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Home My WebLink About23285-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24316 Date MAY 1, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 25235 MAIN RD. House No. County Tax Map No. 1000 Section 18 Subdivision ACCESSORY ORIENT, N.Y. Block 3 Filed Map No. Street Hamlet Lot 12.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 29~ 1996 pursuant to which Building Permit No. 23285-Z dated I~%RCH 7, 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 BARN IN RMQUIMED ~ 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 Rev. 1/81 JAMES P. & DEBORAH L. MICHTA N/A N/A FORM NO.3 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23285 Z Permission Is hereby granted to~ ~ __ ..... ...d....~ ........ ,~....,.~L..¢...~ ........................ ...... ..P,...~..,......~......~.~..~..~ ................. ~..~.~..~.>........~...:~..y....~ ~'-? ................................................................ ~.5~ .............. . ............... : ........................ ~. o, .,.~,... ,ooo.~ ., .............. ~.~ .............................. ~.~....~/~ ................ ............................................................... ~.~....,.....~:..~,.'.. ............................. CountyTaxMapNo. 1000 Section ........... ?,...~.. ..... Block ......... ~ ............ Lot No. .., ./..~.~..~, ....... pursuant ,o application dated ....................... :~ ......... ..~...?.., 1 9...~..~.:...., and approved byfhe Rev. 6/30/80 ~-~ Form No. 6 ~LICATION FOR CERTIFICATE 0P OCCUPANCY TO~IN OF SOUTHOLD BUILDING DEPARTPiENT TOWE HALL 765-1802 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. ~orn statement from plumber certifying that the solder used in system contains · ~less than 2/10 of 1% lead. ~. 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-e~isting" 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. ~. Fees 1. 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-existin2 Buildins - $100.00 3. Copy of Certificate of Occupancy - ~ .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . ~../.~ .'~./.~. .......................... ~ew Construction...'./. ...... 01d Or Pre-existin~ Building .............. ~.. · ................... ~ocation of Property .......... ~.....~./...~...~. ........................ House No. Street He. et Cn~er or O~ers of Property ........... ~ .... ~ ........................................ 000, ........ ........... .............. ~ubdivision .................................... Filed Map ............ Lot ...................... ~ermit No ~ .... Date Of Permit..~../Y/?~ .Applicant.~.c.c~ qeatth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate ........... 0~'~o~31 ~ ' '' [~- APPLICANT I' II':l.lJ III;H'I':i,;'L' IA)Il IU{I'()I{'I I:tHIIII)^*I' I 011 (I:iT) FOUtlI)^T 1011 ( 2 i'll) ) ..................................................... ll'oucII I;1~ AHI~' ........... ! .............................................................................. PI.Iii'ill ! III,~IIII.A'I'IOII I'1':1~ Il. ¥. ~ COI)I~ Fill^l, AIH) IT I OItAI. (;[)HHI~Lt'I:$: O OO S 765-3090 Custom Designed Reasonably Priced ED The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts, 0 WE BUY THE BEST MATERIALS, TO BUILD THE BEST PROD~ her :he porch. A look that [s sure to gain attention. 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU~PLBG. [ ] FOUNDATION 2ND [ .] ~ULATION [ ] FRAMING [ ~}/FINAL []FIREPLACE&CHIMNEY REMARKS: (~/~,/ /~ ~ DATE INSPECTO~~ FORH NO. I TOI4N OF SOUTtlOLD BUII.DING DEPARTMENT TOWN ItALL SOUTllOLD, N.Y. 1197 I TEL: 765-1802 INSTRUCTIONS BOARO OF IIE^I.TH ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECE ......................... SEPTIC FORM ................... NOTIFY: CALL .................. MAIL TO: .................... FEB 2 9 996 BLDG. pEP~ i Date..~..~ .......... ,1~.