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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)