The URL can be used to link to this page

Home My WebLink About24219-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25117 Date JULY 7, 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 825 MA~/~ATOOKA LANE House NO. Street County Tax Map No. 1000 Section 115 Block 4 Subdivision Filed Map No. MATTITUCE, N.Y. Hamlet Lot 7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1997 pursuant to which Building Permit No. 24219-Z dated JIFNE 25, 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 STORAGE SHED IN REAR YARD AB APPLIED FOR. The certificate is issued to JO~N J. MISKA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A TOWN OF $OUTHOI. I) ~IUILDING DEPARTMENT TO~'N HAI.L SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2~219 Z Permission is hereby granted to: ...~...~...~.~,,.:.~ ............................ ...... .~.~...~~.~.....~ ,o . . .C~.' ~ ...... ~. ......... ~ ~ ~;. .,~.~ ...... ~ /~ ,.~ ......... ~ ......... Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by ~ypewriter 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 ~f 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 1. 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 Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ .~...~...~..Z~f2 ................. New Construction ......... ~l.d Or Pre-existSqg~uilding.[ Location of Property,, .~.~....~.~..~.;~ ...... ]]~][[~~~ ........ Ho~s6 No. Street Hamlet ..... ....... ..... l ............... Health Dept. Approval .......................... Underwriters Approval Planning Board Approval .... Request for: Fee Submitted: $ ...... . .~..~/..~. ......... Temporary Certif%cate ........... Final Certicate ........... ,I \ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~ATION [ ] FRAMING ~"FINAL REMARKS: ~/.//~~ ~ ~ ,..........~-~ DATE '~/,~7 INSPECTO ~~,~ FORH NO. I TOWN OF SOUTIIOLD BUll,DING DEPARTHENT '['OWN IlAl.1, SOUTIIOLD, N.Y. ]]97} TEL'. 765-1802 Di ~leroml a/e .... : .................... (l~fildlng Inspector) APPLICA'rlON FOR BUILDING PERH£T IIOARI) OF IIF. ALTII ............... 3 SETS OF PLANS ............... SURVI~Y ........................ CllECK SEPTIC FORH ................... BAll, 'TO: ....... ............. INSTRUCTIONS a. lhis application n~jst be completely filled in by typ~*rlter or in ink ~ ml~itt~ to the ~dldi~ Ius~ctort wit 3 ~ts of O~s, ~c~ate plot plm to ~a~e. lr~ accordh~ to sd~mkde. . of lot a~ of ~xldt~s ~ F~t~s, relatl~slnp to ~jo~nJug p~ises or b. Plot plan sl~i~ l~at~ ' ' ' " ' struts or are08, ami givi~ a ~t~{l~ ~scr{pti~ of l~t of ~r~ ,ust ~ ~drmm ~ the di*~ ~I~ is' ~rt of ~m'~rk c~M ~ tld~ ~lieati~ ~ ~t be c~tm~l before is~e of ~ilding d. U~ a~ai of ~d~ a~llcat]~, the ~{ldlng Ins~ctor *:ill is~ a ~ilding Pe~t to the a~hcant. e. ~ ~ildi~ ~all I~ ~pi~ or u~ in ~mle or in ~rt for ~ ~ ~mt~r mtil a ~rtiflcate of A~,'I~'H~ 'IS IlUl~BI ~ to 0~ Adldlng ~l~r~nt for tim is~a~e of a ~ildiug Pemlt ~rmmnt to the ~{ldi~ 7~ 0~i~e oE fl~ '1~ of ~t~ld, ~fffolk ~t~, ~* York, .a~ other al~li~ble ~, ~i~es ~lati~s, for t~ m~nrti~ of hdldi~s, ~itlons ~ alterati~s, or for ~al or dmlltlon, as I~reln {~ril~, n'~. a~pllc~t a~s to c~ly with all a~licable lms, ordimme~, ~ilding c~ lmsirg State d~tlmr a~lic*mt is ~r,..~ff~le~a, ~n[,.architect, eng,~r, ~eral c~tractor,~~ or I~ilder, ..... Z'....%.:.:: .... : ...... ............................ . If a~licant is a cor~rati~, si~m of ~ly m~tl~rirml officer. I ~OUlJllOt - m ~ t mmuaN · liJllJ & NMIIIN~ i: USE iS UNLAWFUL______.____ 4.* m lS . (~) If l~eJ JJilJil IlllJ~[ Of &ellin8 .lllJt'$ ............ l[llJ~r of itel l lc8 unlla ~1 ~acJl. flor ........ r,. lJJll~llliJl]l~ O~ ~iBJ'Je~ ~I'[IX:LJIT'I~JI J~ ~lJ~J Ih'i~W. ............... I~r ........ , ....... I~plh ................. I~i~IE ......................... ] ~mi~ of BI. orie~ ...................... I~il¢l[ ........................ ,: Rlll~r o~ Bl:erieu ..................... · 1~ ol: [~l'r~lo(... ......... ........................' : ~Jr~a ............ t ................ .t [~lo{~ ~), .............. ~J PI,OT , frc~n prolmrt-y lines, Give ~l:~ml: ami jblack siJiimr or d~acripti~ eccordinl~ I:a d~d,iar~d ,eJic~ etreel: r~llv~a a~l ir~lit:at'e ~dmtlJer inl:erior or terror loll (('X)llLrllctor, eJ~e. lll', ~orl~rlll'e officer, elc.) ] rI