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Home My WebLink About24322-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAiITMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NoZ25212 Date August 26, 1997 THIS CERTIFIES that the building Accessor~ Shed Location of Property 2072 County Tax Map No. 1000 Section Subdivision Kenneys Rd. Southold Street Hamlet 59 Block 3 Lot 13 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 14, 1997 pursuant to which Building Permi% No. 24322Z dated August 22, 1997 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 The certificate is issued to John and Reta Pierre (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVkL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Build'ing Inspe/r TOW~ 01: $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24322 Permission is hereby grant'edJ~: ~ t'X//°~ ~.'_~.~..~.....;..~~... :../../..~.....~~~~ ........ ............................................ >'"~"'"7~""~ .......... ~:"z;'":'"': ........................ ~t premises I~oted ot ........ ~,.,.~..~.~ ....... ~~ .......................... co.,~ ~ox ~ No. ~000 ~e~,,o....~ ........ ~k ......... ~ ........ ~o, No..Z..~ ............. pu~uont to opplic~tion d~t~ ......... ..,.~,.....~. ........ , 19~.~ and ~ppr~ by ~e Building ~~ F~e $ ....................... .................. Rev. 6/30/80 Fo rm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must he 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-d'isposal(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 '!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. 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 Butldin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certi£icate of Occupancy - Residential $15.00, Commercial $15.00 August 11, 1997 Date..... ................................. . .. New Construction ........... Old Or Pre-existing Building ..... X 2072 Kenneys Road Southold Location of Property ......................................................................... House No. Street Hamlet JOHN PIERRE and RETA PIERRE 0nwer or Owners of Property .................................................................. 059 03 013 County Tax M~p No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }~LL 765-i802 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 buildiqg, 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 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 dwellin§ $25.00, Alterations to dwelling $25.00, Swimming pool $25.O0, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - R~]i~ent~a~.j,~0, Commercial $I5.00 Jew Construction ........... ~_~_OId Or Pre-existing Buil~g'...~.---~........~~'~.'"'~.?'!~'~'~ .......... ~ ......... ,ocation of Propertyo..~.~.~ .......... ' ....... .~v~J~''~.~.~.''''''''~.~/.~.~.(~. ........ House No. S~reet Hamlet tnwer or Owners of Property. ~--O~m I~ ounty Tax Map No 1000, Section...~..! ....... Bloc~ .... ~. .......... Lot .... ;ubdivision ......... .~.~ ........................ Filed Map ............ Lot ...................... 'ermit No ................ Date Of Permit ................ Applicant..~>?~%cT. , qealth Dept. Approval.. ....... Underwriters Approval..... ianning Board Approval...{.~..IllO ................ ~ ~equest for: Temporary Certificate ........... Final Certicate ........... APPI,1CANT 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2NO [~] _~I,,A~ION [ ] FRAMING ["-'~FINAL [ ] FIREPLACE ~I~MNE~ INSPE~ 't z~/ ,¢ 7 ""4'/'/,g "E ?~'~ 0 /¢ 4.?°.,¢'/'/~"~' /<90 42 · BOARD OF IIEALTH ~~.-~i~-,,~.~,,~....~~ ' ' FORH NO. I 3 SETS OF PLANS ............ ~NSTRUCT]ONS ~ . ~ ~',]{e,~ ............. ~ ...................................... (Si~ku~ o~ a~lic~k, or ~, if a co.raLly) ~',o,~o~ ~ ~ '' ........... , ................................... State M~ed~r fl~li~nt ~s ~r, les~,'~nt, a~tit~{, engi~r, ~rat ~kractor, etectriclan, plier or ............,,~ ~ s.~= .......................... ... ................................................................. ~ o~ ~r o~.~,..~ ....... ~.¢Y~., .... ?k~,~a .............................................................. (as ~ fie ta roll or latest If a~li~t is a ~rati~('~i~ of ~ly ~O~ri~ officer. Plt~/~ers License No .......................... Electricians License lqo ...................... Od~er Tribe's Licen~ ~ ...................... '~ . ~ , ;y ,. ~ o~ ~ ~ ~,~, ~ ~, ~,, ~ ~ ....... ~.~.~.~..~'~.... .............. ..... 2~.~. ~. ............... ~ ~z~..~ ~.d ............. ~ ~.%.d~ 5_ ~.~ .f...../~ .~ ;.z ............. ~%7Z7~.. . ¢~.,y~,~,~, ...F.~. ..... :.. ~,~ ......... .~... ~ .... :.~ ........ ~i . .......... t-, .........................~il~ ~p ~ ................ ~t ............... (~) 2. State eMsti~ U~ ~ ~ of ~i~s at~ inLet~ ~ ~1 ~ of ~ c~mt~ti~: ~. ~.~,~ = ~ ~ ...... 5~.<,~ d?,....~~ &k sd ........................................... ~. ~.~ ~ ~ ~ ........ ~.~.e.e .... ,.~...,.~.~ ..................................... (clmck ,,Alich alq~lieable): ~ l~lihliug ......... &~ition .......... Alteration .......... cars ...................................... ~m~rcla[ or mtwM ~CtZlmf~y, s~ciPy t~qLtire azgl exten~ DE ead~ tyi~ of u~ ...................... ~ c~strncti¢x~: Fr~lk ................ l~ar ............... ~pth .............. PI.OT DIAGllAH l~x:ate clearly and distinctly all ~uiltlir~s, ~het.l~er existing or p~l, a~l itglicate aLl/~t-l~k di,,ensions f~, proi~rt;y li~s, 6i~ st~k a~gl bilk ~almr or ~scrlptt~ acco~it~g to t~{, a~ ~ '~treet ~ms a~l i~licate xd~ether JnLerior or cornet' APPROVED AS NOTED DATE: FEE; BY: NOTIFY BUILDING DEPARTMENT AT 765~1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDAT!ON 're, JO REQUIRED FO~: ALL CO~;~T~UL. F~C,N STATE CONBT~UCTION DESIGN OR CONSTRUCTION ERRORS r~m~r~, delx)se.q mM say. thai: he i.q tim apl~licJ]nl: (['~l[racikot'~ ~lgel!t~ corporate officer, el.c. ) of ~;aJd ~ar or ¢~rs, m~l is dtliy'~thorJz~l to {~otm or have ix~rrol.~l Lhe imJd ~[k lng] L(~ n[~ke asgl file Ihia .~kasru to I~efgle ,,~. thin ...... / ........................q Nota~ Publ~c, Su~lk Coup, NY ~01FA4991777 Commission ~, 2-10-9 ~