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Home My WebLink AboutZ-24292FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PNE EXISTIN~ ~TIFI~ATE OF O(~JN~PANCY No Z-24292 Date APRIL 17F 1996 THIS CERTIFIES that the buildin~ Location of Property 14909 MAIN R~ House No. County Tax Map NO. 1000 Section 23 Subdivision ONE FAMILY D~T.T.ING Street Hamlet Block I Lot 2.3 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--24292 dated APRIL 17~ 1996 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 A ONE FAMILY DWELLING* The certificate is issued to of the aforesaid building. MARY R. G. WEIT~D SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTAu~u~D INSPE~TIONNEPORT. Rev. 1/81 N/A N/A I.OCA'FION: 14909 F~AIN ROAD (number & street) SIIBD[VISION NAHE OF OI4NEE ts) l~tR¥ E.G. IIll I I.DING I)EPAETHEET TONN OF SOUTIIOLD II()IIS]NG COI}E INSPECT[ON REPORT EAST NATION (municipality) NAP NO. LOT(s) OCCUPAI,hZY SINGLE FAIntLY 14ARY R.G. t(~e) (owner-tenant) AI)HFI"FED BY: ~O~ ~ ~ ACCOMPANIED EY: KEY AVAILABI.E SUFF.CO. TAX HAP NO. 1000-23-1-2.3 SOUECE OF REQUEST: ~O~ ~['t'~ [[[ DA'FE: 4/8/96 I)I4EI.LING: TYPE OF CONSTRUCTION FOIINDATION BRICK TOTAl, ROOHS: IST FI.R. llATil ROOH ts) 4 WOOD FI~ 5 CEI.I.AR S~ALL 2NI) FI.E. 7 3111) Fl.lt. TOll. ET ROOH ts) STORIES 2 ~ EXITS 5 CRAt/I. SPACE UTI I,I'FY ROOH I PORCI1 'rYPEFROIh'T ENCLOSED, SIDE CO¥~RED ~ DECK, TYPE IIEEEZE~IAY F [ RE PI~ACF. 6 I)ONESTIC IIO'I~ATER TYPE IlEA'FEE ELEC~IC TYPE IIEAT OIL }/AEN Alit YES OTIIF. E: FROI~ TERRACE (3 S~ALL RO0~IS, 2ND FLOOR ALSO) ooo ?a ACE GARAGE A1 RCONI)ITION lNG IIOT~A'FER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONS'F. S~]HHING POOl. OTIIER: STORAGE, TYPE CONST. , GIIEST, TYPE CONST. VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFOIIH FIRE PEEVENT1ON & IIUILDING CODE LOCATION DESCRIPTION ART. SEC. REHAEKS: INSPECTED llY I)A'FE OF INSPECTION 4/10/96 TIHE START I0:00 AI~ ENO 10:45 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. 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 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. O Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 3, Copy of Certificate of Occupancy - ~ .25¢. 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. ........ . ..... . . Location of Property...~..~. ~.~. ~. ........ ./~.~...~....f~.~..~. ............... ?_~.~..~?...M?.~...~..~..~. ..... House No. Street Hamlet Onwer or Owners of Property ......... .~:..~/~ .~??~..~ ..~..- . .............. .......................... County Tax Map No lO00, Section .... .~.~. ....... Block .... ~. ......... 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: $ ~...~. ~,.. ~.~. .................. CONSENT TO 1 N,q I~ I! CT IO N Ox:qmr(s) Name(s) tim do(es) hereby state: That the u~dersigned (is) ~ the ow,~er~"")~.of the premises of Southold located at Cotmty tax map as District 1000, xvlli~zh i.'i :~llowe ~,ti(I desit,,tmted (m tile That the uodersigned (has) ~ filed, or caused to I)e filed° a,t applica- ll~ the Southold 'l'owr~ 13uildin.g Inspector's Office for the followin[I: That the undersigned do(es) hereby give con~ent to the Bt~ildh~g Inspectors of the Town of Sou(hold to enter upon the alcove described property, ittcludi~g any and all buildings located thereo~, to col~duct such inspections as they may deem necessary with respect to the aforesaid application, including to determine that ~liicl premises comDly with all,of the laws, ordinances, and feRule(lees of the Town cf Sou(hold. The u~dersigned, In consenting to snch inspections, do(es) se with the k~lo~vl~(lge tit~¢l tilitle~'stltilditig that a[ly iefot't~latio]l obtai~md' In the senti((ct of latiotl$ of the laws, o]'(li,tattcf~s, rules o~' t'e~ltllatiot~s of the Town of (signature) (print name) (print same)