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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