HomeMy WebLinkAbout24351-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25290
Date SEPTEMBER 30, 1997
THIS CERTIFIES that the building
Location of Property 400 OAK STREET
House No.
County Tax Map No. 1000 Section 141
Subdivision
ACCESSORY
MATTITUCK~ N.Y.
Street Hamlet
Block i Lot 17
Filed Map NO. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 4t 1997 pursuant to which
Building Permit No. 24351--Z dated SEPTEMBER 12~ 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 BUILDING IN REaR YARD AS APPLIED FOR.
The certificate is issued to EUNICE A. ARMBRUST
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
~/A
N/A
~d~ng ~nspector
lvO~ NO. ~
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)
N? 24351
Date ......................................... , 19.
Permission is hereby granted to:
.£~~ ....... ~.,...../J~~.~
...~d.~....~ ...... ~.~..../~.~..~.~ ....
~ ...~/~.~z~..~..~../.....~......~/.~.../z~.~.....
,o....G~...?~ ......... ~ ....... .~...~..?z.,.~....~.z'.~ ........ ./...~........~
.... ~..........;~,,z~. ........ ~..z.. ........ ~~_~.., ................................................
County Tax Map No. 1000 Section .../~'., ............ Block ..... ~,../.. ......... Lot No ...... ,/...~... ..........
to ~ e~
pursuant application dated .......... ~ ........ :......~... ................. , 19..~.Z~ arid approved by the
I~uitding Inspector.
Rev. 6/30/80
Form
TOWN OF SOUTHOLD
BUILDING DEPARTMH~NT
TOWN HALL
765-1802
25'
APPLICATION FOR CERTIFICATE OE 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:
I. 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-disposai(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/I0 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 c6mpleted site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-exisging" 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
, 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw{mming pool $25.00, Accessory building $25.00,
Additions to acoessory 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 $i5.00, Commercial $15.00
Date ......... $9P%9~¢~.~,.~97 ..............
New Construction... ~ ....... Old Or Pre-existing Building .................
400 OAK STREET MATTITUCK
Location of Property ............................................................ ....... . .. .. .
House No. Street Hamlet
EUNICE A ARMBRUST
Onwer or Owners of Property .......... : ................................
County 000, Section ...... ..... ........... .................
Subdivision .................................... F~--Ied Map ............ Lot ......................
Permit Xo.. ~J~gJ. ~ ....... Date Of permit.~!:.!~.~7.Applicant.~P~]~.6: 6B~P~! .........
Health Dept. Approval...q~q .................... Underwriters Approval .... IOg. 9~F~) ........
Planning Board Approval .... q~ .................
Request for: Temporary Certificate ........... Final Carticate .... ~ ......
Fee Submitted: $..q¥.qq ..................... ·
765-180~'
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] I~JLATION
~]~:INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~._~./~,
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUND~,TION 2ND
[ ] FRAMII~G
[ ] ROUG~.BG.
[ ] INS~ATION
. NAL
REMARKS:
] FIREPLACE & CHIMNEY
DATE ~/~!?' ~'~ INSPECTOR ,~ ~
High aido~ and double dutch doors m4ke this shed
shed is 10' blob.
Coto. ial
This Colonial looking barn has enou.qh space [or
room for shelves, a lc)fl, and even ¢~.;~ar.k stntion. You'll
enjoy the look and get the speco, O0
WE glJy TJ'IE BEST ~ATERIALS, TO EUILD THE [!.EST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOI~IE~S.'"
ALL OUR DOUGLE DOORS Ag~: 5' WIDE.
' I
t
! NwrRUCT I ()NS
BOAIII) OF [IEAI.TI{
Sl",'l',q OF I~I,ANS ...............
.qlIRVEY ........................
CIII(CK .........................
SEWI' I C FORH ...................
CAI ,l .................
HAll. TO:
a. 'lhls npplicalitm ramt De c(iqHetely Filled in by tylx~4rilpr or in ink ;nxl
b. I'lot. plan ~¢~ing I~:ati~ of lot a;xl of I~Hhlingn on pio,~ises, relatiotmhip to mljohdt~g
Ihls appl iral
e. 'lhe ~),k c<mr*l by this ;,~]~1 ication p~,y ,~)~ I~ c(la,e,s:~l I~,fore JSStlOt~e OF 5dlding Pemit.
d. UlXm al~m~al of this nl~flicnti~h Ibp l~dhlirql InSl~c~or will ism~ a ~dlding Permit to the applicant. ~sch
l~nMt ~}all 1~ kept m tim prmi~s available For innl~ctlca~ thrg~q~ta~t the x~rk.
e. ~ taHhlit~ r&all I~ ~-cmpicxl or u~l in ~s~le or in ~rt for any [a~rff~ Omt~er trot
(k'ctq~ng:y ~Omll ha~ l~n granlat by II~ IhHhling hlSl~clor.
AI'Iq.ICATI~ IS I~gl~ [~1~ to 111o I~ilding Ik.l~qTtttetll For tim is~mm'e of a IhHIdlug Permit' ctrmmn[ Io Ihe
I~Hldit*8 7xsm Oedi~m~me of tl~ Tram oF ~tl~ltl, ~fFolk (kamly, ~* Ye.k, mxl olher al~licable
I~gulal ill,s, for tl~ (~skn~ti~ o[ laHhlit~s, ~klil J{a~s or alterati(sm, or for ro~al or {~llt ion, as herein
¢~:scrHx~l. '1t~ applican~ agr~s to c(mq)ly will, all al~l icable lmqs. or(ll,u,,~:es, IsJlldb~ ~xle.
.... ....
(SiRtullute ~[ alq~l icnn~, or lu~, if n corlx~rat inn)
..... ~ ~.~
(~i I ina ~hlress oF all*l i('ant)
ir al,pllcant is ;I (x~rt~rati(m, slgtmture of dtHy m,tl~ris~l officer. ~ ~ ~
7~1~ e ~ ~ 4 ~ ~
(~,,~ ~,~ ,,,,~ ,,~ ~,,,,-,,,. o-~,.~) OCCUPA~CY~,,n~
USE '" UNLAWFUL =' "~" ~ ' ~
.............. ~.
1.1cenr~
WIIHOUT CERTIFICATE ,. ,,,~. ~o.~..~,,o.
OF OCCUPANCY ~[ CONST.UCTION SHALL M~ET
Electeicians l,icem~ ~> ................ THE R~OD[R~M~NI$ OF THE
olher 'l'~mh?s l.i('en~ ~a~ ..................... SIAT~ COHST~DCTI~ ~
CODES. NOT RESPONSIBLE FOR
I. l~x'at i{~, of Im.I (x~ ~fich prolx',r~l ~.k will I~ d(.e ...........................
........ .~ ~ .............. ~.~.m..5.~.~ ~ ............. ~A r.r:~.z ~.cl~ ..........
(~m)
,. ~;~ i~, i,,~, ,,~ ~,,~ ,~,~,,,:v .... ~.~.~.~ h .~.. ~ L~..~!~5 L~. ~-~-~ ................
mum
(!;il{Itlttl:le Ill Apl:li<';Ull)