The URL can be used to link to this page

Home My WebLink About23919-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25024 Date MAY 6, 1997 THIS CERTIFIES that the building ACCEBBORY Location of Property 440 MIDLAND PARKWAY House No. Street County Tax Map No. 1000 Section 88 Block 2 Subdivision Filed Map No. SOUTHOLD, N · Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5, 1997 .pursuant to which Building Permit No. 23919-Z dated FEBRUARY 13, 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 DECK WITH OPEN TRELLI~ "AS BUILT" AB APPLIED FOR. The certificate is issued to G.O. A~MOND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building InspeCt 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.° 23919 Z Permission is hereby granted to: G 0 Al~OffD BOX lO1 SOUTHOLD, N.Y. 11971 CONSTRUCT ACCESSORY DI~CR I~ITH OPEN TRELLIS "AS BUILT" AS APPLIRD FOR. at premises located at ..... 4..4..0....~.~.~.~...A~.....2..A.~Y. ................................ fi.O..U...~...o.~p.a...~..:?.., .................... County Tax Map No. 1000 Section 88 Block 2 Lot No. 12 pursuant to application dated FEBRUARY 5, 97 ........................................................ , 19 ........ , and approved by the Building Inspector. 3S.00 Fee $ ........................ Rev. 6/30/80 ,.ti qFlVqq IV~ BLDG. DEPT. ~LiCATTO~ ~0~ CERT~_~CATE OF OdCUm2.~.NC£ be filled in by m]rp.e,~ri~er OP. ink and subm!~-ted mo the bui!'dimg ~nspeccor wi~h the following: for new building or new use: !. Final su~ey of propercy wick accurate location of al! buildings, proper~7 lines, s~reecs, and unusual natural or topographic features. 2. Final Approval from 5eai%h Dept. of water supply and sewarage-disposa!(S-9 form). , ipprovei of electrical {--nstal!a~±on from Board of Fire Unde~rritars. S~orn statement from plumber certlfyi~g ~ha~ the solder used in syst~n contains !ass ~kan 2/10 of 1% lead. 5. Commercial bui!d~3_ng, industrial bui!dLng, mui~iple residences an~ slm~k&r 5ui!dings and installations, a certificate of Code Compliance from architect or suE!near responsible for ~he building. 6, Submit Planning Board ipproval of completed site plan require~em~s. For existing buildings (prior to April 9, i957) non-co~for~ffng uses, or buildings and '!pre-~--xisting" land uses: [, Accurate sTl~ye~ of pro, ertl sho~g ~l proper%7 ~es, s~reets, bu~d~g and unusual nauurai or ~opo~raphic fan,res. 2. i properly compla=ed applicauion and a consent co ~s~ecc si~ed by the app!icanc. reasons therefor in ~ic~ co ~ha applican~. Cart!fica=a of Occupancy - New dwelling 525.00, AddiCions co dwelling 525.00, .4_I~ara~ions co dwelling $25.~0, Swfmming pool $25.00, Accessor7 building $25.00, additions co accessor7 building S25.00. Businesses $50.00. Certificate of Occupa~c7 on Pr~xis~ Bu~d~l - $100.00 Copy of Car~if!caga of 0ccupanc7 - ~ .25c. Updaaad Car=ificaga of Occupancy - $50.00 _ ..................... Eouse ~o. ~ Street 0=~w o~- ~:o~=~ .................. ~_~ ~ ~. ~- ...... ~ - , ............. , ...................... Subdivision ....................................Filed M_ap ........... ~oc ...................... .... .............. 2!annln~ 3oard Approval .... ..~--../~.- ............ ~equas~ for: Temporary Certificate ........... Final Cer~icgte ........... 2es ........................ ~ ~ / -." FIELD INSPECTIO=N REPORT ~DATE COMMENTS ~Om~Am~ON (,ST) FOUNDATION (2ND) INSULATION PER N. Y. STATE g NERG"f CODE Washington Heights-lnwood Ambulatory Care Network Corporation Columbia-Presbytermn/Urglcare Center 21 Audubon Avenue, New York, N.Y. 10033 (212) 342-4700 ,.~,~ %~mG..~I.~ZI~,~,.,.,,,,~,~ o~ ,.,~.~.~_, .~L ................ .._ / - ,~ ,,~ ~.~,... ..... L~.~,.~ ................. ~... ................... , ............ .~ ~, ............... , [! , S~ i~ o,~ ....... g.~e~ ................................................................................ ........... ~ ........ ~,? ~ ......... : · ~ .............. lC, State of New York ~02BR48330~ Couh[~' lerm hpires~o, 19~ BHtLD~NG D~AR~TABfiT APPLICATION FOR BUILDING PE~IT Re~latior~, for the cons~roctioa off builainga, altlons or ali:eratla~a, or iD,' m~t or ~llti~. as~rain 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS:,. [ ] ROUGH PLBG. [ ] IN/SULATION [ L~FINAL DATE -'~/~,//'~ 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~FINAI~~ [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR