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Home My WebLink About23461-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24933 Date MARCH 17, 1997 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 5875 GREAT PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 128 Block i Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1996 .pursuant to which Building Permit No. 23461-Z dated MAY 21, 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 THE 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 ANTHONY J. & DIANE M. ELADOS N/A N/A N/A Rev. 1/81 //Building Inspector FOBalg NO. 11 TOWN OF $OUTHOLD 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? 23461 Z Permission is hereby granted to: ...~,~f......~.~,.....././~../......:. ~o-~../~.........~..... ~ ~/.~ ~'",~g,<. .... ...... ~...>~ ......... ~z ......... ~ ........ ~ ........ .~ .............. : .............................................. ~. ct premises located at ..... .~..~...~....~.... ....... ...~...~.=,~-g..'~......~...~.~/...~......£.':'2:~.....~-Z~..~.t ..................... County Tax Map No. 1000 Section .../~...~.. ......... Block ..... :...~.Z ....... Lot No....&.~.. ............. to application dat~ .......... ~ .......... .~. ........... . 19.Z~ and approv~ by ~e pu~uant / Building Inspector. Fee $...ff~...~... .... /~ldi~l~ Inspector Rev. 6~30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 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 buSlding 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 "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. C. Fees ~ i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dweiling $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-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Telaporary Certificate of Occupancy - Residential $15.00, Cimmlrcial $iii00 Date ..~[~.1.~.-], ......................... New Construction...~ ....... Old Or Pre-existing Building ................. Location of Property.. ,~,~] .~, ..... ',~,~0'.~, ,~,~,.,0~.., ,~,',~, ~ ........... ~.', .CC,( ........... House No. 6~ Street Hamlet Onwer or Owners of Property~f~ ,~,~0.~.,~. J,,~, ~-~],~,. ,,~, ................................. ,~, ,~,~ County Tax Map No 1000, Section,.[.~.~. ...... Block .... ~ ........ Lot,..~ ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.~..~..~..[..- ~..Date Of Permit, ,~. l .~J.[ .~.~. ..... Applicant..~.~O~QB.~-~,(~, .~.~..(~.~.. Health Dept. Approval .......................... Underwriters Approval ......................... Planaiug Board Approval ......................... Request for: Temporary Certificate ........... Final Certicate.'..~.. ...... Fee Sobmitted: $. ~.~..~ ...............O.(~, .... APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-180; OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 16, 1997 Anthony Blados 5875 Peconic Bay Blvd. Laurel, N.Y. 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23461-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INS~ON [~"~NAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR ?(I.I. lllll/~,ll()ll ( t~i'l'} I~IJUIIIH~T I 011 (~lll)) I{t)U(;li FIt^III~, k I'l.Illlll III(: I: I I1^1, ..................................... , Alii ' OI ^ (' i · ................................... ,= ,I, Jl(ll. II[ .~ I . ~> 0 ~5 BOARI} 01; IIIr,^l,TII ............... 3 ,¢;F/I'~ OF I'I,^NS ............... ,q IIP, V E¥ ........................ CIIF, C'K ......................... ~FA"I' 1C FORH ................... NOT I FY; ....... HA l I. TO: .................... n. 'lhln ~q~l)llenti(~l .~mt I~ coq)l~lely filled in by tylx~,nlter or in i.k m~l ~tl~lltt.~l to Om I~dhlit~g Inflictor wilh 3 r~; of plmm, ~:curnte,plot. plan 1. o nanle. Fee nccordin8 Lo nchedule. b. Plot plml M~h~ lfx:ati~) off ~ot: a[~} of I~dldin[~ (sa I)r~nlne~, relnl ioo~hlp to ~l.~ololn8 pronlse~ or I~d)l lc thi9 nlqdicflti(m. ;,, , ] e. ~) IxHlding Mmll I~ c<cui)i~l ~)r u~d in ~ole or in l~rt for m~y IX~rlxme sd~nt~r until a (~rtificnl.e of I~gulntlmx~, for tim ~mttx<ti~ of I~iilding~, mklil, i(~m or al terutloo~, or for ma~al or d~l {tlOll, no hereit~ reDdntl~mn, taxi to miuit md.l~)riz~l i~s~etota tm pro,ise~; taxi in I~}lding for ~cenaary hm~eti~m, (fiil}nal'ure of oH)licant, or na~, if n (as ~e t~x roll or lntesl' deed) IF nppllcanl; i~; a COrlX)rat. io% ~igs~'~lI~re off duly nul.hori~'.ed officer. (Hm~ a~x] t it:le oE COtl~rnle officer)j Ih~t hlers 14centre ~) ..... .... : .;..1 ............. 6. I'd,al imf cd (~}.~t ............... I-ca ....... . ............... ;; ...................... 'i, Ir &~lliul;, i.;d~r of (~lltng t.tila ............ ltv,Imf of &~llln8 ~,nits (.~ eaci~ fl(x)r ................ Ik~i ~ ................. ,.: ...... ai~l~ ol: ~lot ica ...................... I~qllh .................... 'lhij~lL .................... ~xlJ~[ of Biotic.1 ......... '.., .... & I'}. Xlill lot. J~ Tel~vl~{I .... J~.q ............ ~Jll {~xce{;~i fiji I~ t¢slK~e(I [t¢xn I}t¢~,ineBJ YES N~n~ of Architect .... ~.J.~ ......................... ~klra~t .............................. l]lol~ J~) ............ 15. ls this I}~)lX~rly within ~X} feet. of n Lit~l x~t;Jm~l? * Yikq .......... ~) .~ ...... PI.OT I)1A(iR^H l~x:sh: clesriy. ;,~l d si Itu: ,]¥ sll I~ildinBs, x,/heli,~_r m<i,ql, ln~ oi'?lOlX)m:ll, and JJ~licliLo. all ,qet-).~ck !lilJ~lHtlon,q fl(Il! iii Ol)~l I y APPROVED AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMCNTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY IN~ i~; (lie ................................................................................................... (5l; at e or ^ppi It:ant)