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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)