HomeMy WebLinkAboutZ-35378Town of Southold Annex
54375 Main Road
Southoid, New York 11971
1/5/2012
No: 35378
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 1/5/2012
THIS CER~I'IFIES that the structure(s) located at: 260 Founders Path, Southold
SCTM #: 473889 Sec/Block/Lot: 64.-2-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35378
dated 1/5/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
one fan~ly dwelling.
This Certificate of Occupancy replaces COZ-9094, dated 7/3/78 for removal of violations.
The certificate is issued to
Sho'uan, David & Benitez, Roberto
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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 Department with the following:
A. For new building or new use: I. Final survey of property with accurate location of all buildings, properly 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.
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 requirements.
B. 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 consent to inspect signed by the applicant. Ifa Certificate of Occopancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applieaut.
C. Fees
I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
-~ 4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupaucy - Residential $15.00, Commercial $15.00
New Construction: Old or Pre-existing Building:
Hous~ No. Street
Owner or Owners of Property: '~--AX/i d ~~
(check one)
Hamlet
Suffolk County Tax Map No 1000, Section
Su6division
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: '0,0 D
Date of Permit.
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: (check one)
ature
TOWN OF SOUTHOLD BUILDIN~ 'DEPT.
765-1
NSPECTION'
[ ]FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] HMMmG/~G
[ ] FmEpLACE&CHUmEY
[ ] ROUGH ~,
[ ] INSULATION
[ ]FmERE.STANT(X)m'TmJCT. Xi [ ]RREREmSl~UnPBiLrTRA"rION
[ ] ELECTR~ALIROUGH) [ ] '='"nTmCALIFmAL)
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