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HomeMy WebLinkAbout23818-zFOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24854 Date JANUARY 13, 1997 THIS CERTIFIES that the building~ Location of Property 62S0 COX House No. County Tax Map No. 1000 Section 84 Subdivision Filed Hap No. ACCESSORY CUTCHOGUE, N. ¥. Street Hamlet Block 1 Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 1996 pursuant to which Building Permit No. 23818-Z dated NOVEMBER 21, 1996 was issued, and conforms to all of the requirements of the applicable provLsions of the law. The occupancy for which this certificate is issued is ACCESSORY STORAGE BUILDING IN REAR yARD 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 MATTITUCK GUN CLUB, INC. N/A N/A N/A Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DI;PARTMENT TOV/N HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 23818 Z ~oun~, Tax Map No. ,000 Sec,,a~ ......... ~..K..... ~,=~ / La,,~o..~..Y... pursuant to application dated ................ ~....2 .................. , 19..~.~., and approved by the Building Inspector. . / B~iiding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~YCY 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: i. 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 amd similar buildings and installations, 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: i. Accurate survey of property showing all property lines, streets, building anti 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-exis~ing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15400, Commercial $15.00 ate ............................ New Construction....g.'~....-... 01d Or Pre-existing Building ................. Location of Property ........................ k ................................... House No. Street Hamlet Onwer or Owners of Property..~..~.~...}. !.~..d~...~. County Tax Map No 1000, Section .......... Block ................ Lot .................. Subdivision....................... ......... . ... Filed Map ............ Lot ...................... Pe~i~ Ho. ~.~. ~ J..¢.. ....~ate of Permit.. !!/. ~:.!?.¢. ...Applicant..~?. ~.~:tr[ ..........~ ~e.^~., ~ .. ... Health Dept. Approval .... ~.. 6 ................ Underwriters Approval .... .~3....~. .............. Planning Board Approval .... ..b~..~ .............. Request for: Temporary Certificate ........... Final Certicata ........... Fee Submitted: FUUI,II)/VF I. 0 },l (~HI) ) Ir I I1^1, Al)Il ITl ()riAl. COrltfl~,tl'l',~; t ' i Custom Designed ....... ~:~ .. ~ ~..~. · ~:::: ~:~,:::::,~,~ ...... Reasonably Priced Picnic Tables Gazebos Playhouses Arbors Planter Boxes Swings Benches Cabanas Delivered Fully Assembled or We Will Build on Your Site We Will Meet or Beat Any Competitive Price Everything in this Catalog is Built in Peconic, on the North Fork All of our double doors are 5' wide with 12" hook and eyes Extra Heavy Gauge Galvanized Hinges with Solid Brass Pin The Porch Barn This unique shed offers many different and convenient uses such as using one side for storage area and the other aide for a changing room for the pool, or one side for storage and the other as a play area for a child. The space in this is incredible and with two entrances it is easy to get most anything in.'fide whatever your use. You can even finish this unique shed with some hanging flower baskets over the porch. A Iookthat is sure to g'ain attention. laqkdr . ........... I~al ............. I~ml ilion ............ OH~er Esi i.u~ted 1~ , 1' ~.~.~ ........... ' ~ ~ ...... ~ee .............................................. 11' ik~llling, ~tmr ol:ik~lling unite ............ lk~d~r o1: &mi ling unite ~l each glfx~r ................ Diu~l:iitalti o1: existing atrtu:ttn'ca, il: /lily; I%iail ................ I~m- . .............. Ihpth Size et hit I l"lfstl .................... I~ar . ................... Ikq)th .................... regra~d ..... ~-0 ......... Hill esceaa till Im r~r~ed Pr(an InOnises.: YES ~11" YES, ~lIIl~l)'I~X~ 'll~}~ll~ [~l~l'l' ~Y I~ PI,OT |)IAGRAH S'~Z~E CONST~UClqON ~ E~JERGY COOES, NOT RESF'ONSIDLE FOR D}~S~Gk~ OR CONSTRUCTIO~ ERRORS · ,Is!lng (hdy ~,~.~)rn, (lelXme.,; ~il~l ltilyll (hat. h(a iS the aill)l loath Ik~ is Ilia .................................................................................................,~ ((xmt, rnctoc, corlx)rate officer, etc.) nf said (x~t~r or (~tl!rft, nt~l ia (kdy ittll[lOlliZCql I0 [x~rfoillt off hHv(* iIH I'onl~(l lite uaid ~>tk m~l to imke alii fi le /his .ppi icnt lo*H thilL all atatolenttl colll'ilil~tl in this nppt ication me t lt~ to the'trent o1: hi*; I.x~dcalge ill~l Imlief; nlm Ihnt the ~)~1{ will I~ Imrl:onled in the II[llllKl[' set I:orth i. the appl lent. ion l i led Ihet-~ith. ,g~.n Io Ix!~',e ,:~t thin /t / .. /. od ,, C~tRE L. GL,~ Nota~ Public, Stete of New York No. 4879505 Oualifiod h~ Suffolk Coun~ ~[~ ~mmission Expires December BUAIU) 01, III,:/~I,TII FOIIH HO. I /3 oI,Io (Iff II,A~S ............... BUILDIH(~ DEPMUI'HEHT ~ f. III,CK TO~4H Ilhl,l. '~ICPTTC FORH ................... ~OU'I'IIOLI)~ N.~. 1197 ] i CMA ..... E~,,it.,.~(...., 19~c AI~PI,] ca'ri(IN FOr' I1~1} I,DT NO I~ERH] T 1 N,WI'RUC'I' I ON,$ n. 'IIH.~ nlqtl Jcat:~(~! m~.",t be (i~plel:ely Filled Tn by tyl~,~riler or h~ hd~ m,I ~xhnltled to the I~dhlin~ hml~et.or w~ 3 Bets oF plnn~ n(x-urnLe plo~ pIm~ I.o ncole. F~ re:cording t.o nch~]ule, . API,,I(~'U](~ IS l~l~l~ ~IE Lo jtl~ l~Hhlin~ l~[~rh~nt [or the ismmm'e or ~ l~itdhlg Pemit ~lrmlm~t to the I~l~hhng 7x~ Ord~rme of Lhe I'~ of ~Lhold, ~l[ffolk (~m~y~ ~ Yorl% mgl other ~l~tlc~ble l~s, Ordmm~e~ or (~s ~ the I.t~ ri)Il or lnl:esl: de~]) I~d hlers '