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HomeMy WebLinkAbout24253-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office Of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25301 Date OCTOBER 6, 1997 THIS CERTIFIES that the building REPAIR Location of Property 46520 COUNTY ROAD #48 House No. Street County Tax Map No. 1000 Section 55 Block 5 Subdivision Filed Map No. EOUTHOLD, N. Y. Hamlet Lot 7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 1997 .pursuant to which Building Permit No. 24253-Z dated JULY 17, 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 REPAIR &/OR REPLACE EXISTING POSTS ON Tm FRONT OVERFA%NG AREA OF CO~4ERCIAL BUILDING AS APPLIED FOR. The certificate is issued to THOMAS J. McCANT~Y (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 lVO~l~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERJ*AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)//~ N? z~2~ z ~ote ...... ...~..4.~.Z2. ................. , ,,.~.7 ..... ~ ~..../~.~.~ ....................... ..... County Tax Map No. 1000 Section ...... ~.~... ...... Block ......... ~ ...... Lot No ......~ ............. pursuant to application dated ............... ~.,..../.~........, 19..~....~ and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~fN HALL 765-1802 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 ~ le~s 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 '3pre-existing" land uses: 1. Accurate survey of prpperty 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 bui%ding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.O0 4.' Updated Certificate of Occupancy - $50.00 5. Temporar.y Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... '...~. ~ ~.~/.z'~ ~ ~--~ ....................... Old Or Pre~existing Building ~ ~. Location of Property .......... ~.5.~. ......... · .......... Coun~ T~ Map No i000, Section ..... Block ....... Lot .................. , Subdivision.'... . ..... Filed Ma ...... L t ................. ,o.. .... : ...... .......... ,-. .. .. Co ~ R5 ~o I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. [ /~ISULATION FINAL FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SURV£Y ........... SEPTIC FORtl L ~amined .~ Xpproved //.~ )i~pprovc~ FOR BUILDING PERMIT INSTRUCTIONS ,. 2- .· ' a. 'rids application must be completely filled in by typewriter or in ink and submitted to the Building tS of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree.~. · areas, and giving a detailed description of layout, of property must be drawn on thc diagram wh'cl, ...... n m part cz ~ app.'" c. 'Ilte work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspectorwill issued a Building Pcb'mit to the applicant. ,~ch pe.n~it; all be'kept on the premises available for inspection throughout the w~rk. · . No building shall be occupied or, used in whole or in p~rt for any purpose whatever until a Certificate of all have been sranted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the lilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for ~described. ~¢ applicant agrees to comply with all applicable laws, ordinances, building c mit authorized inspectors on premises and in building for necessary inspect '(SignatUre of a .... .... ...... (Mailing address of applicant) · ate whether applicant is owner, lo~o, agent, architect, en~oer, gencr~ contractor, clcctrici~, p!~r f o of pmm~ ' ii " ,a) ' '"'"' . re or latest dc applicant is a corporation, signature of duly authorized officer. ¥ ' ..... ................ f "5 ...... "' · title of~oc~orate o ce . · . Builder's Ucemo No, .......... : ......... , ..... Plumbcr's ~cc~ No Elgctri~iaa's License N~ ~ Other Trade's License No ...................... ~cation of land on which pmpo~d work ~[~1 b~ done. Co fy% bi pNo lO00 ti ' un n a . Sec on ............... ,,. ock Lot ' Subdl ision ~ ' Filed Map No Lot ' (Name) Slate existing u~ and occupancy of premises and intended use and occupancy of proposed construction: ~ lnt~ d d ~ ~O~Vu~ .... 3. Nature of work,.check whi h applicable): New Buadin& .......... Addition .......... Alteration. Repair .... t~. ........ Removai ..... . ....... i Demolition ............ Other Work. 4 Estimated Cost '- ....... .- · .L - . (to be paid on ~iing th~appl~ a. a.~. owemn8, numoer et owm,~g units .. ~ ...... Number ofdw~lP-~ --~, ...... ~ · ltga~age, number o~ c~ . ~ ............. ~ ...... ~ -...- ~- ~, ,~u~.. ~ ~. ~.bu~m~. c~m~e?al or,axed occupancy.~spec~y nature and extent o[each t~ne ar.. ~'~;~ :. utmenston~ et ex~tmg structures, if, any: Front .... ~.~, ~ ~..~ ~ 7 .... ~' '7~' Dimensm~ of~e stmctu(= with alterations or additions' nt "'~ .... ~ .... n__.~ ~ ~_~ ~ _ ~ , Fro ....... _ ............ .~a~ .... 8. Di~ensio~ of entire new cOn~tmction: Front ......... , ..... Rear ............... Depth . ~, Height ............... ~umber~of Sto~cs ............ ........ . . . 10. ~ ~ ~. ~;~.;~ ~ ~.~:L~ J_[~'/ ..... L"' ': .... ~ame of F~er Owner ......... ,,.. O es · ' . · · ....... 12. o proposed cons~uctmq vmlato any zoning law, ordinance o~ regulation; .... ~.., ........ . ...... 13. Wdi lot be regraded .... .~ ................. Will excess flu be remowd from premis~:y~ 14. N~e of Owner of premiss: ................... '.. Addre~ ...................Phone No ...... N~e of Architect ...... ~ .................... Address .................. Phone No. N~e of Contractor. ~ ...... ' .... . ...... ~: ~ ...... , .... Aadrou ................. ~one ~o..; .... · If yea, SouChoSd To~ Trustees PermiC may be :equSred. ,, ~.... PLOT DIAG~ Locate clearly ~d distinctl~ ~1' build~, whaler exist~g or proposed, ~d, indicate ~1 set-back d~e~s ~tope~y ~nes. Give street ~d block number or descgption accord~g to deed, and show sleet ~a ~g i integer or ~om~r lot, OCCUPANCY OR USE UN[AWFUL r WITHOU¥ CERTIRCATE 1. FOUNDATION . ~OREOUJRED: _ ~OR POURED CONCRETE ~. ROUGH - FRAMING ~ ~LUMa 3. 4. FINAL ......... CONSTRUCT~O~ 8~ COMPLETE ALL ~H~ REOUIREM~N~ OF THE N: STATE CONSTRU~I~N. CODES. NOT RESPONSIBLE FOR DESIGN OR CONCLUSION ERRORS · . . . , . being du~y sworn, de · . : . , (Contractor, agent, corporate officer, crc.) said owner or owners, and isI duly authorized to perform or have performed the said work ~nd to make and file s ~plicadon: lhat all statements contained in this application are true to the best of his knowled~ and bcliqf;an4't~ ,JiM ork will be performed in the mdnner set forth in the application filed therewith. '#om to be(ore me tills/ ' '_ . . N~ertf Public, mate of New'Yod~ , No. ~.952246. Suffolk CounP/ , · ' ........