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Home My WebLink About24604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y0 CERTIFICATE OF OCCUPANCY No: Z-25902 Date: 08/20/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 215 GREEN HILL LA GREENPORT (HOUSE NO.) (STREET) (PL%MLET) County Tax Map No. 473889 Section 33 Block 2 Lot 48 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 1997 pursuant to which Building Permit No. 24604-Z dated JANUARY 15, 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 SHED AS APPLIED FOR. The certificate is issued to CURTIS F DAVIDS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 24~04 Z FORM NO,$ TOWN OF BUILDING DEPARTMENT TOWN $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEtiON OF THE WORK AUTHORIZED) Perml~lon Is hereby g~n~d ~: ....... CURT.I.S...E...&...~...DA~I.D~ ................................... ....... ~O,,.BDX...5~O .......................................................... ....... ~E~QE~,~...~.2~.&~ ...................................... ~.....CDN~EU~%,,A...SME~..~.N,,~A~..~A~D.,,A~..~E~L,I.E~.,~O~ ........................................... ot p~mlses I~Ot~ ~t .................. 2 i~,....6~EEb..~).LL.. ~ & ................................ 68EENB08~ ......... CounN~xMop No, ,,..~.Z~8[ ..... Se~ion ...0.~ ............. Brock ....~D2 ........~t No, D&8 ............... pursuo~ ~ oppllo~ion do~d,..~B,.,,.&A ........................ ~ 9..,..,~Z ..... ~nd opproved by ~e Building Insp~. F~$ ........ ~ ..... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 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 Upre-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. 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... Construction.~.~..~.... .... Old Or Pre-existing Building .............. ~ New o,, ,,s- ii ....... ..... Location of Property ....~ ............... .~. .................. House No. Street Hamlet Onwer or Owners of Property ........................................... ... .. . . .. . . · .:. County Tax M~p No i000, Section .............. Block ................ Lot ................... Filed Map Lot r Subdivision ......................................................... .. . . . . . ....... Permit No ......... .~ ..... Date Of . . ~ ~ Permit../.'.~/~ ./?.'? .... Applicant..d/~.~.'rJ'.9. ?..~.~...,/.jz?j~..~. .... Health Dept. Approval ......................... . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ........................ The Colonial Barn This Colonial looking barn has enough space for the modern day homeowner. The usable space includes room for shelves, a loft, and even a work station. You'll enjoy the look and get the space. 10' high. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN.~.~J~ATION [ ] FRAMING [~FINAL~~~ [ ] FIREPLACE & CHIMNEY REMARKS: ~,,/~,~ , m~inad..../.'. ~ ......... Approved...~.//...~.. .... , 19.~ Pen,dC FORH NO. m TOUN OF SOUTBOLD BUILDING DEPAR'J2qENT TOWN ltALL SOUTltOLD, N.Y. 11971 TEl.: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CItECK ......................... SEPTIC FORM ................... Disapproved a/c .................................. (l~silding InspeCtor) ~ NOTIFY: CALL¥.?7=0. ...... MAIl. TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 1his application must be conpletely filled in by typewriter or in ink and mihnitted to the P~fildlng Inspector with 3 sets of plans, accurate plot plan to scale. [tee according to schedule. b. Plot plan s/~o~ing location of lot sad of buildings on premises, relationship to adjoining pre~isea or pablic streets or areas, and giving a detailed description of layout of property must be dr~ on the diagram ~hld~ is part of this appllcation. c., 'lhe ~ork covered by this application vmy ~at be c~meseed before issuance of l~filding Pemdt. d. Upon approval of this appllcacic~, the Building Inspector will issue a Building Pennlt to the applicant. Such pemlt shall be kept on the premises available for inspection ti~rcughcut the work. e? No huilding ~hall be occupied