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Home My WebLink About25304-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26099 Date: 11/12/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1725 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 1998 pursuant to which Building Permit No. 25304-Z dated NOVEMBER 2, 1998 was issued, and conforms to all of the requirements gf 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 MARY LEE SHANAHAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building~ I~sp~o-r ' 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. 25304 Z Date NOVEMBER 2 98 Permission is hereby granted to: MARY LEE SHANAHAN 1725 VILLAGE LANE ORIENT~NY 11957 for : CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR. IN THE REQUIRED REAR YARD AREA at premises located at 1725 VILLAGE LA ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 008 pursuant to application dated SEPTEMBER 18 98 and approved by the Building Inspector. Fee $ 35.00 Building In~ctor ORIGINAL Rev. 2/19/98 765-1g02,~ 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 ali 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 buildir 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, o~ 'buildings an '!pre-existing" land uses: i. 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 i. Certificate of Occupancy - New dwelling $25.00, Additions to ~dwelling $25.00~ Alteration~s-tb dwelling $25.0~,~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $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 .~...~....~ .~. ...................... Location of Property...~.'7.~-~./'~. O r Pre-ex is ting Buil ding. . . .~%/. ~ ~. ~. ~. . .~ ~ .............. ....... i ......... ~. ~. \ '.~.*.~. . . ...[... Rouse No. ~ Street Hamlet County Tax Map No 1000, Section..~-~.,~ ........ Block...~ .......... Subdivision Filed Map Lot Permit No..~.~.~..~. j~.., .Date Of Permit.%.%.l?C./.~..~. ..... Applicant~k~..~.~.C.~..~ Health Dept. Approval ........................ . . Underwriters Approval ....................... Planning Board Approval .................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .......... ~;U! Il I1~ II'J',~J 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ..] I~LATION./ FRAMING [~] FINAL [ ] FIREPLACE & CHIMNEY DATE ////~/,~/Y~ ~o~ .o. I ~.ev '~s~-~s .........· ...... TO~ OF SOUTHOLD ~- ~SURVEY ......... ~ .............. ~OIL~ING U~PARU~NT C~C~ ...... ~ .............. TO~N HALL SOOTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved afc ....................... · · .. · · · .. · . NOTIFY: C*LL %~..~...~: .-M-...~..~ INSTRUCTIONS a. applicario~ mint be c~upletely filled in by typewriter or in ink ~ ~ic~ co ~e ~ildiq I~cor ~ 3 ~ts of pl~, ~a~e ploc pl~ to ~ale. F~ ~co~i~ to ~le. b. Plot pla ~ l~ti~ of lot ~ of ~ildi~s ~ p~s, ~laci~ip co Mjoini~ pr~s or ~lic struts or ~e~, ~ givi~ a &cail~ &~ripCi~ of layer of pro~ ~t ~ ~ ~ ~e diem ~i~ is ~rC of Chis a~li~i~. c. '~m ~ c~ ~ ~is a~li~ci~ my mC ~ ~ ~fare isle o[ ~ildi~ Pe~c. d. U[~ a~al of ~is a~li~ti~, t~ ~ildi~ I~ctor ~11 is~ a ~ildi~ Pe~t to the ~pli~. ~ ~ ~11 ~ ~pt ~ ~ ~s avail~le for i~ti~ ~r~ ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ ar ~ in ~le or in ~r[ far ~ ~ ~at~er ~il a ~rtifica~e of ~ ~11 ~e ~n ~ ~ ~ ~ildi~ ~tor. ~I~ IS ~ ~ to t~ ~ildi~ ~nt for ~ isle of a ~ildi~ ~t ~t to the ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~s', ~i~es or ~laCi~, for ~ ~ati~ of hildi~, lici~ or alCeraCi~, or for r~al or ~liti~, a ~rein &~ri~. ~ a~li~t ~s Co ~ly ~ ~1 a~li~le l~s, ardi~s, ~ildi~ c~, ~i~ c~, ~ (Si~e o~hmt, or m, if a co~ratlan) (14ailiug address of applicant) Sta[[.