HomeMy WebLinkAbout23477-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24784
Date DECEMBER 5, 1996
THIS CERTIFIES that the building
Location of Propert~ 625 GLENN ROAD
House No. Street
County Tax Map No. 1000 Section 78 Block 2
Subdivision Filed Map No.
ACCESSORY
SOU'r~OLD, N.Y.
Lot
Lot No.
Hamlet
8
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY log 1996 pursuant to which
Building Permit No. 23477-Z dated J~NE 4, 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 STOI~A~E SHED IN P~EAR YARD AS APPLIED FOR.
The certificate is issued to ROBERT W. QUINN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
ildlng Inspect~
~'nm' NO. O
TOWN OF SOU'DIOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CO~PL~ION OF THE WORK AUTHORIZED)
N.° 2347T Z Date
Permission is hereby granted to:
~ises located at .............. ~
and approved by the
pursuant to application dated ................. ..~..~ ~/...~.. .......... ,19..~.~,
Building Inspector.
Rev. 6/30/80
Ferm No. 6
TOWN OF SOUTHOLD
BUILDING D£FARTMENT
TOWN RALL
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 i% lead.
Commercial buildiqg, industrial building, multiple residences and 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, i957) 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 applzcant.
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 dwell%ng $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-existin~ Buildin~ - $i00.00
3. Copy of Certificate of Occupancy - ~ .25~
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ........................................
Construction ........... 01d Or Pre-existing Building .................
;ocation o~. Property ...... -~ .2~..~...--~-C~7-~..~..../~- ~ ........... . .'~..~. ~.~. ~0 ................... ,
House No. Street Hamlet
)nwer or Owners of Property ..... /Z~t~,..~?..~¢~ ............................
,ounEy Tax Map No lO00, Section .............. Block ................ Lot ......................
4ubdivision .................................... Filed Map ............ Lo t ......................
?ermi~ ~o .............. Date Of Pt_whit ................ Applicant .............................
qealth Dept. Approval .......................... Underwriters Approval ........................
equest for: Temporary Certificate ........... Final Certicate ...........
'ee Submitted: $ ..... .~...~'~....~. ,. .............
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [/] I~t~ATION~
[ ] FRAMING [~'] FINAL
[ ] FIREP~ACE&~MNEY
DATE /' ~////~/~.~
BLDG I) P7
!2WN OF soW ~o2q
No Z-22477
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
/
CERTIFICATE OF OCCUPANCY '
Date JULY 27, 1993
THIS CERTIFIES that the building
Location of Property 625 GLENN ROAD
House No.
County Tax Map No. 1000 Section 78
Subdivision
ADDITION
SOUTHOLD, NEW YORK
Street Hamlet
Block 2 Lot 8
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 12, 1993 pursuant to which
Building Permit No. 21492-Z dated JUNE 22, 1993
was issued, and conforms to all of the requirements of the applicable
pr~visions of the law. The occupancy for which this certificate is
issued is ADDITION TO ~×TSTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to ROBERT QUINN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
PENDING - JLrLy 19, 1993
N/A
/B~fldin% Inspector
Rev. t/81
I~,!1:1.1) IIIHl'l~LIUll
U~ I I,
I'l,llllll I I1(~
................................................................ ,A,I)I)i'II()II^i. COlllll~.ll ,',~; ,
The
Quaker
This is the roomiest shed going. It uses are anything
from sales office to pool house or even studio - the
possibilities are endless.
The
Gable, A~Frame
or Cottage
An excellent addition to your property. Great for
storage space and comes in a variety of sizes. Window
is included for that extra special look
The
High side Barn
High sides and double dutch doors make this shed
great for storing light equipment and tools of all sorts,
This'Colonial looking barn has enough spa~e for the
modern day homeowner. The usable space includes
room for shelves, a loft, and even a work station. You'll
enjoy the look and get the space.
WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS
l-
BLDG. D EP'[.
L ___.T~WN OF SOUTHOLD
Disapp~ a/c ..................................
FORM NO. I
TOI~IN OF SOUTHOJ,D
BUILDING DEPART~4ENT
TOWN HALL
SOUTllOLD, N.Y. 1197!
TEL: 765-11102
BOARU OF IlEAl.TI1 ...............
3 SETS OF PLANS ...
SURVEY ............ O~- .........
CIIECK ............. O~-~ ........
SEPTIC FORH ...................
INSTRUCTIONS
a. 'lhls application mist he completely filled in Iv/ typewriter o ia ink and sul~nitted to the ~]ildi~ lns~tor with
3 ~ts o~ plus, ~mrate plot pl~ to scale. F~ acco~llng to scl~le.
