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Home My WebLink About23521-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF O~CUPP~NCY No Z-24500 Date JULY 16, 1996 THIS CERTIFIES that the building Location of Property 5245 pEQUASH AVE. House No. County Tax Map No. 1000 Section 110 ACCESSORY UUTCHOGUE, N.Y. Street Block 4 Hamlet Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 1996 pursuant to which Building Permit NO. 23521-Z dated JUNE 18, 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 S~ED IN REJ%R ~/%RD AS APPLIED FOR. The certificate is issued to ANN BENSON-HILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 i~ng Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT N? (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~z ~o,~ .... ~.../~ .............. .,,~ Permission is hereby granted to_: ~ // , ~...~.~~..~ at premises ~atea a~ ~~...,..~t ............... ,...~ .......................................................... ~0..~ ~.. ~.. ,o. ,ooo s.~.,.. ...... ~ ..... .,~ .......... ~ ..... ~.,.. ..... ~. ............. .~ , 19..~ approv~ by the pumuant to application dat~ ......................... ;.~ ................ and ;1'~.~ ...... Rev. 6/30/80 BLDG. DEPt. TOWN OF SOUTHOLD TO~,J OF SOUTHOLD BUILDING DEP ~RT~E~NT TOWN ~qALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUP.~YCY For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing al! property lines, streets, building amd 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 or Occupancy - New swell!rig $25.00, Aedlt~ons to ewe_l!ng 325.00, A3-terations to dwelling $25.00, Swimming pool $25.00,~sor? bui!di----------~ng $2~ Additions to accessory building $25.00. Businesses~S-~Tr?~. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occ-apancy - % .~5~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 // ~ouse No. Str~e~ -- * ~o=~ ~= ~ ~o ~00o, ~o=..~tO ........ ~o~... ~- .~o~ ...... ~ ............. ~ealth Dept. Approvai .......................... Unde~ricars Approval ......................... Planning Board Approval ........................ j Request for: Temporary Certificate ........... ~inai Carticate ........... ................... .iLg .. ................. This application must be fi%led in by typewriter OK ink and submitted to the building inspector with the following: for new building or new usa: i. Final su~zey of property with accurate location of al! buildings, property lines, streets, and unusual natural or ~opo§raphic features. 2. Final Approval from Eealth Dept. of water supply and sewerage-disposa!(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 Comp'tiance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. I;ORH NO. I TOWH OF ,qOUTIIOI,I) ITU 1 IAI I iqG III~,P^RTHI~,TqT 'I'O~N IIALI, ,qOIl'l'llOl,I} ~ lq,¥. 11971 .,El TI(, FI}RH ................... MAll. TO: .................... Date ................ , 19 .... I 1,1JYI'II. IICT 1 ()NJ| b. Plot l)lau reels m- arerm, (k'~xqm~.'y rJ,all have Ix~en ITrnnle(l by Ihe Ih,ihli~8 lunl~ctor. Ik. hhn8 7xs~ ().xhnm~:e o[ tl~e 'lksm or ~aflhohl, ,a I lolk (kx,~ly, ~ York, m~l other alqflltmble I~s, ()~di~nt~es or . ..... ........ (~) I~l)lh .................... I~Jl~ll' ,.; .................. ~dmr t)~ lJlorie~ ............... I.OT I) 1 A(;RAH dearly a[~l (lial. ie. cl. ly nil ix ihling8, ~31ellmr exlsI inB or proix)sed, n,~l i~li{'.arg all ~et-q~ck din~mMozm proi~xty lises. Cive al.~ol: (.~1 hhxk ,xidmr Dr (~8cril)l. ion according lo deed, m~l ~cx~ ~treeE [~ar~8 alii ir. Ilea e ~'11'] (~l~ Nl~4 YOI{K, ' fi:; i? t4CY FEE;. NOTII~ 765-1802 9 AM 10 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OB, Cp.N,,~. T,I~IU.C~T.I,,OrN E~I~RORS ((k)lfllmltm, ;lllelil, (2;)rl×irnle ol'[:i(*er, cie.) ;';omrV Public, ~fate of N~ No. 4952246, Suffolk Term E~ir~ June 1~ S 32°1[ 00" E 75.00' ~ LOT~ 0 ,O0'qZ M ,,O0,CjI. Z~Z N ,0£'90V Z m ~ 3 ,,O0,~LZ~ SX ,O0'g/ 3 ,,00, (~) ~07 '-4 0 ~)~07 ~ 0 0 ~ 0~ 0 '~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INS~TION [ ~'~NAL ~ DATE INSPECTOR ~ou~o~'t'~o~ (~s'r) FOUNDATION (2~) II Il STATE ENERGY 11 , ABD~T~ONAL GO~NTS