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Home My WebLink About23585-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANC~ No S24539 Date August 1, 1996 THIS CERTIFIES that the building accessor~ Location of Property 1260 Cedarfields Drive, Green~ort House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 05 Lot 01.33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 27, 1996 pursuant to which Building Permit No. 23585Z dated Jul~ 16, 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 an accessor~ buildin~ in the rear ~ard as a~lied for. The certificate is issued to Shawn & Marie Keatin~ (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Building Inspector TOWN OF SOUTHOLD 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.° 23585 Z Permission is hereby granted to: /~..~......~../~.....2~.~ ...... ,o ....~~ ...... ~ ........ ~~iiiii.~~......~......~ ......... ......... ~....~ .......... ~..../~..J ........... ~ ........ ~4../..~..~..~......~: ....................................... at premises located at ..../....~...~.,.~..~.. ....... ....~..,/~..~;.Z~.,~,.-~........~...~..~ ......................................... coun~ Tax Mop No. ,000 Sectio. .... .~ ......... B,ock ..... ~ ........ Lot ~o....../.:...~ ...... pursuant ,o application dated ............. d~..l~....~..~. ..................... , 19..~.4, and approved by the Building Inspector. //u,~o ,~tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar building~ 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 Vpre-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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to _dwellin_qg_$25.00, Swimming pool $25.00, Accessory building $25.00, Additions to ~c~--~sory~ Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $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 Location of Property ................ ' ................ House No. Street Hamlet Onwer or Owners of Property ................... County Tax Map No I000, Section .............. Block ................ Lot ...................... Subdivision ~" Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .............. Underwriters Approval . Planning Board Approval....... ............. .. . . Request for: Temporary Certificate ........... Final Certicate ........... F!rELD ~iNSPECTI. ON REPORT DATE COIV~tENTS I~O01q~T[OH (Is'r) =~~=~=~=~FOH~ATIO~ ( 2~ ) ~=~ [ ........................................................ It 11. II ROUGH FRA~ & n S~'A~E ~.~GX CODE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] RO/~H PLBG. [ t ]~iSULATION [ L~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]FRAMING [ .] ~I.ATION [ ~]**'FI NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /~/~//i//~ INSPECT~I~? ,~~ FORH NO. I TO~DI OF SOHTHOLD BUILDING DEPARTHENT TOWN HALL SOUTflOLD, N.Y. 11971 TEL: 765-1802 BOARD OF IlEAl. TI{ ............... "-' 3 SETS OF PLANS ....... SURVEY~5t- ' ' ~_t .................. ~- CRECK . .~..~7 .................... SEPTIC FORH ................... NOTIFY: CAI.L ~.2YrO. C/.0 / ....... HAIl. TO; .................... APPLICATION FOR BUILDING PEEHIT INSTRUCTIONS a. 'fhis application mint be ccmpletely filled in Dy typewriter or in ink and anhnitted to tim Buildiug Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scl~edule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layer of property ramt be drawn on the dlagrem ~/nlch is part of this application. c. Tim work covered by this application may HOt be cc~aneeced before issuance of Building Permit. d. Hpoa approval of this application, tie Building Inspector will issue a Building Permit to the applicant. 5ud~ permit shall be kept on tim premises available for inspection thrcughont the work. e. No I~filding shall be occupied or used in ~hole or in part for any purpose ~hatever until a Certificate of Occupancy shall have been granted by the Bulhllng Inspector. ta~LISATItli IS I~t~tBY ~ to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of tim 'race of Southold, ~ffolk County, New York, and other applicable L~s, Ordinances-or Regulations, for tim construction of buildings, additions or alterations, or for .~.~ .al or dewoliti.on, as herein described. The applicant agrees to coa~ly with all applicable la~s, ordlmmces, hillding code, beusmg code, and regulations, and to ~a,;t authorized inspectors on premises and in building for necessary inspections. ................ (Signature of applicant~ or nam,(~ a corporation) (l~il lng address of applicant) State ~tmther applicant is ¢meer, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder. ~ of ~r of ~ase~ ...~...kx2~.~.. .... ~ ~ ............................. (as on the tax roll or latest deed) If appl~cast is a corporatlsa, signature of duly authorized officer. (Nam and title of corporate officer) Builders License ~ .......................... Plunbers Lieemse Ro .......................... Electricians License No .............. .. . .. ... Otimr Traders License ~ ..................... I. Location of land on ;dfich proposed work will be done .............................................................. ................. llotme N~ber Street ttamlet o~ty Tas.~ ~. I~ ~tion ..... __.~..C) ...... ' B~k ~ ~t ...L,.~.~. Subdivision Filed Hap Ho .............. Lot 2. State existing use and occupancy of preufises and intended use and occupancy of proposed construction: a. Existing use and occupancy '~0~L~ ...... b. lnteaded use and eecupancy ...... ~ ........................... '..:~.'. ............................. ]. l~;uure of ~o~k (che~ ~hicJ~ el~p[icahle): ~ I~ihling .......... ~klition .......... bit,ration .......... ,,. ~m,,~,,~, ~.~ ..~.~..~ ........ ~ .............................................. i , 6. If I~mhm~u, mmercial or mt~] ~mqm~, a~ei~ nature m~l extent of each ty~ of u~e ...................... 8. Bi.en~i~;s of entire [~ c~mLr(ml:i~l: Fr~L ................ l~ar ............... l~pth .............. 12. l~a pro~t~l mmtnrtl~ vlol~te auy r~n~ing lt~, o~li~m[me or regulatt~l: ........................ PLOT I)IAGRAH l~ate clearly a~ diati~t'ly a~l la~Ddh~a, d~ether e~ial:[ng or pro[~s~, at~l i~llcate ail aet-I~k frm~ proI~rry liras. Oi~ ~t~t m~ibl~k nsdmr or (~scripti~ acco~ing tO c~l, a~l ~ atreet mines a~l i~llcate x~tetl~r interior or co~r loC. (~m of i,~ltvldtmL .igning c~tract) [ ~ ~", ' · ....... O~ ~. ... au the ........................................................................ (Cxmtracto~; nSent, ¢orF~rate officer, etc.) of naid (~mr or ~mrs, nt~l ia duly ~filthc)r]~ to ~rfonn or Imve i~rroru~ the 8aid ~k al.I Lo rake arxl file IhJ8 .nppl ienti(m; that al t ~tat~nt. cont~h~l in thi. alq)l i(:ati~ are trim Lo the trent, t}t hla kt~l~l~ m~l I~1 ief~ nx~l that the ~)rk will Im lmrrou~l in I.h{ n~;mmr ~t forth in Ihe appl icatlon fil~l tlmrm~th. C~IRE L, GL.~ No~ Public, State of New Yo~ No. 4879505 Qualified in Suffolk Co?N Commission E~ires Decemb~ 8, 19~