~ b. Plot pl~ ~i~ l~ti~ of lo~ ~ o~ lxdldings ~/~ises, ~lationship to ~joi~ing pr~i~s or ~bllc
struts or areas, ~1 givi~ a ~tail~l ~scrlpti~ of l~t of ~rty ~st ~ dr~ ~ fl~e diaum ~dch ia ~rt of
this a~licati~.
c. 'lhe ~rk c~ 1~ this appllcati~ ~ ~g~t I~ c~n~g-ml l~[ore ismm~e of ~ildi~
d. U~ a~al of this e~llcati~, tim ~ildln8 Ins~ctor will is~ a ~i]fli,g Pe~it to the a~llcant.
~t ~ell ~ kept ~ tim ~i~s ~ail.ebl.e for inspctia~ th~t the ~rk.
e. ~ ~ildi~ ~mll ~ ~i~ or u~ in ~le or in ~rt for mW ~r~ ~mt~r ~tll a ~rtlficate of
~o~y ~ml.1 h~ I~n ~t~l I~ tim ~fildi~ las~tor.
~l~'rI~ 1S IE~ ~g to tl~ ~ildi~ l~r~nt for O~e isam~e of a ~ildi~ Pemit ~nt to the
~ildi~ ~ ~ir~e of dm '~ of ~tl~Id, a~ffolk ~, ~ York, a~ other a~licable l~s, ~i~es or
~dati~s, for tim ~st~ti~ of Ix~ildlnss, ~M~tx~s ~ alte t]~s, or for ~al or ~lltion, as ~rela
~scri~. ~ ~plic~t agr~s to c~ly with ali a~licable 1~, ordi~es, ~ildi~ ~, Imsi~ c~,
~lati~s, ~ to ~it alt~iz~ ins~ors ~ ~i~s a~l in I~ildi~ for ~cess~ in~ti~s.
(Si~ture of a~licant, or ~ , if a corl~ratlm)
........................... z- .................
State ~tl~r a~l~t is mr~ les~, a~nt', archit<t~ engl~ ~ ge~ral c~tractor~ electrician~ plier or lndlder.
If ~licat is a .~atim, si~m of 6Jty ~tt~riznd o[ficer.
(~ axl title o~ ~q~rate
. ~llbrs 'l,lcen~ ~ ..........................
~ ~J,~rs ~I~c~ ~o ..........................
El~trici~s Lices~ ~ ......................
O[~r '~'s I,icen~ ~ .....................
I. l~a~i~ o[ l~1 ~ ~id~ ~ ~k will ~ i~ ..............................................................
.... ......r ....... ............. .................................. .....
l~m ~r fit~t J~let
c~,,~ ~'~ ~, ~. ~ ~i~ ...TZ~. ....... m~.. ~ ..........~, ................
~l~ivlsi~ ...................................... Fil~ ~p ~ ................ l~t ...............
2. State ~isti~ u~ arxl ~ of ~i~s a~ int~ o~ ~ ~m~ Of~~ c~tmctlon:
a. Existing u~ and ~ml~ .....................................................................
If
l)ia~,ai(,m of sam strtg:Lure ~]itl~ al~eraLi~m or ~,~lilions: Front . .............. l~a¢ ...............
· m~ of Arddtecl: ............ ] ........................ ~lres~ .............................. l~m~ ~ ..............
PI,OT I)TAGRAH
Iz×:ate clear]y ami distincrly iatl Imildi[~s, ~mtlmr exisl:ing or prolg~(I, m~l is~lica~e all seL-lmck dh~oaions
~roa prolmrty lis~s. Give at~ a~l bilk a,d~r or ~scriptkm acaordin~ Io ~ed, m~ ~ arreet m.~s msl i~licate
idmtlmr interior or COrl~r loC.
N~ BUI~ING DE~
F~LLOWING
~ ROUGH FRAMING & PL~BING
3. INSU~TION
4. FINAL CONSTRU~ION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHA~ ME~
THE REQUIREMENTS OF
STATE CONSTRUCTION & ENERGY
Q , ~ CODES, N~ RESPONSIBLE FOR
(Nmn of iixlividual signin~ contract~)
((ksst facto[ ) agenL ,i ct)rix)rate oi:Ficer, eL(:. )
of todd (x~r or c~]x]la, ami i~J dtl[~ atJthOF[E~l tO imrlo.a or have i~rlorn~l Ihe mild ~rk ami Lo s~'dm a,xl file this
apl)licm, ion; thtll: al t ~tatc4lent. coqraim~d in thi~ alq)l icarion are t:n~ lo tim Im~L ()~ hi. kix~lcMge a[xl I~lief~ aixl
Ihat. the ~)[k will I~ I~rl:om~l in [[he n~ltumr ~mC forlh in the appl, ieaLion filed tlmr~ith.
· (IXI~I7 (N~ ..~.~.~%-~. ......
OCCUPANCY OR
U?[ IS UN WFUL
......... ~...~.. .... ,,,. ,,~ .~ ..... ,~.~.~ ....
~tary hd)li(: .
N~
, Qu~ed ~ Nass.u
~t, filed ~Lh Nassau, ~ty