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HomeMy WebLinkAboutZ-22597FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22597 Date SEPTEMBER 17r 1993 THIS CERTIFIES that the building Location of Property 4635 PE~UAS~q AVE. House No. County Tax Map No. t000 Section 137 Subdivision ONE FAMILY DW~TJ.ING CUTCHOGUEr N.Y. Street Hamlet Block 4 Lot 6 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-22597 dated SEPTEMBER 17r 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 DW~.T~.ING * The certificate is issued to JOHN & JOAN WETZEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / ~6ilding Inspector Rev. 1/81 LOCATION: SUBDIVISION 4635 PEQUASH AVg. (number & street) NAME OF O%~qER (s) BUILDING DEPARTMENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION ]LEPORT CUTCHOGUE, NEW YORK (municipaLity MAP NO. LOT (s) JOHN WETZEL & WIFR OCCUPANCY I FAMILY DWELLING OWNER (type) ADMITTED BY: OWNER KEY AVAILABLE SOUKCZ OF REQUEST: JOHN T. WETZEL (owner-tenant) ACCOMPANIED BY: SANE SUFF. CO. TAX MAP NO. 137-4-6. SEPT. 10, DATE: 1993 DWELLING: TXFE OF CONSTRUCTION FRAHE FOUNDATION CEI~NT BLOCK TOTAL ROOMS: IST FLR. 5 2ND FLR. # STORIES i # EXITS Ii- CELLAR CRAI~L SPACE LOFT 3RD FLR. BATHROOM (s) i TOILET ROOM (s) PORCH TYPE I SCREENED PORCH DECK, TYPE BREEZEWAY FIREPLACE XX DOMESTIC HO~qATER XX. TYPE HEATER NATURAL GAS TYPE HEAT FORCED WARM AIR XX O~tER: UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~IMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ION-EXISTING (A1LAGE) CItA~GED TO LIVING SPACE. (] REMARKS: BP # 10767-Z CO Z-18428 DECK BP ~ 16862Z-CO Z-18347 FOR ADDITION & ALTERATION TO CHANGE GARAGE TO LIVING SPACE. DATE ON INSPECTION SEPT. 15, 1993 TIME START 9:40 ENI} I0:00 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 ~sed 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 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 - $i00.00 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 ..................... ... New Construction ........... Old Or Pre-existing Building...iii~./.. ..... Location of Property., ..~.~...~.. ...... ~...~.~.~.~/~.. ~. ......... ~.f~..~.~.. ~. ... House No. Street Hamlet Onwer or Owners of Property ................ ~-~-- ~ ............ County Tax Map No 1000, Section .... f.~. ..... Block .... .~.~. ....... Lot ..... ~.~. ............. Subdivision...~.~..~-~. · .~..~..~.....~.~.~. ......... Filed. Map... ~.~..~..~...Lot ...... ~...~. ............ Permit No ................ Date Of Permit ................ Applicant ..................... .. . .. ... IIealth Dept. Approval ........................ Underwriters Approval .............. Planning Board Approval.........~ .......... .. .. Request for: Temporary Certificate ...... Final Certicate .... ~a,~' -- pPLICANT i ~ Oxm~er(s) Name(s) do(es) hereby state: CONSENT TO INS [~EC'i'ION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at County tax map as District 1000, · which is shoxwn and designated on the Suffolk Section /~7 · Bl°ck.,,O~ · Lot O~ That the undersigned (has) (have) filed, 'or caused to be filed, an applica- 'tion in the South01d Tox~m Building Inspector's Office for the ~ollowing: That the u~dersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail buildings located thereon~ to conduct such inspections as they may deem necessary with respect to the aferesaid 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 Toxvn of Southold. Dated: (signature) (print name) EUGENE CREEK FLEETWOOD ROAD LOT NOS. REFER TO MAP OF FL'EETWOOD COVE FILED dULY I, 19;38 IN THE OFFICE OF THE SUFFOLK COUNTY CLERK AS MAP NO. 1263 JOHN PLAN OF PROPERTY FOR WETZEL & JOAN WETZEL AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 137 - 04 06 SCALE I" : 30' FEB. 2 , 1987 PECONIC SURVEYORS (516} 765 - 5020 P.O. BOX 909 MA IN ROAD SOUTHOLD~ N.Y. ll971 N.Y.S . LIC. NO. 49618 ENGINEERS, PC . 87 - 126