HomeMy WebLinkAboutZ-19852FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19852
THIS CERTIFIES that the
Date APRIL 12, 1991
ONE FAMILY DWELLING
Location of Property 600 PRIVATE ROAD #14 ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 24 Block 2 Lot 11
Subdivision
led Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19852 dated APRIL 12, 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 ONE FAMILY DWELLING WITH ACCESSORY 2 CAR WOOD FRAME GARAGE
The certificate is issued to ARTHUR & COLE Van DeWATER & ANNE MCCOMISKEY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. REQUIRED FOR ELECTRICAL SYSTEM.
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
.=Zi� i 1"CeIL
ilding Inspector
Rev. 1/81
BUILDI"G DEP:',RT:Lr.2iT
TO';FN OF SOUTHOLD, N. Y.
HOUSIi+G CODE INSPECTION REPORT
Location 600 PRIVATE ROAD 014 ORIENT, N.Y.
�nunoer oc street) �f,iunicipality)
Subdivision Nap No. Lot(s)_
Name of Owner (s) ARTHUR 6 COLE Van De WATER h ANNE NeCOMISKY
Occupancy A-1 OWNER
(type) owner -tenant)
Admitted by: CRANE WINTERLING Accompanied by: SAME
Key available,
Source of request
D'YELLING :
Suffolk Co. Tax No. 24`2-11
COLE Van De WATER
Data FEB. 10, 1991
Type of construction WOOD FRAME Ustories 1-1/2
Foundation CEMENT BLOCK Cellar Crawl space
Total rooms, lst. F1 5 2nd. F1 2 3rd. Fl
Bathroom(s) 3 FULL BATHS Toilet room(s)
Porch, type Fn0 Run SIDE Deck, type Patio,
Breeze..iay Garage Utility room_
Type Heat NONE 'alarm Air Hotwater
Fireplace(s) NONE No. Exits 3 Airconditioning
Domestic hotwater YES Type heater LILCO GAS
Other WASHER 6 DRYER ROOM
type_
ACCESSORY STRUCTURE'S:
Garage, type const. 2 CAR WOOD FRAr»r torage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Lncation
Description )Art.)
Sec.
ENTIRE HOUSE
ELECTRICAL FI%TURES DEVICES, WIRING AND SYSTEMS ICHAPTJ
F
SHALL BE MAINTAINED IN SAFE WORKING CONDITION IN
PART.
1243.8 (A)
A MANNER WHICH WILL AVOID A POTENTIAL SOURCE OF
IGNITION', OR SHOCK. DETERIORATED MATERIAL AND
EQUIPMENT SHALL BE REMOVED AND REPLACED, AS
MAY BE REQUIRED.
1
•
I
Remarks • UNDERWRITERS CERTIFICATE REQUIRED FOR ELECTRICAL SYSTEM.
Inspected by: Date -of Insp. APRIL 10, 1991
4GARY.FISH • Time start 9:30 end iQjao__
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
rro 1 31991
TOWWN 1.:
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 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 - $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 ...kik[c`n'`�..lvl..�%q/..............
New Construction........... Old Or Pre-existing Building .................
600 PRIVATE 114 Orient
Location of Property ..................... .......... .................... ...._... ...
House No. Street Hamlet
Onwer or Owners of Property... ARTHUR & COLE VAN DeWATER 6 ANNE McCOMISKEY .., .
... . .... ... ....... . .. ........ .
11
County Tax Map No 1000, Section ....2.........Block ....?........... Lot ......................
Subdivision....................................Filed Map ............ Lot ......................
OLE VanDeVATER
Permit No................Date Of Permit................Applicant.. ..............
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate... PRE CO
Fee Submitted: $.!00'.00 ....................
....�.. -... . C.... ...- ............... .
APPLICANT• -
CONSENT
TO
INSPECTION
le- SLC& &e- mite- (�D14,01s
Owner(s) Name(s)
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
U06 QIP 'i�e5� 434-(" A� /VX
of Southold located at � K h�� �-t,
which is shown and designated on the Suffolk
County tax map as District 1000, Section (jam , Block C)A , Lot //
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspPc+ions
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
ceSS
v7eV
/Vf/nMe Mue vfh �..«e
67-,
/V 10W
X77— l 7 3
(signature)
�
(print name)
(signature)
(print name)
FEB 1 31991
Torr or SCUTEAMD,�.N. Y.
SOU :Ii:G CO I iG?EC^1 IO ?F -FORT
Location
kl_-Uml Der ex szreez)
Subdivision �iiun�cipa, 1 �y)
Map No. Lot( )
Name of 0:mer(s)-G9-C¢_. ///L_ /A
Occupancy—
(�y o d4ric�_
tici,:iiLtzd
owner-zenar. -
by:�
-Acocimpcnied by:
Key available Suffolk Co, Tax No. 'PI
Source of request U
.. Q- Date � /p
DWELLING .
Type of construction
Foundation _1stories y
Total rooms, 1st. F1
Bathrooms) �Cellar__Crawl space —
S 2nd. Fl_ o? 3rd. Fl
Toilet room(s)
Porch, t,y-pe type _
Breezeway &4:� Patio, type
,,.�
Gar ag,
Type utility room
_alarm Air
Fireplace (s) Iso twa tier
Aircor_ditionilnc
Domestic ho "Water
Other l%Ty-pe heater py�
ACCESSORY STPUCmLrjvS.
Garage, type const.&ems i��s'�abe,
Swim,mi ng wool
type const.
Other
1 Guest, type const.
.,T.._
ivi.,`!! 1� CHAPTER 45--N.Y. STAW TTNTrnvt.
Remarks:
.
Inspected by
D
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