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Home My WebLink About23497-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27210 Date: 07/26/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 6390 NEW SUFFOLK RD NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 4 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1996 pursuant to which Building Permit No. 23497-Z dated JUNE 12, 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 SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to COUNTY OF SUFFOLK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A f 4'-�l �'4' 9 //OthoVzed gnature • Rev. 1/81 FORK NO. 9 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) i. N? 23497 Z Date 4V. I 9Z .......................................... Permission is hereby granted to: ... . .... ............. .. ............. .. . !................. to ........ ...... ........................... �A ....... . .. ........ . ... ..................................................................................................... atpremises located at ..... ...... . . . . ... ............r......................... ...................................................... ..... .................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .......1'.1..7..... Block ......... Lot No. .... ...... pursuant to application dated ...... ................................... 19.5�: , and approved by the Building Inspector. Fee ............. ....... ... . ..... .. tor Rev. 6/30/80 TOWN OF SO[JTHOLD X/ BUILDING DEPARTMENT �! f� TOWN HALL JUL 1 1 200Q �'�� 765-I802 y6j: p '`� D- '�• APPLICATION FOR CERTIFICATE OF OCCUPANCY i`J i il:`vim:; �'��%I.L� .�_. 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 elects ical 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 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 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, 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 - _ .25q. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .�.. � . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . .. Old Or Pre-existing Buildi . . . Location of Property. . . . 5.0. . . .. .. . . • • =�' • • • • • . LV_ House No. Street Hamlet I , Onwer or Owners of Property.. . . . .1� �.�5�.. . . . ��.. . in . . . . . . . . . . . . . . . . ..• • County Tax Map No 1000, Section. . . . . . . . .. . . . .Block. .. .. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . PermitNo. . . . . . . . . . . . . . . .Date Of Permit. . ... . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . .. . . . . . . . . Request. for.: Temporary Ceejrtificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . " 'o7. . . . . . . . . . . . . . . . ` APPLICANT C� � _ 6 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INSATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS•' Ci2 f lc_-" // - DATE / � INSPECTOR � �� FIFT.D INSPECTION REPORT DATE -_---COMMENTS II --'— ------I�_---- -------- H FOUNDATION ( 1ST)_ FOUNDATION (2ND) - _________________________ III- it - ROUGH FRAME & rr "� PLUMBING II u -------------------- it II jj � INSULATION PER N. Y. -- !j STATE ENERGY II II H al-- -11 CODE II - I II I I � II ' II p n, FINAL II l 0 ADDITIONAL COMMENTS: ` NN J ro H � -- I -- r MAY 1 61996 BLDG.DEPT. i"OWN OF SOUT!'tOLD I e ,.Z- � m iv, z K � i � 1 J