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Home My WebLink About24363-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25723 Date: 05/12/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 165 LOCUST AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 62 Block 3 Lot 36 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1997 pursuant to which Building Permit No. 24363-Z dated SEPTEMBER 30, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certLficate is issued is ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to ANTHONY & DEBRA L SOTO (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 I~OBM NO. o TOV~'H OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24363 Z hereby granted pursuant to opplicotion doted ..~..~ .............. , 19.~.,,7,~ and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTME~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~NCY A. 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 Mealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement frcm plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multipie 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. B. Fo'r existing buildings (prior to April 9, i9f7) non-conforming uses, or buildings and '.'p~e-existing" land uses: i. 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~m~ng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pra-~xistin~ Buildimm - $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 New Construction.~ ........ 01d Or Pre-ex'isting Building ................. ~, ocation of oper y.. ..... ............ ........ ~ouse No. Street ~amlet Onwer or Owners of Property.. ..................................... . ..... . ....... ......... . County Tax Map No I000, Sec~ion..~.~ ......... Block..~. ............. Lot...~.~ ................. Subdivision ................................. .. . Filed Map ............ Lot ...................... Permit No ...... . ........oDate Of Permig ................ Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ..... ~.~.r~ Fee Submitted: $ ............................. ~"7 ---/~- ¢o ................... ~IELD INSPECTION REPORT DATE COMI~JENTS foum~rmos ( ~ST> ~UNDATION ROUG~ FRAME & PLUI~BING ~NSIILATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ L-/]~AL ~//'~~ ] FIREPLACE & CHIMNEY REMARKS: DATE ~NSPECTOR ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION REMARKS: DATE ~b FOtlII TO~bl OF SOUTIIOLI) lIHl 1,1) [lq(: DF.I'ARTHI~HT TOUi'I 1l^1,1, TEl.: BO^Ill) OF IIF, AI.TII ............... ,/3 5F, T~ OF ]'I.AN.S ............... ~/'(:IIECK ......................... /SICVT I C FOllfl ................... l)i ~nlqrr oved n/[~ .................................. AIH'I.ICA'I'ION F(}ll IHIII,I) ITI(; I'I~RHIT · T)~te ................ , 19 .... 4. FINAL. - CO~?RUCTION MUST BE COMPL,E:*I'IFOR C.O. ALL CONSTRU~"ION SHALL MEET THE REOUIRE~NTS OF THE N,Y. F. lect~h:in..q l,lcen~ ~ ...................... STATE CONSTR~CTION & ENERGY , COOES. NOT ~ESPONSI~LE FOR o;her 'rr;.h~ ~ l.h'~ ~ ...................... DESIGN OR CO~RU~I~ ~RORS z. ..................... ~l~livh;i(a~ ...................................... Filed ~p ~ ................ l~t ............... (~) I N.~;'HIUCT I ON~ Jk:Jl~lJl ............ .. ............ Ill~l~U Ill: [~lol item ...................... ll~l: 0{: Ar~:hilcct .......................... ~ ......... ~hlec~. .............................. i]K)I~ J~{ .......... 14x:iHl~ clciilly m~l disLil~cl~ly {~ll I~tldil~lls, ~{{elh~r ~isLJi~g o~- pioposcd, m~! i~l{~:ate all ~et-b~lck dll,~n,~[ol{,~ I