HomeMy WebLinkAboutZ-20125FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z20125 Date JULY 31~ 1991
THIS CERTIFIES that the building ONE FAMILY DWR. LLING
Location of Property 1175 OAK DRIVE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 80 Block 01 Lot 39
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for o private one family dwelling
built prior to APRIL 9~ 1957 dated JULY 31~ 1991 pursuant to
which CERTIFICATE OF OCCUPANCY Z 20125
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 DW~3~,ING AND ACCESSORY 1 CAR GARAGE. ***
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
JOSEPH R. VOLPATO
*** SEE INSPECTION REPORT
Rev. 1/81
u' l~ing Inspector
Location
1175
[numoer & s~ree~)
Subdivision
BUiLDI~ DEP~L%T[.~NT
T0I'~I OF SOUTHOLD, N. Y.
HOUSI[~G CODE INSPECTION REPORT
(i~iunicipalivy)
Map No. Lot(s)
Name of Owner(s) JOSEPR R. VOLPATO
Occupancy A- 1 RE$IIDgl~IAL
(type)
Ad. mitred by: JOSEPI~ R. VOLPATO
Key ~vailable
Source of request
OWNER
( owner- ~ enanv )
Accompanied by: SAME
Suffolk Co. Tax No. 80-1-39
JOSEP~ R. VOLPATO Date 7/25/9[
D~,,~LL!~IG:
Type of construction
Foundation CEI~NTBLOCK
Total rooms, 1st. F1
Bathroom(s) ONE FULLBaT~
Porch, typq
Breezewa~
Type Heat OIL
Fireplace(s) ONE
Domestic hotwater
Other
~OOD
#stories
Cellar ~ Crawl space
5 2nd. Fi -- 3rd. Fi --
Toilet room(s)--
Deck, type. Patio, type
Garage Utility room
'Warm Air Hotwater xx
No. Exits 2 Airconditioning
· Es Type heater PROPANE
ACCESSORY STRUCTURES:
Garage, type const. I CAR WOOD FRAMEStorage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS
Location
.CBAPTER 45--N.Y. STATE UNIFOP~4 FIRE PREVENTION & BUILDING CODE
Description I Art. I Sec.
Remarks:
Inspected by: FISB
Date of Insp. 7/30/91
· Time startg:30 end
9:50
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ILALL
765-1802
APPLICATION FOR CERTIFICATE OF"OCCUPANCY
This application must be filled in by typewriter OR ~nk 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 ~oard 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 C,~pliance from architect or engineer
responsible for the building.
6. Submi~ 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.
Fees
1. Certificate of Occupancy - New dwcllinE $25.00, Additions to dwellin§ $25.00,
Alterations to dwcllin~ 325.00, Swimmin~ pool 325.00, Accessory buildin~ $25.00,
Additions to accessory building $25.00. Businesscs 350.00.
2. Certificate of Occupancy on Fre-exis~in~ EuildJn~ - $100.OO
3. Copy of CerEificaEc of Occupancy - 35.00 over 5 years - 310.OO
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00
~ld Or Pre ex~st~ngD~tel;i~' ~'" .......................
~.~co~..~o~ ........ '~.. _~ ~.....~
~.o~ ~ ~~. ~ ................... ~ ..........................
llousc No. S~reet Hamlet
· ~wer or Owncrs of Property ...... ~ ....................
,000, ..... ...... .... ....... .... .............
:rm~ ~o ................ Dado OF Permit ...... ~ppl~canr ................
ulth Dcpt. Approval ................... ~ ...... Undcrwriters Approval ..........................
arming Board Approval. ~
quesg for: Temporary Certificate ........... Final Ccrticatc..~. .......
~ ~u~mit~ed.. $.;L.~..,..~.. ..................
" ~/~/~o '~~ - '"::'"""~~£~c,~,¥ · ' ............
CONSENT
TO
INSPECTION
-Owner~ s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
County tax map as District 1000, Section
which is shown and designated on the Suffolk
~0 . Block / , Lot ~
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building In~spector'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 inspections
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.
· / A- - 3(signat~re)\~
(pfflnt name)
(signature)
(print name)