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Home My WebLink AboutZ-19939FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19939 Date MAY 30~ 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 300 TUTHILL ROAD NEW SU~LKr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 2 Lot 20.1 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for an Accessory Frame building biuilt prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCC. #Z-19939 dated MAY 30~ 1991 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 FRAME BUILDING "IN NEED OF REPAIR" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 STANLEY P. & BLRXIS M. GRODSKI BLDG. DEPT. TOWN OF SOUTHOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 buildings and installations, a certificate of Code Compliance fro~ 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 "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 1. Certificate of Occupancy - New dwelling $25.00, Additiohs 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. ~.Certificate of Occupancy ~m~existing Building - $100.00 ~7-~/~ --_ . 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 Uew Construction ........... Old Or Pre-existing Building...X ............ Location of Property..~).~ ......... ~ .~-~~~ ............. ~....~.~.~..~ House No. Street Hamlet Onwer or Owners of Property~~_~y.~.,..~..~.~~...~,..~.~Q....~..~.~ .... County Tax Map No 1000, Section...~.~ ....... Block .... ~ .......... Lot .... ~.~.,.~ ............ Subdivision. ................................... Filed Map ............ Lot .................. Permit Xo..~.~.~.~..~.~...Date Of Permit.~./~ ..... Applicant.~.-~.~. ~.~\.'.~...~..~...~.~ Health Dept. Approval.~.~..~C~.~.f~.~.~.Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: $ ..... l ~.,.O.~ .......... Temporary Certificate ........... Final Certicate..~ ...... '"/: .......... / I / / ,'40u "~ e l U o i ,9 / / / ~ OZ~ Z )