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Home My WebLink AboutZ-26337FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26337 Date: 03/19/99 THIS CERTIFIES that the building DWELLING Location of Property 3445 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0006 Lot 021 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- 26337 dated MARCH 19~ 1999 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 GARAGE * The certificate is issued to HERBERT W. & NORMA S. WELLS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A B ildin~tor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT BATBROOM(S): ~,Q TOILET ROOM(S): Q.Q UTILITY ROOM(S): -- GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: WOOD FRAME STORAGE, TYPE CONST.: WOOD FRA~ GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIQ~ I ART. REMAP~S: BP~4501Z-COZ3783 {ADDITION) *BP$25564Z-CO Z-26336 ISUNROOM ADDITION) INSPECTED BY: '-~'~"~-~'~'m~"~_~DATE ON INSPECTION: 03/19/99 MICHAEL J. VERITY TIME START: 10:15 AM END: 11:00 AM 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 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 Buildin~ - $100.00 Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date March 11, 1999 One family dwelling and detached New Construction ........... Old Or Pre-exi~ting Building.x Location of Property ~JJ~.~ine Ne~.R.~a~, Southold House No. Street Hamlet Onwer or Owners of Property. Y~.E~'. ~ELLS, ~R..~.D NO.R~.. S. W~LLS ........... County Tax Map No 1000, Section .... ~q ........ Block.. 6 .Lot .... ~ Subdivision ............... Filed Map .Lot~..~ ........ Permit No ..... Date Of Permit ........... Applicant . . Health Dept. Approval ........................., Underwriters Approval ......................... Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate..~ ........ Fee Submitted: *~.'~? ......................... ~ ~,~ ~ ABIGA{~A. WI~,C~AGENT Jw? ~J CONSENT TO INSPECTION Herbert W. Wells, Jr. and Norma S: Wells , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the To~11 of Southold located at 3445 Pine Neck Road, Southold, New York which is shown and designated ou the Suffolk County tax map as District 1000, Section 70 , Block 6 , Lot 21 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tio~ in the Southold Town Building Inspector's Office for the following:. CERTIFICATE OF OCCUPANCY - PRE-EXISTING - ONE FAMILY DWELLING AND TWO CAR DETACHED 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, 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 inspe.ctions, 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, Dated: March 11, 1999 / ~' - ~/ (signature) ~ A~AIL A. WICKHAM, AS AGENT (print name) (signature) (print name)