HomeMy WebLinkAboutZ-20539FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-20539 Date FEBRUARY 18~ 1992
THIS CERTIFIES that the building. ONE FAMILY DW~-LLING
Location of Property 1575 PINE NECK ROAD
House No. Street
County Tax Map No. 1000 Section 70 Block 5
Filed Map No.
Subdivision
SOUTHOLD~ N.Y.
Hamlet
Lot 41
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20539 dated FEBRUARY 18~ 1992
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 DWR. TJ.INGW-ITH~L~CTEICHEATINGAND
ACCESSORY GARAGE IN FRONT YARD*
The certificate is issued to FRED VENTRUDO
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*BUILDING PERMIT #1334Z CO Z-1142 ISSUED FOR ADDITION
BUILDING PERMIT #20434-Z CO Z-20536 ISSUED FOR ALTERATION
/ // ~uilding Inspector
/'
Rev. 1/81
5164772~16
~orm No, 6
TOWN OF SOUTHQ;.9
BUILDING I)EPARTHENT
I OF,'N HAl,l,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildi~l~
inspector with the following: for new building or nnw use:
Fjmnl survey of property with accurate location of all buildings, property lines~
~treet$, and unusual natural or topugr~pb~c features.
2. Final Approval from Health Dept. of w~t,~r supply and sewe=(lge-disposal(S-9 form).
3. Approval ~f electrical installatio~ from ~]oard of Fire Underwriters.
4. Sworn ~tatement from plembcr certif~irl~ th,mt the so[der used in ~ysCem contairls
]e~s than 2/]0 of lZ lead,
5. Ctn,me~cial building, iDdustr;a[ ~%zildlnK, mu].t~p]e reside~cms and similar buildings
and in~tal.~$gjoms, m certificaCe of Code Com~lic~nce ~rom architect or engineer
6, Submit Planning Boa~d Approve] of completed site plan requirements.
For exit;ting buildin.F.s (prior to April 9, 1~57) non-co[lforming uses, or buildings and
"pre-existing" land uses:
I. Accurate survey of property showing at[ property ]~nes, streets, building add
unusual ,atural or topographic
A properly completed appllcatJotl and a co~,se~t: to inspect signed by the applicant,
If a Certlf~cate of Occup:lucy is denied, tile Dui]d~ng In,petter shall state the
reoson=~ therefor in writing to the applicant,
1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelli~g $25.00,
Alterations to dwelling $25.00, Swinging poe[ $25.00, Accessory bu!lding $25.00,
Additions t~ ~¢cessnry building $25.00. Businesses $50.00,
2, Certificate of Ocuu~a~cy on Pre-existing Building - $100.00
OCt~py c>f Certificate of Occupancy $,.,00 over
- 5 5 years - $10.00
Updated Certificate Of Occupancy $50.00
5. Temporary Certificate of OccupanCy - Residential $15.00, Commercial $~5.0U
New Col~struction ........... Old Or Fro-existing Building..~..
House No. Street Ha~et
Onk'~r or Owner~ of Propert)r.... F~D ~NTK~
County Iax Map No 1000, Section ....... ~9 ..... Bl~:ck...~ ............ Lot..4[ ..................
Suhdivisiou .................................... File~ Map ............ Lot ......................
Permit ~;o ................ Dote Of Permit ................ Applicant .............................
He.altb Dept. Approval .......................... Underwriters Approval .........................
Plan lng Board Approval ........................
Reqaest for: Temporary Certificate ........... FJnml Ccrticate..0 ..~../~.,.,..,
Fee Submitted:
~ A~PLICANT
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