HomeMy WebLinkAbout25299-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26079
Date: 10/30/98
THIS CERTIFIES that the building ADDITION TO ACCESSORY
Location of Property: 285 ALVAHS LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 109 Block 1
Subdivision
Filed Map No. __ Lot No. --
CUTCHOGUE
Lot 32
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 22, 1998 pursuant to which
Building Permit No. 25299-Z dated OCTOBER 30, 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 ADDITION TO PRE EXISTING ACCESSORY GARAGE AS APPLIED FOR "AS BUILT"
The certificate is issued to NANCY D DERMODY
(O~NER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
BulldOg Inspect~
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. 25299 Z
Date OCTOBER 30, 1998
Permission is hereby granted to:
NANCY D DERMODY
ALVAHS LA
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF ADDITION TO A PRE EXISTING ACCESSORY GARAGE
AS APPLIED FOR "AS BUILT"
at premises located at 285
County Tax Map No. 473889 Section 109
pursuant to application dated OCTOBER
Building Inspector.
ALVAHS LA CUTCHOGUE
Block 0001 Lot No. 032
22 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
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 buildin~
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 i% lead.
5. Commercial building, industrial building, multiple residences and similar buildin
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 ~uildings an
~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
· l. 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.
~ Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - .
4. Updated Certificate of Occupancy - 450.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building.....~/.. ..........
L
Rouse 'No. Street Haml~' .......
County Tax Map No 1000, Section ...... Bio
Subdivision ~' Filed Map Lot
Permit No Date Of Permit Applicant ,
Health Dept. Approval ...................... - .. · Underwriters Approval ........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
~oo~
/
4
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FOP, DiNO.
TODIDI OF SOUTHOLD
BUILDI~$ DEPARTI~NT
TODIRHALL
SOUTHOLD, N.Y. I]9?l
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ; .....
SURVEY ........................
CltgCK .........................
SEPTIC FORH .. .
NOTIFY:
CALl. .
HAIL TO: ........
Date ................ ,19 ....
a. 'l~is applicatioa m~st be c~pletely filled in by typewriter or in i~k aad s~!tted to the ltuildir~g Inspector
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~i~ to ~le.
b. Plot pla ~ l~tim of lot ~ of ~ildi~s ~ pt~s, mlati~ip ~ ~joini~ pr~s or ~lic
struts or aea, ~ givi~ a &tail~ ~ripci~ of lay~t of pm~ ~t ~ ~ ~ ~ di~ ~i~ is ~ of
~is a~li~ci~.
c. '~ ~ ~r~ ~ ~is a~li~ci~ ~y ~c ~ ~ ~fore is~ of ~ildi~ Pe~t.
~t ~11 ~.~pt ~ ~' ~s avail~le ~r i~ti~ a~C ~
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or ia ~ for ~ ~ ~t~er mtil a ~rtifi~te of
aI~ IS ~Y ~ m t~ ~ildi~ ~t for ~ iss~ of a ~ildi~ ~t
~lati~, for ~ ~ti~ of ~ildi~, akia or akerati~, or for ~ or ~liti~, a ~i~
r~lati~, ~ to ~k ~ i~to~s ~ ~s ~ ~ ~ildi~ for ~ i~ti~.
..........
,
State ~r a~li~c i~ ~r, lea~, ~aC, ~it~t, e~i~, ~e~tal ~t~Cor, el~trici~,~l~r or ~il&~
..~.~ ....................................................................... ~~ ..........
~ ' ~,?~ BY:
If a~li~t is a ~rati~, si~e of ~ly a~ri~ officer. 7~
.................--......----.----..-. ................... ,
~ ~, ~ ~ ~B~NG
~fl~ ~ ~ .......................... 4. FINAL - CON~RU~ION MU~T
?~ ~ ~ .......................... ALL ~N~T~U~T~N~ SHA~b MEET
~d~ ~ ~ ................... THE RE~U~fiE~ OF
. "' ~ATE GO~STR~N & ENerGY
.... ..............................
~ ~ ~. I~ ~i~ .ZqE;.~ .... a~ ...~d~.~ .... m~ .~.~
aivisi~ ...................................... Fil~ ~p ~ ................ ~C ...............
(~)
2. Sate ~sti~ ~ a ~ of ~s ~ int~ ~ ~ ~ of pm~
...................
b. ~ ~~ .............................................................................
15.
Rature of ~urk (check ~hidt applicable):
~pth .................... ~t~ .................... ~r oE Stories ............
}~i~c ......................... I~r of Stories .....................
~te of ~m~ ............... i ..........
PLOT DIAORAH
bucate clearly and distinctly al! buildings, ,a'~ther existing or proposed, and indicate all set-back dimensions
[,'c~ p, ot,arty lin~$, give street and block number or d~acriptlon according to de~, and she~ strset nan, s and indicate
~d~ether interior or corner lot.
.................... I~ing duly s~orn, deposes ~nd says that he is the applicant
lie is the ~7~.~/~'~ ..........................
(Contractor, ng~ot, :orporate officer, etc.)
of said o~uer or ~r~, ~ is ~ly ~t~ri~ to ~rfom or h~ ~rfo~ ~ ~id ~ m~ to ~ o~ file this
· · ~lxef, a~
that ~e ~ will ~ ~r~ tn th' m~r ~t forth in ~e ~licati~ fil~ ~.
,q~m to before me this
I~ LINDA J. COOPER
o~a~ I~bH=, Stlte of New
_ ~. 4822563, Suffolk ~un~ ~3~
mrm ~lrea D~m~r 31,