~,~.. a. ~his application mst be conpletely filled ia hy typ~rriter or in ink ~ ~lnltt~ to ae ~lildi~ Ins~ctor 3 ~ts of plus, ~rate plot p[~ to ~al.e. F~ acco~ing to s~le. b. ~ot pl~ M~i~ l~ti~ of lot ~ of ~]ildi~s ~ ~i~s, ~lationship to ~joimi~ praises or wblic struts or areas, ~ givi~ a (~tail~ (~rlpti~ of l~t of ~r~ ~st ~ dr~ ~ the di~ ~i~ is ~rt of this ~llcati~. c. ~Im ~rk ~ ~ H~is ~lication ~ ~t be ~ ~fore isae of ~Hldi~ ~mit. d. U~ ~al o~ this a~licati~, t~ ~ildi~ In~ctor will is~ a ~ilding Pemit to the ~licant. ~t ~mll ~ kept ~ tl~ ~s ~ailable for in~ti~ th~t ~e ~rk. e. ~ ~ildi~ ~all ~ ~i~ or ~ in ~le or in ~rt for ~ ~l~ ~at~r ~til a ~rtificate of ~.I~'rI~ 1S 1~ ~ to tl~ ~ildi~ ~r~nt for ~e isle of a ~ildi~ Pemit p~rm~t to the ~[ld[~ 7~ O~i~e of ~m 'r~ of ~tl~ld, ~fffolk ~. ~ York, a~ other ~licable I~, ~i~es or ~lati~s, for t~ ~st~ti~ of ~ildiqs, aMitims or alterati~s, ~ ~or ~al or ~lition, as Imreia i~ri~. '~ applic~t a~s to c~ly with all ~licable 1~, o~i~es, I~ildlng c~, t~slng cede, ~latlons, a~ to ~it ~rir~ ins~tors ~ ~i~s a~ in ~fildi~ for ~ces~ in~ti~s. . ............................ ..... ......... (Si~m~ of ~lic~t, ~ ~, if a co.ratio) ................... .... (~aili~ ~ress of ~llcant) State vtmther applicant is miner, lessee, agent, architect, engineer, general contrector, ~r~l~t~'~(~il~ll];i~(~t~ Ixlilder. ~ o~ ~ o~ ~i~, ..... ~.~.../)~.~ .................................................................... (as m tim tax mi1 or latest d~) If a~Hcmt is a ~rati~, s~t~ of ~ly mtt~ri~l o[flcer. (Nam and title o~ corporate officer) No. /f / ll~ilders License .................... ..-- PI.umbers License NO .......................... Electricians Liceane No ...................... Other Trede ' s I,icense NO ..................... Z~'~% 3~'- ~. rl~ ' '~ ~}~ Location of land on which ptoponed work will be done ....................................... ~ ................. llcttse limimr Street ilaml e t Coonty TaxMap NO. lO00 Se, e, tlon .../.~. ........... Block .....4~. .......... Lot /Z,2 9.~xlivision ...................................... Filed ~ No ................ let ............... (~r~) 2. State exlsti[g use and oecupm~y of premises and intended use and occupancy of proposed construction: a. Kxlstlng uan mxl oconpan~j .......... ~' ............. -~' ....................... b. Intended uan and oconr~tcy ....................................................... 3. i~;llure of wink (dmck Mdch al~d ~:e ~ e): ~ I~dlding .......... ~klition .......... Alteration .......... ~ ~l~ripti~O 6. Est in~t~l C~st: : (tol~ ~id on filing thi8 al~licari~) 'If garage, illll~r of ear~ ....................................... 6. If l~lai~m~a~ mm~rcial or miml ~oqm(my, ~l~cif~ mlure a[~l e~tenr of each tyl~ of tree ...................... 7. liin~nsi~m I~ll'e of lSxrcha~ ................ ~ ..... ~me of Fotner (~mr ........................................ 7~a~ or u~ disl:rieL in ¢lid~ pr~M~8 are 81tlmt~l .............................................................. ~8 prolmml e~mrn~:tim uiolat;e any ~dng lt~, ordlxm~me or regulati~: ........................ Frou prolmrt-y li~s. Oi~ 8t~t a~l~k ~imr or ~8cripti~x according to ~d, a~ ~xc~ ntreet m~m8 ar~l i~licare F~ 65-1802 9 AM ~ ROUGH . FRAMING & PLUMBING INSU~TION S'I'A'IF* Illr Iql'~l,I ¥OIlK~ SS (I)UNI¥ OIr ~ ~/~ ....... .... ...: .............. (~m of i,xlivi(hml nighing contract:) ' FINAL, CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STARE CONSTRUCTION & ENERGY' COORS. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION E~RORS ..... Ix:inll duly m~rn~ delx).0es atxl trays that he ia the applicanl. (Contractor, ngent, c~rporate officer, etc.) of mhd (x,.~r or (~n*s, a[~l i~; duly at~lhorJzc~l lo Ix~rlon. or have lerf(nu~¢d the aaid turk atxl to imke aim file Ibis appl i(*.ation; thai: all *]tate[ent8 (:onta[~md in this al~)l lc:at ion are rn~ Lo the I~ml: of hi~; k,x~lall~e n,xl Iml ief; ami IhaC the ~)rk wi ti I~ I~rfl)n~l in the ~num~mr sec fort.h in the applical:ien filed tl~r¢~i~. .'¢~x)rn Lo Imft)re me lids LINDA J. C~ER Notaw Publio, S~ of N~ Y~ . No. g822563, Suff~k ~u~ ~