or used in d~le or ia part for any parpose dmtever untll a Certificate of Occupancy shall have l~en granted by tim l~ildiag Inspector. APPLIOY[ICIN IS ltgP~hqY 1481]g to the lhilding l)el~artment for the issuance of a Building Pemult pars~aant to the l~fildlng Zone Ordinance of the lbwn of Sonthold, Suffolk Connty, New York, and off,er applicable l~ws, Ordinances or Regulations, for fie construction of hdldings, additions or alteratlons, or for removal or de~lltion, as herein described. Ttm applicant aga~es to c~nply witi~ all applicable laws, ordinances, building code, housing code, and regulations, fid to admit authorized inspectors on pre,claes and in buildlnp~for necessary inspections. (Signature of appllcant, or naae, if a corporation) (l~aillng address o[ applicant) State ~etlmr appllcant is o~er, lessee, agent, architect, engi~r, ~mral contractor, electrician, pl~r or ~ilder. If applic~t is a co,ratio, si~ture of duly ~stt~ri~ officer. ~00'~'~ ~Sy: ~ (~ a~ t~tle of co.rate officer) 765-1802 9 AM 10 4 lam FOR THE I ~ ' I~0 REQUIRED I. ~ · ~ & FI,XJMelN6 4. FINAl,. - CON~'rR~N MUST I~ COMIq~m r4~ C.O. ALL (~ON~TRUCTION ,3HALL MEET THE REQUIREMENTS OF THE N,Y, STATE ~ON~fRUCTION & ENERGY I~Jilders License No .......................... Plumbers Licerme No .......................... Electricians License No ...................... Other Trade's License No ..................... I. I~cation of la~x! on ~fid~ proposed work will be done ......................... ~O.~E~.' 'N~' ]~I~PON$~BL]~ 'FOR" H t,.L. R.oRs llo~se l~ber Street ~. l~:~nlet Co~mty TaxMapNo. lO00 Secti~! ....~.3 ........ Block ..~ ..... lx~t .~..~/.~... S~bdivision .~..~.~.F.~.R...~7~. ................ Fi]ed Map No ................ Iht ............... 2. State exlst~ng use and occupancy of Praises and intended use m~d occupancy of proposed construction: a. Existing tree and occupancy ... ~ ....................................................... b. Intended use and occupancy ............................................................................. 3. Pature of ~ork (clmck dmidm ~?.licable): ~ lkdlding .......... ~i~i~ ...... ;...~Lte~ar~ ........ 4. Est i,~t~l C~st . ~/~...) ......... f~ ............................... ~ (Lo Im ~id ~ filing Hds a~t~)~) 7. I)i.ensi~m of existing stnmtu~es, if army: I%~mt ................ ~ar ............... ~pth . l~pth .................... I~101C .................... ~[d~r of SCorle8 8. ,.,~,,~,~ o~ ~n~i~ ~ ~C~,~, ~,~ ..[~ ........... ~ .../.~ ........ ~pth ..Zq.' ........ ~iO~t ...... ~. .............. ~,,~ oe Sto~i~ . t .................. 9. Bi~ of 1o~ I~C .................... I~ar .................... ~ptl~ .................... II. ~m or u~ district in M~id~ r~i~8 a~ siL~t~ .............................................................. 12. ~s prOlm~l e~st~ti~ violate any ~ing 1~. o~i~e or regularly: 13. ~ill 1o~ Im regr~...,...,..,........... ~ill ~e88 fill Im rm~ f~on prmfi~s: 16. ~m~8 of ~r of p~i~8 ' ~klreas ~e o~ Ardd[~[ .................................... ~lress ........... ................... ~ ~ ..... ~ ......... 15. Is tills p~rty within ~ f~ of a till ~clmxl? * ~ .......... ~ .......... ~ PLOT DIAGRAH l~a~e clearly a~ dls~i~tly a~l ~ildi~s, ~mflmr ~isri~ or pro~. n~ i~xlicate all ~r-I~k dlsmnsions rrm pro[mrr~ liras. Gi~ sr~r a~[bl~k nmtmr or ~scripti~m acco~ing ro ~1, aM ~ street ~ms taxi i~lica~e ~8~etlmr in~erior or co~r lo~. '~9~' J HOff~U~TeH03 ~TATS' '~ g~6~'~o~&~ ~: .................... 7: ......... :, ...................................... ~(~r~cter~ agellt, eor~r~e officer, etc.) o~ ~aid ~r or ~r., ami ls du~y ~thorJ~ to [~r~nm or ha~e [~rl:o~ ~he ~id ~rk m~l Eo ~ke a~l file thi~ appllca~mn, t at . El 8tato~l ts centa,lm~l m this apl)l, lcaElen are t.n~ to Ihe Imsl: of his kill.ge ti at the ~)rk wtll I~ ~rfon~l Itl Il e~t~m,~r ~C fortll ][ O e appl. lcation fl].~l tlmr~[th. ,~k'Orn to before we this ...... ..... ,iq of .~..c2.7.. .... N LINDA ~ COOPER i ~ary PubUo, State of New lerm ~ires D~em~r 31, 1 ~ (Signal:ute of ^pplleant)