HomeMy WebLinkAbout24791-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25606
Date: 03/20/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1455 OLD SHIPYARD RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 64 Block 5 Lot 28
SOUTHOLD
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 1998 pursuant to which
Building Permit No. 24790-Z dated MARCH 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 WOOD FRAME GARAGE IN REAR YARD AS APPLIED FOR. "AS BUILT"
The certificate is issued to VIRGINIA M GOHIER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
~g~II~ector
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24791 Z Date MARCH 20, 1998
Permission is hereby granted to:
VIRGINIA M GOHIER
475 YOUNGS AVENUE
$OUTHOLD,NY 11971
for :
CONSTRUCT A METAL SHED IN REAR YARD AS APPLIED FOR "AS
BUILT"
at premises located at
County Tax Map NO. 473889 Section 064
pursuant to application dated MARCH
Building Inspector.
1455 OLD SHIPYARD RD
SOUTHOLD
Block 0005 Lot No. 028
19 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
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 buildi~
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property line~
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 build~
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
Ppre-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 applica~
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,
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 -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~5.00, Commercial $15.00
Date .~. ~. f.~. ?..~. ..........
New Construction ........... ~Old Or Pre-exi.£ing Buildi~g...~./..'...~-~ ..
Loc=ion of property.. X ......... ............ ......
Onwer or O ers of
~ ~o.2X2q2~...~ of ~ ................ ~ppl~cane ...... ' ...................
Health Dept. Approval....... ................. .. Underwriters Approval .................... .
Planning Board Approval ........ ... ..
Request for: Temporary Certificate.
Fee Submltted: $...~. ~?.. ...........
.......... Final Certicate....~......
;1;4