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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