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Home My WebLink About24973-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nos Z-26056 Date: 10/23/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 500 PRIVATE RD #8 CUTCHOGUE (HOUSE NO.) (STREET) (MAMLET) County Tax Map No. 473889 Section 97 Block 3 Lot 18.8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 1998 pursuant to which Building Permit No. 24973-Z dated JUNE 23, 1998 was issued, and oonforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY HORSE BARN & A 5' SPLIT RAIL FENCE IN REQUIRED REAR YARD OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS H & BARBARA JEAN SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Yi BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24973 Z Date JUNE 23, 1998 Permission is hereby granted to: THOMAS H SMITH PO BOX 1183 CUTCHOGUE~NY 11935 for : CONSTRUCTION OF AN ACCESSORY HORSE BARN AND A 5' SPLIT RAIL FENCE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING. at premises located at County Tax Map No. 473889 Section 097 pursuant to application dated MAY Building Inspector. 500 PRIVATE RD #8 CUTCHOGUE Block 0003 Lot No. 018.008 18 1998 and approved by the Fee $ 70.00 Buil~ihg In~ ORIGINAL Rev. 2/19/98 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 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, oK ~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. I. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - = .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Health Dept. Approval ..... .g~..O .................. Underwriters Approval .... .Z~..O ................ Planning Board Approval...../~..~...... ......... .. Request for: Temporary Certificate ........... Final Certieate ........... Fee Submitted: APPLICANT FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING~ INSULATION FERN. STATE ENERGY CODE COMMgUT£ FINAL ADDIT~.ION A'L 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~JI~ATION DATE /~////-'~/~ INSPECTOR 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ].~JL~TION FINAL [ ] FIREPLACE & CHIMNEY REMARKS: FORH HO. I TOWN OF SOUTIIOI.I) llU] LDI NG DF, PAR'I'NEHT 'fO~lgl IIALL SOtlTIIOLD. N.Y. 11971 TEl,: 765-1802 Permit ~ ................ BOARD OF HEAL'I'll ............... ~3 SETS OF PLANS ............... SURVEY ....................... CUECK ......................... SEPTIC FORH .. · NOT1FY '. ........... g ......... ........... APPLICATION FOR BUlLI)ING PERHIT INSTRUCTIONS '~.a. 'Ibis application ,oat be conpletely filled in by t~pe~riter or in ink and ~draitted to the I~dldlng lnapector wi 3 sera of plans, accurate plot plan to ~cale. Fee according to schedule. ~. Plot plan ~o~ing location o~ lot and of b~tldlngs on premises, relationship to edjotnlng premises or p~tblic atreets or arena, and giving a detail~J description of. laycn~t o~ property namt be draun on tbe dtagran ~hich ia imrt of. this appl icatia~. c. 'lhe ~ork covered by this application may not be cc~r~enced befor~ issuance o[~ Building Permit. d. Upon approval of dda applicati<~, tbe Building Inspector ~;ili issue a Building Pennlt to tbe applicant. ~<h permit shall be.kept on Idle preadsea available for inspection thrcughont tl~ x~ork. e. bb building almll be occupied or used in dvJle or in part for any parpaee ~hatever tmtil a C~rtiflcate of ~ccupancy ~all have I~en granted by the I~dlding Inspector. APPLICATI(~I IS I~REBY N/~E to tim Building Departme~t for the issuauca of a I~uilding Pe~ndt parmmnt to the I~aildlng Zane Ordinance of the 'lk~n~ of Scuthold, S~:f.folk County, ~ York, and other applicable I.a~a, Ordimuracaa or Regulations, for the constrv, ction of h~ildtngs, additions or alterations, or for r~roval or denolittca, a~ herein deecribed. TI~ applicant agreea to conply ~ith all applicable la~a, ordinances, building co~, housing code, ar~l regulatlona,~ux] to actnlt authorized inspectors on pre,nines and in Building for eecas~ary inspections. (Signature of applicant, or name, if a corporatio~O ........ ........ .... :i ........... (~illng ~ss of a~llcan~) S~ate ~O~r a~Hcan~ is ~r, lee~, ~e~t~ archlt~t, engi~r~ geeeral c~rac~or~ elec~rlclnn, ph~r or l~hle R~N~e~ ........... ~ o~ ~r o~ pr~l~ ................................................ (as ~ O~ tax ~It or tn~eet d~) ~ appHcan~ is a co~ra~i~, si~re of doly ~beri~l o~icer. and t~tle of corporate officer) . Ik~ildern I icenee Uo. . ... ...... Plumbers Licanse 1~o ............. Electricians I ieerme Ho ..... Other ~s Liee~ ~ ................ · - · -- I. l~oti~ of la~ ~ ~dab pr~ ~rk will ~ (~ ....................... .......................... I~ ~r St~t i~et , p_ ~m~i~ ..~r~.~g&~ ............... r,~ ~ ~.~--~0., ..... ~,r ..~ .......... 2. State existi~ u~ a~ ~y o~ ~i~s a~ i~te~ ~e ~ ~ of pm~ c~stnrtlon: ,. ,~,t~ ,~ ~ ~v .--~ .... ~. ;~ ....... .......................................... ~. ~ n~ ~ ~ .~.--.~.~.,.- ....... ............ ,------- -,~ .......... I)lnenMmm oE ~m ztnmmre ~lth alterathms or ~lttonaJ Fron~ ...... ~ ...... ~ar .,~ ........... I PI,OT I)IAOIIA~ I~ate clearly a~ fllscl~tly hll hlldl~s. Mmtlmr ~laClng or pro~, m~ lt~licace all ~t-I~ tli~naionfl Frown prolmrLy li~a. gl~ at~t at~l I)l~ a.,lmr or ~hscrlpti~ according to <~, a~ ~ street ~ma taxi talicate ~dmtlmr interior or co~r lot. ] l (~3tn ()f itxllvi(hml, .igning c(mtract (e~tractor, agent~ off amd ~r or ~ers, taxi Is &lty al~)l lcatio.~ thai: atl stataants omi thaL th~ ~rk witt I~ ~rPon~l tn ti ~)rn to lafora n~ Ods ................. I~ing drily ~)rn, delx)~aa alii maya thaC lie ia Lhe appl. ic~nlL corporate officer, etc.) authorized to lYarfonn or h~ve Ix~.rfl)r.~l I.he 8aJcJ work taxi to hake arxl file I. hia al.~ ie th[8 aRd, icathm are trim to the I~sc a numtmr ~t forth in the application flJ~ tlmr~LUi.