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Home My WebLink About21576-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22521 Date AUGUST 12~ 1993 THIS CERTIFIES that the buildin~ Location of Property 200 FOUNDERS PATH House No. County Tax Map No. 1000 Section 64 Subdivision ACCESSORY SOUTHOLD Street Hamlet Block 2 Lot 25 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26~ 1993 pursuant to which Building Permit No. 21576-Z dated AUGUST 4, 1993 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 SHED AS BUILT The certificate is issued to SUSAN EGAN AND SALLY MCGUIRE (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A N/A i~ding Inspector Rev. 1/81 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE ~A,t:)RK AUTHORIZED] 21576 Z Permission Is hereby granted to: ~:~.....~...Y.... ~,¢.'..~...~~ ............ ....~~,~/~.~.~..:......~,..~.~z/.. ............ , . CounNTax Map No. 1000 Section ...... .~..~ .......... Block ........... '~ .......... Lot No ..... ..'~_..,.-~..~ ............ pursuant to application dated ...... ..'?Z./~' ....................................... 19.....~.....-~.,. ..... and approved bythe '~' ~/~Z,-~ Building Inspector. Fee $ ~...~.~:~... Rev. 6/30/80 Eorm Moo 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY !'!,\ JUL26i993 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. ~inal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. ~inal 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 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 requirement.s. For existing buildings (prior to April 9, 1957) 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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1o 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-existing Building - $100.00 3. 'Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date · 7/20/93 New Construction ........ '... Old Or Pre-existing Building ................. Location of Property .... ~0.0. ............................ d . . . fo~nder~ Path .Sou~hol ..................... House No. Street Hamlet Onwer or Owners of Property .... .... ~Sj~..Ep~? 9D~ .............................. SalJ~ McGuire .............. County Tax Map No 1000, Section ..... ~-~....Block.. 0200 Lot ,025.00 Subdivision .............................. . . .. . . Filed Map ............ . Lot ................... .. . Permit No ......... .. ..... Date Of Permit ........ .. . . ....Applicant...P~¢?.~? ............. ... Health Dcpt Approval Underwriters Approval Planning Board Approval ......... ... . -. ........ . Request for: Temporary Certificate ........... Final Ccrt' ate ..... Fee Submitted: $. ~... ~.. ............. '. ............... . .............. FOUNDATION ( 1 s t ) FOUNDATION 2. (2nd) ROUGH FRAME & ?LUMBING INSULATION FERN. STATE ENERGY CODE FI~;AL ADDITIONAL COMMENTS: E a,nined ............. l Approved ...............19~ Pe~it NO..~ ~. Disapproved a/c ..................................... ...... - .......... ................... .... ..... ~PPklC~TIO~ FO~ 8UIkDI~G FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ......... SETS OF PLA~IS ......... SIIRVE¥ .................. ClIECK ................... SEPTIC FOR:I ............. t; OT I FY ~ HAIL TO: Date 7/19/93 19 INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed de'scription of layout of property must be drawn on the diagram which is part of this apPli- cation. c. The work ¢ov. ered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, .Suffolk County,.New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordina~nces, bflilding~de, housing~e, and regulations, and to admit authorized inspectors qn premises and in building for necesJary inspec~ ~ -- ' (Signature of applicant, or ~aeme, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Nameofownerofpremises $U$00 E,.E. ga.r) and Sally A. McGuire ._ (as on the tax roil or latest deed) If applicant is a corporation/signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber s Llcense No ......................... " Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done... 200. ~0t~rlder.,~ .P.a.t,h... South.old, NY .11971 ltouse Number Street Hamlet Cou'nty Tax Map No. 1000 Section . . . .- ..... L16.4-, 00... Block . .-,.-Q2QQ ....... ' Lot ..... D~.S:00 ,.. Subdivision ' Filed M'ap No ............... Lot ............... (Name) 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy ...... ~ ..... .Residenl:ial ............................................ b. Intended use and occupancy ~l Rest denti'~l ' '"" 7 --*}.omm vsr Xlunoo .......... , .... o~lqnd ,rd c lo ~ [1~ o~ o~ojaq ol mo.v, 'tll!~oz0q:l pail] uoul~o!ldd~ alU u] qlio; :' ~c.t.u 'm ; .... n~oMad oq I~.~ ~]o.~ oq] ]~tll pue'.j*~loq pug ~pal.~OU~ s[qjo lsoq oq] ol on]l ale UOjlea]ldde s[lll u ; ill:IHt, , lt:: .... lx IIe ]r.~lj :uo?l~D~ldd~ s[ql o1~ puc o~m ol puc :~aoax plus oql pa~oja0d o,xetI Jo ~oJgOd o] poz~lotlim Klrq, a put ~ .'nsxo ]o Joumo p~s Jt . 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