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Home My WebLink About23870-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24824 Date DECEMBER 27, 1996 THIS CERTIFIES that the building. ACCESSORY Location of Property 560 DEERFOOT PATH CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block ? Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1996 pursuant to which Building Permit No. 23870-Z dated DECEMBER 20, 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 SHED IN REAR YArD AS APPLIED FOR "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 FREDERICK & CYNTHIA RIC~LD~DS ) N/A N/A ~ldlng Inspector/ IrOner NO. 2~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N. Y. BUILDING PERJ~IT (THIS PEI~V~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23870 Z Date ...... ,~,...,~.~ ........................ , '9...?,,~. Permission is hereby grant~: ~. f . ~ /9 ' ~, ....................... ~ff/premises located at ......~ .............. ~.~ ....... ~~ ............................. County Tax Map No. t000 Section ................... Block ....... ~ ........... Lot No.....~..?. ............. pursuant ,o application dated .................. .(~:~....../..~.. ........ , 19....~..~.~ and approved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTM~IqT TOWN 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 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 of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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 si~aed 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 i. 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-existinR Buildinm - $100.00 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 . D.~-. . /~.. ! .~ .~) f .~. .................... New Construction .... .~...... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owners of Property ..... · . . Connty 1000, ....... .... .7 .......... ........ Subdivision ............................ . ....... Filed Map ............ Lot ..................... . Permit No. ..Date or. Permit .... Applicant ............................. Health Dept. Approval ........... ; .............. Underwriters Approvai..~..~...~.~ ................ Planning Board Approval.. ~ ............... ~ Request for: Temporary Certificate ........... Final Cerricate ........... ~C~. f~ I ? APPLICANT co--z 4u/t q FO[Itlllff|' I. Oll (2II11) *- " AIHI ITl ................... . ..... m','" ............................. Ct)Httl~'lrl'fl 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROU~LBG. [ i~ORAU~41D~ION 2ND i~LATION [ ]FIREPLACE & C~.,~J~Y / ~/ DATE INSP DE0 t8 FORH NO. I TOWN OF SOUTIIOLD BUILDING DEPARTt~ENT TO~N IIALL SOUTDOLD, N.Y. 1197! TEL: 765-1802 Di~pprovc~l a/c . . , - 'i;;;&o AFPLICATION FOR BUILDING PERIiIT INSTRUCTIONS BOARI) OF HEALTII ............... 3 SETS OF PLANS ............... SDRVE¥ ........................ CHEEK ......................... SEPTIC FORM ; .................. MAI~ TO: ....... r ............ a. Ibis appllcatlon mst be cempletely filled in by tyl~rritar or in ink ~ ~Mitt~ to t~ Mildi~ Ins~tor with 3. ~ts of pl~s~ acmrate plot pl~ to scale. F~ acco~i~ to s~le. b. Plot pl~ ~ l~ati~ of lot ~ of ~tildi~s ~ ~s, ~lationship to ~jolning p~s ~ ~blic ~r~ts or areas, ~ glvi~ a detail~ ~ripti~ of last of ~rty ,~t ~ dr~ ~ the di~ ~li~ fids a~licati~. c. ~ ~rk ~r~ ~ this a~lieati~ ~ ~t ~ ~1 ~fore isle of ~ildi~ P~it. d. ~ ~al of fids ~lieati~, fl~ l~ildi~ Io~etor will is~ a ~ildi~ ~it to the ~l.i~t. ~it ~all ~ k~t ~ O~ ~i~s ~ilable for ins~ti~ th~t fl~e e, ~ ~ildlng ~all ~ ~i~ ~ u~ in ~le ~ in ~rt for ~ ~ ~at~r ~til a ~rtificate ~ ~all h~ ~n ~t~-~ t~ ~ildi~ In--tot. a~l~'rl~ IS I~ ~ to tt~ ~ildi~ ~r~nt flor the isa~e of a ~ildi~ ~t ~r~nt to the ~ildi~ 7~ ~i~e of ~ T~ of ~t~ld, ~ffolk ~, ~ Yo~k, a~ other a~lic~le I~, ~i~es or ~lati~s, for tbe ~st~ti~ o[ ~ildi~s, ~iti~s ~ alterati~s, or f~ r~al or ~liti~, as ~rein ~ri~. ~lm ~llc~t a~s to c~ly with all ~lmable 1~, ~es, ~ld~ ~e, ~s~ c~ re~la,i~s, a~ to ablt atl~riz~ i,s~tor, ~ ~i~s ~ in~,g [or ~cesa~ indies. State ~betber appliean~ is r~ner, lessee, agent, architect, engimmr, general contractor, electrician, pluat>er or builder. n £JT. . · ....................... .. ................................................... (as on tl~ tax mi1 or latest deed) I[ applicant is a corporatiou, signature of duly authoriz~'l officer. (Name a~J title of corporate officer) Builders License NO .......................... Plumbers Lice,se I~o .......................... Electricians License No ...................... Other Trade's I,icen.~e I~ ..................... !. bocatine of land on *tdd~ proposed ~ork ~ill be done .............................................................. Iloum Iimber Street llanl~t Cotmty Tax Map No. 1000 ,~oction ....~..~. ........ Block ..... .~,] ......... lot .... · Filed Map No l~t 2. State existing ~se and occupancy of pr~nlses and intended use ~rgl oecup~ocy of proposed const~et~an: E isti ,, .... ........................................... b. Inttmded use ami occupancy ...............~..~0-~, d.~/1~-~.~ ............................................... fro, propert'¥,liim~. Give etreet taxi; block ~l~d~r or (~ecrJi)ti(xl ~mco~di,g to ~PP~OVED,AS ~OTE§ ~ _/ DATE:~e.p. # ~~'~ NOTIFY ~UIL£)ING DEPAR~'~ 765-~802 9 A~ ~ 4 PM FOR THE FOLLOWING INSPE~IONS: 1, FOUNDATION ~0 REQUIRED FOR POURED CONCRETE 2. ~OUGH. FRAMING & PLUM~ING 3. I~SU~TION ~.-~ 4~ FINAL CONSTRUCTION MUST BE COMPLETE FOF~ C,O, AL[. CONSTRUCTION SHALL MEET THE REQUIREMENT~ OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR ,';FA'IF. (!; NI~ ¥(,~K, ,~_ (,,,' DESIGN OR CONSTRUCT(ON ERRORS J,~ u~ ,he ..... ~,~ ........... : ....................................................................... Of Itili(I (~l~f 01' t~q~l-fi) IIIKI I~'(luLy ~111 ho[lZe( l( IX.-[0 m Of IffJVe i~rl'or,ed Ilhe ~mi(I ~')rlc Ill~J [() ll[ll{e illXl file Ihi~ ........ ..... · ~)1 ~. y l~hl lc . ,'.