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HomeMy WebLinkAbout24790-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, NoY. CERTIFICATE OF OCCUPANCY No: Z-25605 Date: 03/20/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1455 OLD SHIPYARD RD SOUTHOLD (ROUSE NO.) (STREET) (HAMLET) County Tax Map Mo. 473889 Section 64 Block 5 Lot 28 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. 24791-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 METAL SR~D 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 Buildi~ InspeetoZ*/ Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24790 Z Date MARCH 20, 1998 Permission is hereby granted to: VIRGINIA M GOHIER 475 YOUNGS AVENUE SOUTHOLD~NY 11971 for : CONSTRUCT A WOOD FRAME ACCESSORY GARAGE 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 Building Inf~dector ~ ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A4 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 applicar If a Certificate of Occupancy is deniedf 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... ?~ld Or Pre-existim~ Buildin~,~.~-. ........... Location of Property.. ]~ ......... ~l~. ~5~g..~h~. ..... %~.~/1~ ..... House No. . ~rset Ha~et .~.~~ ~ ...' ....... o~w~ o~ o~ o~ ~=o~r~....,.,,~, ........... ~ .......................... ¢o=~ ~ ~o ~000. ~o~..9.~ ........ ~o~ ..... ~ ........ ~o~...~ .......... ~ · ~'~-~'-- m~ ........... ~ ~ ....... ~o~ .t~.W ....... ~ubdivzsion~L~ .~/ .......... ~. . · ' . · .......... Health Dept Approval ....... Underwriters Approval Planning Board Approval ................... .. .. . Request for: Temporary Certificate ...... .. .. . Final Certicate ......... . . ...........