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Home My WebLink About23801-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-25147 Date JULY 22, 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property. 3280 NASSAU POINT RD. CUTCHOGL~, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 4 Lot 30.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1996 pursuant to which Building Permit No. 23801-Z dated NOVEMBER 7, 1996 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 BUILDING IN REARYARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FREDERICK & MURIEL OLSSON N/A N/A N/A Bui l~ring InspeCtor Rev. 1/81 FO~M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 23801 Z Permission is hereby granted to: , ../...~.~:.....~..5..~:~ ........... ..3....~~.~ ....... .~....~... ...................... ,o....~..~......~.....~~...,~....../~,../~.'~ ...... z~.......~..w.~r ............. .... ~ ........ ~.. ......... ~.z.. ........ ~~.......~ ............................................. at premises loc t~ed at ......~....~....~...~.. ....... ~j.,,..~.....~.,..,,.,....~..~,~....~~.,~-- z~ -- ........................... County Tex Mop No. 1000 Section ....(/Z ............ Block ...... ..~...~... ....... Lot No.....-~...f....~... ....... pursuant to application dated .............. .,.~......~'...'~.:,....../.'.~......~.. ......... , 19.~..~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN t tALL 765-1802 ~PPLICATION 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 less than 2/I0 of 1% lead. 5. Commercial buildiqg, industrial building, multiple residences and similar buildings and insta%lations, a certificate of Code Compliance from architect or engineer responsible for the building, Submit Planning Board Approval of 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25,00, ~cessorz building $25,00, Additions to accessory building $25.00. Businesses $50.00. 2.~ Certificate of Occupancy on Pre-existin~ Build,nm - $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 $15.00 ~// Date ~ew Construction ........... Old Or Pre-existing Building ................. ~ocation of Property...~..~...~ ............... N~.$~.~...~D~.~.. House No. Street Hamlet )nwer or Owners of Proparty.....~..~.~.~..K~.l~...~.~.~..-..~.~. ~. ~. ~.~.~.~.~? ........... ~ounty Tax Map No IO00, Section...7~./ .... Block.. O ..c~. .Lot...~ qubdivision .................................... Filed Map ............ Lot ...................... Permit No.~..~..~.9.~...~. .... Date Of Permit..~(./7.ff..~.~...gpplicant...~.~.~.~.~'f~.~...~.. qealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ............................. oz. ................................................ CO AP?LICANT [N,~HII.A'I'I()N PIeR ['I. ?. ,~i'I'AT1~, F:T'tI(R(]Y Al)IT T '1' 10['(A [. (:()iqltil;, N'I'.(~: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [. ],~SULATION [ ] FRAMING [ I,~ FINAL [ ] FIREPLACE & CHIMNEY REMARK O ~ FOItH NO. I T(}~{N OF flu J I,D] H(~ I)F.I~AItTHIUTF TOUN llAI.I. .qOUTIIOI,I)~ li.¥. 11071 TF.I,: ?05-1fl()~ IiOARI! OF III~,AI,TII ............... ] .qlr/l'.q OF Iq.^N.q ............... fiIIRV[;.¥ ........................ CIIF.{;K ......................... .q I,'. I)'1' I (: FOi~H ................... I ~!;'I'IUJCI'I t)NS a. 'lhi:~ .[q)lical:im .u,~t I~ emq)let,ely filled i. hy tyl~.aqter or i. ink ~,xl m~b.ilted to Ihe lkslhliuj~ I.~i~c'tor ~dth '~ s~qn of pi.tin, nccurate plot plml to ncoJe. Fee ~ccordlng Io b. Ho( pla. ~d~Jn~ I(~nl.i(~l o[ lot m~l of I~dJdinl~n ~ I. mth~o~, relnt io.shlp to ~xl_joi.i.~ pra.i~len or I~ll)l h' JhitJ appl icnLJon. d. UlX~l nl~r~al oE Lhi~ nl~lication, the ]~ihllnR lnnl~cLor .iH i~n.e a l~ilding I'emlL to the opplicant . fiuch l~..it: .hal l I~ kepi (m LI~ pr~ii~s a~ailable For inSl~eLi(~l thr~t the e. ~) ladhlJng ~.fll lm c~t~]pi~l or used hi ~ole or in i~at't for any I~rl~)se ;~ntever (X;eul~.x:y shrill have I~e. fi~ant~l by IJ~e l~lhling lnsl~etor. AI'Iq,I(~TI(~ Il; Ifl~la~:llY ~ll;.to tl~ Ih~UdinJ~ J$lmrl.ent fbr the ismlance of {h~{ {dJs~ 7zs~ Orclisv. K-e o~ the 'Jkxm o[ ~aflhold, ~ffrolk Qxmly, ~v Yml% mxl olher al~)l Ib.l~iJlnt. iialn, for II~? cxniatrt~ti~al or JalJhling~b ;~klJl. J¢~ls or alte[al:Jonn, oF ['or rmK~al or d~,~l it. ion. a~ hple{I) (SJi~luilqlrc of nl~plicnnl:, or I~m~N if n COt l~.nllon) ............................. l~liv (ir (a~x~r of la'canines ...... ~.~.. '~¢ \ (os (xl the IJlK Ix~ll or intent deed) ir npl)l icanl is ri corlxa'al'i¢m, .qlg,~atm~ of ihdy autl~.-iz~l ofricer. ti,hat, a,~l title of corlx)rale officer) Ik~ihlern I,{ceo;~e Nc) .......................... OLl~,r 'l'r~k?.q l,iceose lxk~ ..................... (I}eucrlpl % I1: i~tllJnll, s~lll~r ol: c~llinll;linils ............ I[,ll~l- o1: i~'~l linl~ unll~i oil itlli:h ¢l(x)[ ................ l. Itin~:ntlilxltl .1: ~xhtl inB ltll~ff:tlll~tl, i~ tiilyl Iflotll ................ I(ear . .............. I~plh ................. Ik'l)l h ........... ~ ...................... ~... l~pHI .................... 16, ILlin8 of IXa~i I'~. hi ihi~i pml~:ily wilhin ~X] fee Id: il IJllM s~el'lnl~l? ~ YI~i .......... I~] .......... alF YEti, ~flll~ll PI,OT I) i M}llAt. I I ~x:ill e I:learly Idll~ljlOI inleiior ()t- (:(ll'l~]l- CLAIRE L GLEW Notary Publia, Stato of New York No, 4879505 J Qualified in Suffo kCoanty ~/' Commission Expires Decer~ber 8, 19~_~ o~ 't oVO~ , ~6'66 .LNIOd