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Home My WebLink About24938-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26744 Date: 10/13/99 THIS CERTIFIES that the building Location of Property: 25760 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 18 Subdivision Filed Map No. -- ACCESSORY ORIENT (STREET) (HAMLET) Block 6 Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 1998 pursuant to which Building Permit No. 24938-Z dated JUNE 5, 1998 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 SHED AS APPLIED FOR. The certificate is issued to DARLINE B MCGINNESS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /~~ B~il~ng Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24938 Z Date JUNE 5~ 1998 Permission is hereby granted to: DARLIME B ~CGINNESS 25760 MAIN ROAD ORIENT~Ny 11957 for : CONSTRUCTION OF AN ACCESSORY SHED (SEE SURVEY) AS APPLIED FOR. IN THE REQUIRED REAR YARD at premises located at 25760 County Tax Map No. 473889 Section 018 pursuant to application dated MAY Building Inspector. MAIN RD ORIENT Block 0006 Lot No. 012 12 1998 and approved by the Fee $ 35.00 Building ~rf~ pec t of ORIGINAL Rev. 2/19/98 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................. New Construction..$.~.... Old Or Pre-existing Building ................. House No. Street ' Ha~et Subdivision . Filed Map Lot Health Dept. Approval..........................Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee,Submitted: $ ..... ~...~ .................. ~., ...... U FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIO,N 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN,~LATION [ ]FRAMING [ ~'~FINAL ~/~,~:2~ [ ] FIREPLACE & CHIMNEY ox 4',~&' FLOOR SHEATHING L~YOUTS ILLUSTRATION [] - .... ' -',', ,FRONT FRAME [] REAR FRAME Jl O~TTeO '1 ILLUSTRATION r~ SIDE WALL SHEATHING LAYOUT 10x12 fi 10x16 ' ~I~o~JT 01~ JF:RO ,~.T FRAME SHEATHING iLLUSTRATiON [-~ ILLUSTRATION []: REAR FRAME SHEATHING ,BUARD OF HEALTH ............... 3 SETS OF PLANS ...... ; ........ SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... NOTIFY: HAIl, TO: .................... APPLTCA~I[ON FOR- lllt!Ll~%l~g -IPEI~I~I+ ..... INSTRUCTIONS a. 'lhis application usmt be ecsnpletely filled in by L]/pe~riter or in ink ami mflmltted Co tim }~ilding Inspector 3 .~t:s of plarm, accurate plot plan to ~eale. Fee according to m:hedule. b. Plot plan ~bo~tng location at lot ami of buildings ap ~i~s, mlatlon~dp to ~joinlng pr~t~ or ~blic struts or areao, a~ givt~ a ~taiI~ ~m:r~{~c~* o. layout at pro~rty mint I~ dr~ ~ the dla~an ~dch {~ [tort of this a~fl ieation. d. U~ a~al at fl~is a~llca~i~, tl~ lkfildi~ ]ns~ctor will is~ a ~tld~ Pemlt [o [l~e applicant. ~ch ~mlt ~mll ~.kept m fl~ ~ms ~atl~le for tns~ti~ thm~m~C C}~ ~rk. e. ~ ~ildi~ ~mI1 ~ ~pi~[ or ~ in O~le or in ~rr for a~ p~ ~mt~er ~mtil a C~rtiflcate of ~y ~mll h~e l~n ~ant~ by ~ Ikdld{ng Inserat. ~.I~T[~ IS IE~ ~ ~o t{~ lhdldi~ ~rt~aC For the issue of a ~ilding ~mit ~rmmnt to the I~ildlng ~ ~dimt~ o[ tl~ ~ at ~tl~ld, ~[folk ~n~, ~ York, ~ atilt ~ticable l~s, ~di~es or ~la[i~8, for tim ~sc~t~ of hfildt~s, ~iri~s or alterati~s, or for r~al or ~litt~, as {~min {~scrt}~. ~m ~Fpl{~t ~ to co~ly wi~ ~1l a~licabl~ l~s, ordl~tme~, [mildlng c~, {~ing c~, and re~dati~s,~and to ~it ~ri~ in~tor~ on ~i~, ~ in ~ilding for ~s~ ins~ti~8. -- (Sig~ture o[ a~licant, or ~, if a co~rntion) SLate ~flmr a~licant i8 ~r, les~, agent, archit~t, engi~r, get~ral e~tractor, electrician, ph~r or {ad{¢le~ ...... ..................... ............................................................. ......... ~,~ _ ~. ~t ~~ /~/ ~~ '": ................. ~ of of · (as ~ tim tax mil or latest d~) If a~)ticant i8 a co~rati(m, sit,ire of duly mfi:l~)rlz~l officer. offl ) (Nam and title of corporate cer I~filders l,icevze 1~ .......................... Plunber8 l,lcen~e No ........................... Electriciana Licenee ~ ...................... Otlmr ~'8 Licen~ ~ ..................... I. l~ati~ of 1~ ~ ~id~ pr~l ~rk will Im {~ .............................................................. I~ ~Nr St~t ~nt, Tax~p~,. I*D ~ti=, ...... /..¢ ..... B,~k ¢ lot ~ivlsi~ ............ F[I~ ........ * ..... I*t ............... (~) a. F~sti~ tm a~ ~y ............................................................................. 3. ~;~ttu'a ¢ff walk (cl~,ck ~lilch ai~lJcable); ~ lkiildin[; ....... Nkli~iml .......... AlCeration .......... 4. E~ti.i~[~l~st.. .. . . '. ...... ~ .. ...'. .................. ... (Lo ~ Imid (.~ filing this al~licaei~) 6. If I~tahmaa, ~,~rclel or mi~l"~tlm~y' s~ct~ t~cu~a m~ extent of eacJ~ tylm of u~ ...................... 7. l)i,,~mJ~a of ~iacing atn~turea, 1~ any: ~t ................ ~ar ............... ~p~h ................. j ' I~i~l~ ...... ~.~ .... ' ............ ~.~i~ oE B~o~i~ ..... ( ............... .............. ~ar.................... ~th II. ~ or u~ dia[rict In ~lt~l pr~l~a a~ a~t~t .............................................................. 12. I~ prol~l ~lat~ti~ violate any ~lng I~, ordi~e or regularly: .... ~O ................. I:L Nill lot I~ ................... · ~l~ of Ardll~t .................................... ~lveaa .............................. ~ ~ ............... · ,,~ of C~tr~tor ................................... N~lreaa .......................... ..~. I~ ~ ............... PI.OT DIAGI{&t.I- locate clearly and dlatlnctly all ~ildl~a, ~letl~r exiadng or pro~, m~ tmlicace ali ~t-I~ dl~oaio~a fr~. prol~rty II~a. Gi~ at~C m~l bl~k mt*imf or ~scrJptl~ acco~lln8 [o t~, a~ ~ atreeC m~a argl l~licate ~tl~r l~te~Jor or corer ]o~, ................... I~h~h' duly ~rn, delx)se.~ m~l saya that lie ia tl~e appl. i(~ml: (C~tractt)r, asenl:,- corporate o/!ficer, etc.) ~F aald {~er or ~mra, taxi ia duly mJthorJ~ to i~rfon, or Imve l~rf~)m~l the ~id ~rk taxi to nmke taxi file I. hia that th9 ~rk ~itt I~ ~rfo~l in the ,~m~er ~: forth ~n the nppl. Jc~tion fH~l tl~r~Ld~, ($il;ivll'm'e of Al:,pl iCmll:)