HomeMy WebLinkAbout25119-zFOP~M NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25919
Date: 08/26/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 4330 OAKLAWN AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 9 Lot 45
BOUTHOLD
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 6, 1998 pursuant to which
Building Permit No. 25119-Z dated AUGUST 20, 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 STOP~AGE SHED AS APPLIED FOR.
The certificate is issued to ROBERT & ELIZABETH NEVILLE
(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 Insp~tor
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. 25119 Z Date AUGUST 20~ 1998
Permission is hereby granted to:
ROBERT & ELIZABETH NEVILLE
4330 OAKLAWN AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REAR YARD OF A
SINGLE FAMILY DWELLING.
at premises located at 4330
County Tax Map No. 473889 Section 070
pursuant to application dated AUGUST
Building Inspector.
OAKLAWN AVE SOUTHOLD
Block 0009 Lot No. 045
6 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
mo
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildinI
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 buildi~
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.
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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .259.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building .................
Location of Property ............................................................... . . ... .. .
House No. Street Hamlet
Onwer or Owners of Property ............................................................. .. .
County Tax Map No 1000, Section .............. Block .............. Lot ........... ~ ........
Subdivision Filed Map Lot ?] ...
Appli
Permit No ...... .. ... ..... Date Of Permit ................ cant ................. .. .. ........
Heaith Dept. Approval ........................ .. Underwriters Approval ...................... ..
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Submitted: ,. ~, O~
~_% c_ ~ ~-- ................
:OUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
,PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] RO~H PLBG.
[ ] ~JLATION
[~'~FINAL
DATE~~~*~ INSPE~
BLDG, DEPT, $0tlTIIOLD, H,¥. 1197 I
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PLOT D]fA(],RA~I ~
l~ate clearly)md dlatlr~tly al~ ~ildl~a, ~r ~i~:tn~ o~ ~, ~ i~tcace a11 ~t-~ dl~Mions
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
rporete oEE~eer, etc.)
,'-),~)m to I~fu~e me title [
' ~ota~ Public, S~te of N~ York.
No. 49522~,
Term ~ir~ Juno 12,~ 1~
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