.~. ...... Date Of Permit.~)~.~ ........ Applicant .............................
iHeaith Dept. Approval .......................... Underwriters Approval .........................
iPlanning Board Approval ........................ /
.Reques~ for: Temporary Certificate ........... Final Certicate ....
co ........ ......................
AREA
-- ~,000 SCl.
N/O/F .L ,
N. 8$*05'$0' £'
-PA TRICIA
T;~ OAKWOOD' PARK
TOWN OF $OUTHOI. D
1~= 40'
FORH NO.
TO~I OF SOUTHOLD
BUll,DING DEPARTMENT
T0~N IIALL
SOBTHOLD, N.Y. 11971
TEL: 765- 1802
BOARD OF BRAL~t ...............
~,,3 SETS OF PLANS ...............
~SUEVEY ........................
dllECK .........................
EPTIC FORN ...................
NOTIFY: // ~/-'-' ~
MAI1, TO: ....................
(Building Inspector)
APPLICATION FOR BBILDING PERHIT
INSTRUCTIONS
a. lhis mppllcatlon r~mt be completely filled in by typ~,rrlter or in ink ~ ~itt~ to ~ Buildi~ Ins~ctor ~ith
3 '~ts o~ pl~s, ~te plot pl~ to ~ale. F~ ~co~i~ to ~le.
b. Plot plm ~ l~tim of lot ~ of ~ildi~ m ~mims, mlatlm~ip to ~jolni~ ~m, or ~blie
st~ts or ore~, ~ glvi~ a ~tail~ &mriptlm of l~t of ~r~ mint ~ dr~ m ~ diem ~ich is ~rt of
this ~licatlm.
c. ~e ~k m~ ~ this ~licatim ~ mt ~ c~m~ ~[ore ism of ~ildi~ Pemit.
d. U~ uppr~al of this ~licati~, t~ ~ildi~ In~etor will is~
~mit ~mll ~ ~pt m ~ ~i~s ailable for in--tim th~t ~e ~mrk.
e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le or in ~rt for ~ ~ ~at~er mtil a ~rtificate of
~ ~all ha ~n ~t~ ~ ~ ~ildi~ In~tor.
aI~ IS ~ui g to t~ ~ildi~ ~r~t for ~e isme of a ~ilding Pe~t ~t to the
~ildi~ ~ ~m of ~ T~ of ~ld, afffolk ~, ~* Yo~, ~ o~er ~li~le ~, ~imes or
~lati~s, f~ ~ c~st~ti~ of ~ildi~s, ~iti~s or alterati~s, or
~ri~. ~ ~li~t a~s to c~ly ~th all ~li~ble 1~, ordi~es, ~ilding
r~lati~s, ~ to ~it ~riz~ in~tors ~ ~s ~ in ~ildi~ f~ ~ces~ iu~ti~s.
(Signature of applicant, or nme, if a corporation)
(Mailing address of applicant)
State x,~ether applicant is o~mer, lessee, agent, architect, engineer, general contractor, electrician, phmber or builder.
If aE~llcant is a C°!T~ratian, s,gnattm~ oE dulyautberlz~=~ offmer- ~,~~D~P~T~gM~T AT
765-1802 9 AM TO 4 PM FOR THE
(Nam aed title of corporate o[[icer) ,FOLLOWING iNSPECTIONS:
t. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAgtING & PLUMBING
Builders Licanse No .......................... IL iNSULATiON
P].~r~bers License No .......................... 4. FINAL - CONSTRUCT{ON MUST
SE COMPLETE FOR C.O.
Electricians Licanse No ...................... ALL CONSTRUCTION SHALE MEET
THE REQUIREMENTS OF ~E N.¥.
Otber Trade's License No ..................... STAT~ CONSTRUCTION ~{I ENERGY
l~cation of laud on which proposed work w~l be di~e ..................... CO[IES...MOT..BF.~P. OH~}Stl/.. ~.O.B ......
~ase blts~r Street
Block Lot
~ivisiou ...................................... Filed Map No .... -~ ........... l~t .- ~ ............
Itl.
13.
14.
3. F~lture of: ~otk (d~ck tAdc. h applicable): ~ lkdhling ..... ~iti~ .......... Alteration ..........
(to ~ ~id rm fi'ling this al~Aicati~)
5. If &~lling, a~tmr of &tli~g traits ............ {l~imr of {~lling tmit~ (x~ ead~ flmr ................
]f garage, It,~l~r
6. If txtaitmss, ~m~rcial or miml ~ml~, sl~ci~ ~{uro a~l extent of each ty~ of u~ ......................
t~i~tC ......................... K~dmr of Stories ......................
~pth .................... I~i~tr .................... A;d~r of Stories ...............
Si~ of lot:
Ih~re of hicdm~ ..................... ~e of Fafnir ~r ........................................
2~ or u~ district in Cdd~ prani~s are si~t~ ..............................................................
~a propel ~mt~ti~ violate any mxin~ 1~, ordi~e or regularly: ........................
~ea of ~r of p~i~s ........................... ~klress .............................. Hm ~ .............
~ of Arddtect .................................... ~lreas .............................. H~ ~ .............
· ~m of C~tracror ................................... ~ress ............................... H~ ~ ............
15. Is this pm~rty within
PI,OT DIAGRA~
SS
2. . . ............. Imlng duly ~)rn, (lelx)~s a~l mays that he is the applirmnt
(~m of i~lividt~[ signing cofitiact)
~n, Lo I~fore n~ this
................... day o~ ....
~)ta~ h~lm