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Home My WebLink AboutZ-22608FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22608 Date SEPTEMBER 23, 1993 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 295 HARBOR RIVER ROAD House No. Street County Tax Map No. 1000 Section 24 Block 2 Filed Map No. Subdivision ORIENT~ N.Y. Lot 8 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22608 dated SEPTEMBER 23~ 1993 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 SEASONAL DWRLLING WITH ATTACMRB ONE CAR GARAGE * The certificate is issued to DOUGLAS WAINER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PI.RASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/~ N/~ LOCATION: 295 HARBOR RIVER ROAD (number & street) SUBDIVISION NAME OF OWNER (s) DOUGLAS WAIl{ER BUILDING DEPARR~iENT TOWN OF SOUTqlOLD [lOUSING CODE INSPECTION REPORT ORIENT, NEW YORK (munic ipaiity MAP NO. LOT OCCUPANCY A-! RES. OWNi~R (type) (owner-tenant) ADMiI-rgD BY:. SISTER ACCOMPANIED BY: SALVE KEY AVAILABLE SUFF. CO. T~XMAP NO. [000-24-2-8 SOULCg OF REQUEST: PAUL A. CAMINITI, ATTY DATE: 9/15/93 DWELLING: TYPE OF CONSTRUCTION WOOD FP. AI4E ~ STORIES ONE FOUNDATION LOCUST' POSTS CELLAR NONE TOTAL ROOMS: IST FLR. '6 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM PORCII TYPE ENCLOSED (SOUT[I DECK, TYPE BREEZEWAY FIREPLACE D0}~STIC H0~{ATER YES. TYPE HEATER TYPE HEAT NONE WARM AIR O~IER: EXITS 3 CRAI~L SPACE NONE DECK (SO[tIT1SIDEYATIO, TYPE GARAGE ATTACHED I CAR LILCO GAS AIRCONDITIONING HO~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF cONST. S~ING POOL O~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOI~TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION ART. SEC. RI{MA RKS: INSPECTED BY: ~_~ ~9~~. - Ga~Fisl~ DATI{ ON INSPECTION TIMI{ START 9:25 SEPT. 22, 1993 EN~ 9:45 Owner(s) Name(s) do(es) hereby state: . the undersigned. That the undersigned (is) (are) tile owner(s) of tile premises in the Toxwn of Southold located at ~-~ ~Q- ~,~- RI ~ ~--~.~ ~ ~LG~ , which is shoxm and designated on the Suffolk Cou,,ty tax map as District 1000, Section ~ , Block ~ ., Lot ~ That tile undersigned (has) (have) filed, or caused to be filed, an applies- tion in the Southold Town Buildin,~ 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 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 flmpections, do(es) so with tile knowledge and understanding that any hlformation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regu~of Southold. Dated: (print name) (signature) CAJ~q t }q_j~F'~_ (print name) Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . APPLICATION FOR CERTIFICATE OF OCC~ SEP I 5 1993 ~C~ 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/lO.of l%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 Vpre-existing" land uses: i. 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 i. 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. .~. Certificate of Occupancy on Pre-existing Building - $100.00 -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 $15.00 Date ... ~ .... ~ ..... : ...................... New'Construction ........... Old Or Pre-existing Building.X-. ........ ..... House No. Street Hamlet 0nwer or Owners of Property...~...C~.Lt..C~..~.$...~.:..~gP.~.~..~..P~. ............................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ................... ' ... Health Dept. Approval .......................... Ur~derwriters Approval ................ .* ........ Planning Board Approval ............. ~ .......... ~ Request for: Temporary Certificate ........... Final~Certicat_e. .......... , . .... ee Submitted $ l