~...t~.~r... .i~,~. t_..~g~:'.ll~ see, agent, architect, engineer, ganeral co~tractor, electrzcisa, plt~ber or build{ · ',; [j '~,:'<; ':;~f 'a '0¥' t.~ 't 'I0~'~:~¢ .................................................................................... ~ o[ ~. 9~' ~**~' '~ ............................................... . .~:-~:~ ~U:~ ,3~tlO't ~tO~(~ ~ ~ t~ mi1 or la~es~ ~) I[ a~)li~ ;~i~'~i~qria!'ll~e of aly ~ri~ officer. PI~rS L~ .................... O~r ~ ~ ~ .................... - ' ,. o, ................... ................... ~ ~r Strut ~let ~,~. ,~ ~,~an ..'~a ........ ,~ .... :a ........ ~ .... ~ ........ aivisi~ ...................................... Fil~ ~p ~ ................ ~c ............... (~) 2. State ~isti~ ~ ~ ~ of ~s ~ iute~ ~ ~ ~ of ~o~ c~t~ti~: ...................... : ....... ~,.~ ~, .... ~ .................. b. ~r~ ~ ~ ~ .....~ .............. 2'~'~a~'a~ .................... I0. 12. 15. Locate clearly ~ distinctly al f-mm property lines. Gi~e street and ~aether interior or corner lot. Nature o[ ~ork (check ~hid~ ap~ [icable): ~ l~sil~ ....... ~dition .......... Alteration .......... l~ir ...... .... . . ~1 ......... .. . . ~liti~ .... .... ... . Other ~ ~ (~ripti~) Estimt~ ~st ............ ~...~ ......... f~ ............................ (to ~ ~id ~ ~iling this a~li~ti~) · ~lling, ~r of ~lli~junits ............ ~r oE ~lling ~its ~ eadl ~r ................ ~rage, ~r o~ ~rs ..... [ ................................. . I ~i~ss, ~rcial or ~ ~, ~ei~ ~ture ~ ~tent of eadt ~ of u~ ...................... Dimnsi~s of misting st~s, if a~: &~t ................ ~ar ............... ~pth ................. i ~r o~ Stories 1.1 ................... ~ Dl~ns~ o[ ~ st~ ~h alteratims or ~t~onsl ~t ............ ~. Di~nsi~ of entire ~ ~st~m. ~ ................ ~ar / t~i~C ........................ ~ ~r of Stories ..................... gi~ oE lo~: ~t .......... ~ ........ ~ar .................... ~pLh ~Ce of ~dm~ .............. [ ...... ~ oE Four ~r ~ or u~ district in ~id~ ~t~s a~ si~t~ .............................................................. . I ~s ~ ~C~Lim v~ola~e ~ ~i~ 1~, o~i~e ~ ~laLim: ........................ ~ill lot ~ ~ .......... ~ ......... ~ill ~ess fill ~ ~ &~ ~s: ~ ~ ~ o[ ~r of ~s .... ~ ...................... ~ress .............................. ~ ~ ~ o ~t ........... ~ · ~ ...................... ~ress .......... H~ ~ ........... ~ o~ ~r~or ............ ~ ...................... ~ress ............................... ~ ~ ............... fids ~r~ m~m ~ f~ of a ~i~l ~tl~? ~ .......... ~ .......... PLOT BIAGRAH I ~ildi~s, ~r ~isti~ or ~, ~ i~icate all ~t-~ di~nsio~g bl~ ~r or ~scripti~ acco~ing to ~, a~ ~ strut ~s ~1 i~icate U~I~EI~WRITERS CERTIFICAT£ REQUIRED OCCU?ANCY OR USE IS UNLAWFI APPROVED AS NOTED NOTIIflt BUILDING DEPAm~ENT/'AT 7SIS-1802 ~ AM TO 4 PM FOR FOLLOWlI ffqISPECTIONS: ¶ POUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 8. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME. FT THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERCY CODES, NOT RESPONSIBLE DESIGN OR CONSTRUCTION ERRORS ...l~ing duly ~om, deposes and says ii,at be is tim appl ic~nt (Contractor, agent, cgrporate officer, etc.) of said c~az~er or o~mers, nnd is ~ly ~thorlr~ to ~rfo~ or h~ ~rfo~ tim ~id wt ~g Lo ~ke a~l file this a~licati~; that all sLeightS c~ta[~ in this a~licati~ are t~ to ti,at the ~rk ~[ll ~ ~rEo~ in the ~mmmr ~t forU~ in the a~ticati~ fil~ ~m to ~o~ ~ this ....... .... / .., / /