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Home My WebLink AboutZ-23233FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ EXISTINC ~ERTIFICATE OF OCcupANCY No Z-23233 Date SEPTEMBER 16, 1994 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 3985 STILLWATERAVENu~ CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 1 Lot 6 Subdivision Filed Map No. 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-23233 dated SE~£m~BER 16, 1994 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~W.ING WITY ACCESSORY GARAGE The certificate is issued to EDWIN WARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~%SE SEE ATTAc~D INSPECTION REPORT. N/A N/A N/A ilding Inspector Rev. 1/81 LOCATION: SUBDIVISION NAHE OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 3985 STILLWATER AVE. CUTCHOGUE, NEW YORK (n~ber & street) {municipality) MAP NO. LOT{s) EDWIN WARD AS TRUSTEE UNDER LW&T OF ROBERT WARD OCCUPANCY A-I RES. (type) (owner-tenant) ADM1TIKU BY: BOB CELIC ACCOMPANIE~ BY: SAI~I KEY AVAILABLE StIFF.CO. TAX MAP NO. i000-137-m-6 SOURCE OF REQUEST: GARY FLANNER OLSEN, ATTY DATE: SEPT. 12, m994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATHROOM (s) ONE PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES T¥~ NEAT OIL OTHER: C~NT BLOC~ WOOD FRAHE ~ STORIES ONE { EXITS CELLAR PARTIAL CRAWL SPACE PARTIAL 6 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK, TYPE PA_~IO FIREPLACE ONE GARAGE TYPE NEATER ELECTRIC AIRCONDITIONING WARM 'AIR HOTWATER ACCESSORY STRUCTURES: GARAGE, TYME OF CONST. SWIMMING POOL OI[tI~R: ONE CAR WOOD FRAHE STORAGE, TYPE CONST. · GUEST, TYPE CONST. HETAL SNED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION SEPT. 15, 1994 TIME START 9:40 AH END 10:00 AH Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 2/10 of 1% 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. 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 th~applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. 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 .... ~e~.b~q ~,..I~A .................... New Construction ........... Old Or Pre-existing Building..~ ............. Location of Property ..... l~ .5%.i.l.l~a~.Rq ~v~.qq~,. ~q%q~q~q~ .................................... House No. Street Hamlet Edwin Ward as Trustee under the ta~t Will and Testament of OrtNer or ONners o~ ?ropert¥ .................................................................. Robert Ward. County Tax Map No 1000, Section.,.1.~ ........ Block .... 1 ............ Lot...~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicat~/...M...¢.. GARY FLANN~R OLSEN, ESQ. Fee Submitted: $,,,1,0,0,.,0,0,¥~,.,',~.0:{.~))~0{~,,, .......... , ....... _ CONSENT TO INSPECTION Gary Flanner Olsen as attorney ~or Edwin Robert Ward · the undersigned, as TOrus~eee~(fi~d'e~'~{~(~st Will and Testament of Robert Ward do(es) hereby state: That the undersigned (is) (are') the owner(s) of the premises in the TOwn of Southold located at 3985 ~ti 1 lwater Avenue, Cutchogue, ....... 0 which is shown and designated on the Suffolk County tax map as District 1000, Section 13'7 , Block 1 , Lot 6 That the undersigned (has) (have) filed, 'or caused to be filed· an applica- tion in~h~,Southold Town BustLing Inspect,,, .,. o~t~.,~ fo,, *h, fnllowin~: one story frame house and garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, tncl.uding ..... 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 inspe.ctions, do(es) so with the knowledge and understanding that any' information obtainedJ~e conduct o! _ Dated: September 8 1994 ~ ' . , / ~/! (~:i/~nature) ~pry ,,F!anner Olsen,, as ottorney (print name) (signature) (print name)