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Home My WebLink AboutZ-22088FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-22088 PRE EXISTING CERTIFICATE OF OCCUPANCY Date JANUARY 8{ 1993 THIS CERTIFIES that the building Location of Property 12120 NEW SUFFOLK AVE. House No. Street County Tax Map No. 1000 Section 116 Block 6 Subdivision Filed Map No. ONE FAMILY DW~.LLING CUTCHOGUE~ N.Y. Hamlet Lot 10.2 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-22088 dated JANUARY 8~ 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 DWELLING WITH ACCESSORY BARN IN FRONT YARD * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RAYMOND & F3.1.W.N WAnnW~N N/A *PLF. ASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILD I..UG DEP:~Ji'LEpiT TO'.'g,1 OF SOUTHOLD, N. Y. Location HOUSI~iG CODE IHSPECTION REPORT i 2 ! 20 NEW SUFFOLK AVE . CUTCHOGUE, N. Y. ~numoeu ~ ssree~) Subdivision Map No. Name'of Owner(s) RAYMOND WALLMAN & wIFE [i,iunzczpa±z~y) not( ) 'Occupancy A-i Res. [type) Ad.mitred by: MARY ELLEN RU]tF Key ~vailabl e own er- u enanv ) Accompanied by: SAME Suffolk Co. Tax No. 116-6-10.2 Source of request Date JAN. 5, 1993 SIDE SCREEN DI'~LLI~: Type of construction Foundation BRICK Total rooms, 1st. F1 WOOD #stories Cellar PARTIAL Crawl space 2nd. F1 9 3rd. F1 2-1/2 Bathroom(s) 4 Porch, t~e Breezeway_ Tylpe Heat OIL Fireplace(s) 4 Domestic hotwater Other FRONTCOVE~ED Deck, type Garage 'Waz~n Air No. ~its Toilet room(s) Patio, type__ Utility room ,Ho~ater xx !1 Airconditionin~ .Type heater OFF BOILER STO~AGE TANK COMBINED LAUNDRY ROOM ENTRYI~AY, LARGE ENTRYI~AY ON WATER. ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swim. ming pool Guest, type const. Other ICE HOUSE, BARN STROCTIJREFRONTYARD VIOLATIONS: Lncation .CHAPTER 45--N.Y. STATE UNIFORM FIRE PI~VENTION & BUILDING CODE Description I Art.[ Sec. Remarks: Inspected by: GA~Y J. FISH Date of Insp. ~Time start 9:25 JAN. 6, 1993 end I0:00 , ~ .:,:::f .......... . .,, ,.~outhoI~1, N.Y. 1 1971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD · Buildin~ Department Town Hall Instructions A. This application must be filled in typewriter OR ink, and submitted -, ~ to the Building In~pec- 1orwith the following; for new buildings or new usu: 1. Final ~rvey of property with accurate location of all buildings, property lines, ~treots, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-O form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. .For existing buildings {prior to April 1957), Non-conforming u~es, or buildings and "pre-existing" land u~es: 1. Accurate ~urvey of pzoperty showing all property lines, streets, buildings and unu~al natural or topographic features. 2. £worn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of an,/ housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certiflcate of occupancy $25:00 -- ~U$INES$ $50.00 2. Certificate of occupancy on pre-existing dwe.lling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 'years $10.00 4.Vacant Land C.O. $ '20.00 5. Updat, ed C.O. $ "50. O 0 Date . .3.a.n.u.a.r,y..5., 3 .9.9.3 ........... NewConat, ructton ...... Old or Pre-existing Building .X. .......... Vacant Land ............. Location of Property . .f~¢~ .~u.f..f.q].k..A,v.e.n.u.e.,..C.u.%c.h.o.g.u.e. .................................... Hou~a ~VO. Stre&.f Hamlet Raymond I_... ?..1.m. .nd ..... .n... !! .................. Owner or Owners of Property ........... ... al an a Elle Wa man .., County Tax Map No. 1000Section ..1.1.6..0.0. . ...... . Block .. .0p'.0P... ...... Lot...0]0'0.00.... . ..... . . Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ...................... t .Planning~proval .................... ,, Request for Temporary Certificate .................... pal Cer:~ficate ..................... Fee Submitted $..].QO. :0.0... .................... / / Construction on above described building and permit me/~,~able codes and regulations. ..... ....... :., .............. Gary Flanner Olsen, Esq. n.,.lO.lO.Ta P.O. Box 706 ~,,,~,HS~{~,7 CutCho§ue, NY ]]935 CONSENT TO INSPECTION Raymond L. Wallman and'~23~-14a4q~n ~ ~wner(s) Name(s) do(es) hereby state: · the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Tomvn New Suffolk Avenue, Cutchogue, NY · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section 116.00 , Block06.00 , Lot 010.000. That the undersigned (has) (have) filed· 'or caused to be filed, an applica- tion in"lha Southold Town Bullcling lnspeuL,,, 'o ott:,.o to.. +h,, fnlloxvin~: Iwo and 1/2 ,story frame house a,nd barn 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. , "/ (signature) (print name) (signature) (print nm,ne)