HomeMy WebLinkAbout25081-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25893
Date: 08/17/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8200 SOUNDVIEW AVE SOUTNOLD
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 9 Lot 1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 23, 1998 pursuant to which
Building Permit No. 25081-Z dated AUGUST 4, 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 REPAIR EXISTING ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to RICHARD L EAGAN
(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
Bullding inspect
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. 25081 Z Date AUGUST 4~ 1998
Permission is hereby granted to:
RICHARD L EAGAN
8200 SOUNDVIEW AVE
SOUTHOLD~NY 11971
for :
REPAIR AN EXISTING ACCESSORY SHED IN THE REAR YARD OF A SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at 8200
County Tax Map No. 473889 Section 059
pursuant to application dated JUNE
Building Inspector.
SOUNDVIEW AVE SOUTHOLD
Block 0009 Lot No. 001
23 1998 and approved by the
Fee $ 35.00
. Building Inspecto/
ORIGINAL
Rev. 2/19/98
,,, J! l
~, I BLDG. DEP'[ , ~" I
TOWN OF SOUT~OLO ~:' J
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
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 alt 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 (prigr to April 9, 1957) non-conforming uses, or buildings and
Ypre-existing" land uses:
1. Accurate survey of property showing ali 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 df 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 Building - $100.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
,. 8~6~98
Date .................... ' .....................
New Construction .... ~¢~ .... Old Or Pre-existing Building. ~e/ .............
Location of Property .... p?pp.--.............................S°undview Avenue , Southold ............................. ....
House No. Street Hamlet
~er or Owners of Property ....... ~.a~...~..Ea~ ...........................................
:ounty Tax Map No 1000, Section .... ~ ........ Block .... ~ ........... Lot .... J .................
;ubdivision .................................... Filed Map ............ Lot ......................
'ermit No ~-0~/ Date Of Permit
................................ Applzcant .............................
ealth Dept. Approval ......................... · Underwriters Approval .........................
ianning Board Approval ........................
equest for: Temporary Certificate ........... Final Certicate... ye~
APPLICANT
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:OUNDATION {1st
FOUNDATION (2nd
ROUGH FRAME &
.PLUMBING
INSULATION FER N. Y.
STATE ENERGY
CODE
Z
O
FINAL
ADDITIONAL COMMENTS:
I~1 u/c .' .................. ~ ..............
· .. ~ A~.ICATION FO~ tlUILI)IN~ PERHI'f
INSTRUCTIONS
BUARU OF I1EALTti· ..... · · . ; .....
3 SETS OF PLANS ,..; ...........
SURVEY ............ .' ~ ..........
CI1ECK .........................
CALL ..........
HAll, TO:
a. 'Ibis spplicacio~ tr~s~l~ completely filled in by t~rlter or in i~ ~l md~i~C~ to ~ ~,ilding I~ctor wi
3 ~s of pl~, at. rate plot lflan to ~ale. F~ acco~dt~ to ~le. ,'~",?, ,
..... k: .Plot pl~ ~t~ l~Ci~ o~ loc ~ o~ ~ild~s ~s, ~l~Ct~p to ~joini~ p~i~s or Fa~lic
c. '~ ~ ~r~ ~ dsts a~licatt~ ~y ,~ I~ c~ ~fore is~e'~"~lldt~ Pemit.
e. ~ ~ildi~ ~mll ~ ~i~l or ~ in dmle or in ~rC for ~ ~ dmC~er ~Eil a ~rtificsre of
~Hx~'rl~ I$ }E~ ~ to ~1~ l~tldi~ ~rt~nt for the issue off a ~ilding ~mlC ~r~t to tl~
l~ildln~ ~ ~i~ of ~ ~ of ~ltl~ld. ~ffolk ~ ~ York, ~ otl~r a~li~le l~s, ~dl~es or
~la~i~s, for tl~ ~sc~i~ off hdldi~, ~ici~s or alteraCi~, or for ~al or ~li~i~, as ~iu
(Stg~tore o[ a~li~t, or ~, ~ s cO.rattan)
af o,a ................... ........ ....
(~ili~ ~ss Of a~lt~anO
State ~r a~ltcanC is ~rt les~, ~enC, archit~t, engi~r,'ge~ral c~tr~Eor, el~ri~ian, plier.or I~Hlde
................................ .....................................................................
~ o~ ~ o~ ~.l~. ...................... Z. ...~.~ ~ ........
(as ~ O~ tax mil 'or lates~ d~) ~'
If aa)ticant is a co.taCit, si~mre of duly ~tl~)rl[~l o~gicer. FEE: ~~.~
OCCUPANCY OR .~,~ s~ ~~
..................................................... ~USE IS UNLAWFUL ~.-~ o m m ~m ~ ~
WITHOUT CERTIFI~TE ~ ~~ - ~ ~
~ ~,~s OF OCCUP~ z .~. ~ ti
~T~s glce~ ~ .................... .. .-..
FINAL
sE COMI~
or ml~l ~q~, s~at~ ~t.u~ n~ ~xtent oi ead~ ~y~ o~ u~
IHnensl~m o~ ~m strip,re ~ll alterathms or '~itions~ Front ...~ .... ~nr ...............
8. BJ,en~l~m off entire ~ ~st~l:f~i l~t ................ I~ar ............... ~pth ..............
· ,~ ~ c~to~ ........... , ...................... ~u~,~, ff~.~....................~/~ ..~i~ ~.Fi~.. ~!~ e.
PI.OT rJlAClIAH,
locate clearly end dletln~tfly 411 I~[hli~e, ~hed~r ~lsttng o= pro~, ~ i~licnre all ~t-I~ dlmnstons
fr~. prol~rty lids, Oi~ at~t taxi I)1~ ~d~r or ~haerlptl~ according to t~, n~ d~ atreeC m~ms a~l I~li~ate
~Aetl~r ]nterior~ co~r lot.
of ~fltd {~er or ~ets, fl~KI ]8 (h~Iy ~tl~rl~ to I~rfonn or hi~e I~rfor,~l the ~[(1 ~rk fl~xl to nmke taxi file Ihi~
nlqfl lcntion; thac ail state.nra c(~l~[~ in tllia nl~)J, iCnt[~l are tn~ to I:he
that tll~ ~rk wltl I~ ~r~on~l In thd n~l[.~r ~c ~orLh iff the nl~l. Jcfltt(~ Ell~ tl~r~tdl.
~n~ Lo Imfore ,~ this ~ ~