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Home My WebLink AboutZ-16967FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate O[ Occupancy Date June 7, I988 THIS CERTIFIES that the building . .O..n.e..f.a..m.i.l.y...d?.e.1.1..i.n.g... ...................... Location of Property 975 Pine Ave. & 80 Oak Ave. Southold I~[~tJs'e 'N'ol .................................. Street Hamlet County Tax Map No. 1000 Section . . .7.7 ........ Block . . .2 ............ Lot 8 Subdivision ............................... Filed Map No ......... Lot No .............. REQUIREHENTS FOR A PRIVATE ONE-FAHILY DWELLING BUILT conforms substantially to the l~10[llY~l~lffi~aXBlhllHff~l~l~lh'~ll(lt~l~,h~rl~X~l(lrnXKh~sX[~[~X CERTIFICATE OF OCCUPANCY PRIOR..T.Q...A.P.R..I.L..2.} :..1.9.57 pursuant to wh/ch Nffi~ggl~r,a~'~l~l~ Z 16967 dated JUNE 7, 1988 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. The certificate is issued to . RUTH T. WEI}IANN .................... ?o¥.'o;, ~~ ..................... of the aforesaid building. Suffolk County Department of Health Approval . .P.r.e..~..x.i.s.t..i .n.g ........................... UNDERWRITERS CERTIFICATE NO .... Pre Existing PLUMBERS CERTIFICATION DATED: Pre Existing PLEASE SEE ATTACHED INSPECTION REPORT Building Inspector Rev. 1/81 Location 975 Subdivision (num0er & streez} .Map No.. BUILDING DEP.~T~.~NT · TO~[ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Pine Ave. & 80 Oak Ave. Southold, N.Y. (Munzcipati~y) Lot(s) RUTH T. ~EINANN Name of Owner(s) Occupancy R-I (type) A~mitted by: Mrs. Weimann Key ~vailable Source of request owner (owner-~enan~ Accompanied by: same Suffolk Co. Tax No. 77-2-8 Ruth T. Weimann Date June 2, 1988 D~,~LLING: Type of construction Wood Foundation Cement block Total rooms, 1st. F1 5 framed #stories Cellar full Crawl space 2nd. F1 t 3rd. F1 Bathroom(s). Porch, typq Breezeway Type Heat oil fired Fireplace(s) Domestic hotwater Other Toilet room(s) Deck, type Patio, typ~__ Garage Under Utility room Warm Air Hotwater xx No. Exits 2 Airconditioning Yes Type heat'er Electric ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. ~IOLATIONS: Location Housing Code, Chapter 45 N.Y. Descriotion No violations were found. State Uniform Fire Prevention & Buildin~ Code . I-Art. I Sec. Remarks: Inspected by:~te of Insp. CURTIS W. HORTON -Time start ]~:00 June 7, 1988 end 11:45 a.m. CONSENT TO INSPECTION ~ , 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 Southold located at , which is shown and designated on the Suffolk County tax map as District 1000, Section 7 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building 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 Gf 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) (prin~ name) (signature) (print name) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEFT. TOWN OF SOUTHOtD 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 use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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 requ ired to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 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 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ...~'. ....... Vacant Land ............. Location of Property ..... .~..?'..~'. .............. .~.~....~... .... ~.~.... House No. Street Ham/et Owner or Owners of Property.. ,~~-..~.Z./--~/~'~ ...................... County Tax Map No. 1000Section '"~''7 ...... Block .... .~ ....... Lot...8. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...... H..~ ......... Request for Temporary Certificate ..................... Final Certificate ....... ~ ............ Fee Submitted $...~..¢~. ,..~.~. ................ Construction on above described building and permit meets all applicable codes and regulations. Applicant ...................... ~ ............ Rev. 10-10-78