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Home My WebLink About24644-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25538 Date: 02/11/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1150 LAUREL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2.28 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 6, 1997 pursuant to which Building Permit No. 24644-Z dated FEBRUARY 6, 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 STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR "AS BUILT" The certificate is issued to'JOSEPH & ALLISON CONWAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buildi~g Inspe~or Rev. 1/81 FORM 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) Permission Is hereby granted to: JOSEPH & ALLISON CONWAY PO BOX 982 ....... 3i! ........................................ to , ,,,, ~;.~ ~1.~ .T. J~J.~ ~,,, ~ ,, ~.~1~.~.~.~.~..y~...~ ~.~ ~ ~.1~ ...~ ~.~ p... ~ .~ .,.~ ~.~ ~.~. B.~ p.,, ~ ~,, .~ ~ p ........... ......... ,~.~,.,,~.P.,~.,~,~,.D,...F,,,q~.,,',',,~,,~,~J.~..~..T.,~', ........................................................................................... at premises located at ................ ~.~ .5...0...... ,L., .~ .U.~ ~,~,..~ ~.~ ...................................... ~. ~.[~ ,L,I. ,T, ~.~ ~..~. ........... ¢ountyTax Map No.....5,.7..~.~ ..... Section ....0...5..~. ............. Block ..,,.,0.,~.,~.,~, ........ LOt No. ,~..~,~.,.~,~.~,~ .... pursuant to application dated ..,,~,E:...P..T...E,~..B..E..~.....~. ........................ 19..,..,~,.7. ..... and approved bythe Building inspector, Fee $ ........ .~, ,.5,..., ,0, ,0. ..... Rev. 6/30/80 TO~ O~ SOUT~OL~ BUILDING DEPARTMENT FOR CERTIFICATE O'F OCCUP.~NCY This application must b~ filled in by typewriter OR ink and submitted to the building inspec:or with the following: for new building or new use: !. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from ~ealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 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 (prior to April 9, 1957) non-conforming uses, or buildings and "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 sighted 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 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-existin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00~ Commercial $15.00 ~oeation of Property .... /Z.~ ................. C,~......~.~ ............. ~!'/~' ........... ~ouse No. Street Hamlet onw~r or o=er~ o~ Propert~ .... ~ ,~ .s;t~ro~ ~ ~o=~y ~, ~ ~o ~ooo, ~o~...~f ........ ~Zo~k .... ~ .......... ~o~.. Z.,.~K .......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Reques: for: Temporary Certificate ........... Final Certica~e. Tee Submitted: $ ............................. ~ 'v ' '' " The ohe roomiest shed going its height ft or two, is 9' high and is a meek you~-"~ storage needs. The Ranch An excellent addition to your property. Great for storage space and comes ~n a variety of sizes, Window is included for that extra special look. 8' high walls. i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY bJ Z AVENUE FORM NO~ ! TONN OF SOUTHOLD BUIldING DEPARtmENT TONN HALL SOUTEOLD, N.Y. 11971 TEl,: 765-1802 A~CATI(}N FOR BI/ILDI}/G PERMIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CUECK ......................... SEPTIC FORM ................... NOTIFY: ALL O ..... IIAIL TO: .................... 'Date ................ ,19 .... a. 'Ibis application mint be canpletely filled in by typavriter or in ink m~t mihnitted to tile Pldlding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan abo~ing location of lot and of buildings on premises, relationabip to adjoining premises or Dablic streets or areas, and giving a detailed de~crlptlon of layout of property must be drann on the diagram ~hlch is Dart of .~his application. q, c. lhe work covered by tiffs application nay not be conmenced before issuance of Building Pemit. d. UDan approval of ti]is application, the Building Inspector will issue a Building Remit to the applicant. Such pemit shall be kept on tim premises available for inspection ti,ronghcut the ,' e. No building shall be occupied or used in ~hole or in part for any purpose ~oatever until a Certificate of Occupancy aball have been granted Ir/ tim Building Inspector. API~ICATICIq I~ ~ ~ to the Building Department for tim issuance of a Building Pennlt pursttant to the Building Zone Ordinance of the To~o of 8onthold, Suffolk County, ~ York, and other applleable La~s, Ordinances or Regulations, for tim construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~m applicant agrees to cm~ly with all apphcable laws, ordi~ees, building code, honsmg code, arid regulations, and to admit authorized inspectors on premises and in bell for necessa (Silk,nature o[ applicant, or nane~if..~(orporation) (Hailing address o~ applicant) State ~bether applicant ia owner, lessee, agent, architect, engireer,' general contractor, electrician, plmber or builder. If applicant is a corporation, s~geatnre of duly anthorised officer. (Na~e and title of corporate officer) . Builders I,ieense Ho ........................ . Plumbers License Ro .......................... Electricians l,icerme llb .................... .. Otimr T~ade's l,icens~ ~ ..................... I. I~cation of land un idch prc~po~ ~ork will be dooc ................................... , ........................... llonse [~nber Street llanlet Cotmty Tax Map No. 1{3(I) Section ...~*~.~' ......... SulXllvision ...................................... Flied ~ NO ................ l~t ............... 2. State existing use and nceupaacy of premises and intended ~se aod occupancy of proposed construction: a. Fro]sting use and occupancy . ! .................................................................... .. . . .. . b. Intended tree and occupancy ..... I0. II. 13. 14. 15. ~alure o[ v~a[k (d~eck Mddt aD licable): Incate clearly and distinctly f-r~u property'lines. Give street an xdmther interior or corner Ne~ I~dldi~g .... bzkli t ion .......... Alteration .......... l)en~l ition ............ Other ~ .................................. ~ ~ (~ripti~) (to ~ ~id ~ filing this a~ti~ti~) If d~lliag, n~Jlt)er of dwellit~g imits ............ lh~i~r of ~k~lling traits ~ e~, fl~r ................ If ~rnge, m~lmr of cars .... ~ ................................ If Imsi~ss, ~mreial or mi~ ~cna~, s~eif~ ~ture a~l exten~ o~ each ty~ og u~ ...................... Din~nM~m of ~iati~ atn~ffes, af any ~t ................ ~ar ............... ~pth ................. l~i~t I ~r of Stories Din~nai~ of sa~ ~t~re with alterations or ~itions: Frost ............... l~ar ............... ~ f ~pth . . Igi~ht . . ~imr o Stories ............... 8i~ o[ lot: ~t .......... ~ ......... ~ar .................... ~pth .................... ~t:~ o[ ~rdm~ ............. ~ ....... ~m o[ Fonmr ~mr ........................................ ~ of Arddt~t ~s th[8 p~rty within ~ PI.OT DIAGRAM dl ~ildi~s, ~mOmr ~isti~ or pro~, n~ i~icntn all ~t-l~k dh~nsions bl~k ma~imr or ~scripti~ acco~ing to ~, n~ M~ street ~s ~1 i~lieate RI~'IF. OF NlM YOlk, i ... ...... '. ....... al~e ~, .~ ........... I×:ing duly e'~orn, delxt~2s a[~l says that lie is the appl ' he ~C~aJ,~ I t~ t~ I ........................................................................................ ((~mtractor, aSent, [c. orlx3rste officer, etc.) ()f 8aid ~r or ~rs, that the ~)rk wtl[ I~ [~rfon~l in Il? i~aumr ~t forth xn the a~l. lcaLxtm fll~l tl~rc~Lh. ~)ra I.o I~fore nO thin , ' ' ~nal:ure of At~I Jcant)