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HomeMy WebLinkAboutZ-25200FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF O~CUPAN~Y No Z-25200 Date AUGUST 13, 1997 THIS CERTIFIES that the building. Location of Propert~ 2600 TAEAPOSHA ROAD House No. Street County Tax Map No. 1000 Section 87 Block 6 Subdivision Filed Map No. OWE FAMILY DWELLING SOD'£~OLD, N. Y Hamlet Lot 4 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-25200 dated AUGUST 14, 1997 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 ATTA~D GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~SE SEE ATTACHED INSPECTION ME~. Rev. 1/81 J MARGARET WAGNER N/A N/A Buikd[n~ ~n~ctor LOCATION: 2600 TAKAPOSHA ROAD ~number & .~ SUBDIVISION NAME OF OWNER (s) HARGARET WAGNER BUll. DING I)EPAR'I~ENT TOWN OF SODTtlOI,I) IIOUSING CODE INSPECTION REPORT SOUTHOLD, N.Y. (municipality) HAP NO. LOT(s) OCCUPANCY SEASONAL (type) ADMITTED BY: HARGARET WAGNER KEY AVAILABLE SOURCE OF REQUEST: MARGARET WAGNER (owner-tenant) ACCOMPANIED BY: StIFF.CO. TAX MAP NO. 1000-87-6-4 DATE: JULY 8, 1997 DW-EI.I. ING: TYPE OF CONSTRUCTION FODm)ATION TOTAL ROOMS: BATIIIIOOM (s) PORCll TYPE BREEZEWAY DOMESTIC HOT~ATER XX ~PE HEAT HEAT PUMP OTIIER: WOOD F~ I STORIES__.~.__ ~ EXITS CEMENT BLOCK CEI,LAR PART CRAWl, SPACE P~-[~T IST ELR. 6 2ND FLR. 3RD FI,R. 2 TOILET ROOM (s) IJTII. ITY RO()M~es BECK, TYPE WOOD __ PATIO FIREPLACE ONE GARAGE ONE TYPE llEATER ELECTRIC AIRCONDITIONING WARM AIR XX IlOTWATER HEAT PUMP ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOl. OTI1ER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CliAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY BP #ll109-Z COZ-10650 (GARAGE ADDITION) BP #14218Z- CO Z-[3994 (DECK ADDITION) __ DATE OF INSPECTION AUGUST 12, 1997 TIME START 10:40 AH END I I :00 AH FORM NO. 6 TOWN OF SOUTHOLD . Building Daparmmnt · ' Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all build!ngs, property lines, streets, and unusual natural or topographic feature~. · 2. Final approval of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings,' Multiple Residences and similar build~n§s and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit PJanning Board approval of completed site plan requirements where applicable. B..For existing buildings {prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sur~ey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees:' · 1. Certificate of occupancy $.25:00 -- BUSINESS $50.00 2, Certificate of occupancy on pre-existing dwelling $ 50 .. 00 3. Copy of certificate of occupancy $'5;'00, over 5 *years $10.00 4.Vacant Land C.O. $.'20.00 _ Ouly $, 1997 5.Updated C.O. $*'50.00 frame house wit~.~dh'dd'~__v______o___~_ .... ~ ....... NewCons t,ruc tion Old or Pre-existing Building X. · Vacant Land 2690 ' TakaDos~ Rd S. qu.t.h.o.]d N.e,w. Y.o.r.k. Location of Property ...................... ~ ~...., ......................... Hou~ iVo, Street klamler Margaret Wagner Owner or Owners o~ Prope~ ............................................................. County Tax Map No lO00Section 98..7 Block 0~ ' Lot 9,0,4 Subdivision ' Filed Map No Lot No Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor, Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 1 O0 . Constr'uction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10.78 co 3.5 o0 GARy F ~_ NER OLSEN, ESQ ~.o. 80X 706 ' CUTCHOGUE, NY 11936 CONSENT TO INSPECTION Ma.r~aret Wagner , , the undersigned· Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town oF Sou[hold located at 2600 Takaposa Rd., South01d, New York · which is shown and designated on the SuF[olk County tax map as District 1000, Section 087 , Block 06 , Lot 004 That the undersigned (has) (have) riled, 'or caused [o be Filed, an applica- tion in'th. Sou[hold Town L~ullcling lnspeut~,. '~ ot£~o, ro~, 'fha, rnllmvinR.: ONE STORY FRAME HOUSE WITH ATTACHED GARAGE That the undersigned do(es) hereby give consent to the Building Inspectors of the Town oF Sou[hold 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 or the Town oF Sou[hold. 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 Sou[hold. Dated: 3u]y 8, 1997 f(signature) '~" Margaret Wagner (print name) (sitznature) (print name)