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Home My WebLink AboutZ-23245FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PME F~ISTING u~RTIFICATE OF OCCUPANCY No Z-23245 Date SEPTEMBER 26, 1994 THIS CERTIFIES that the buildin~ Location of Propert~ 744 OLD pASxuRE ROAD House No. Street County Tax Map No. 1000 Section 103 Block 11 Subdivision Filed Map No. ONE FAMILY DWELLING Hamlet Lot 21 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-23245 dated SEPTEMBER 26, 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 A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to of the aforesaid building. JAMES P. WI~%M (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pT.~ASE SEE ATTACHED INSPECTION PEPORT. Rev. 1/81 N/A N/A N/A Buil~r BUILDING DEPARTMENT TOWN OF SOUTHOLU DOUSING CODE INSPECTION REPORT LOCATION: 744 OLD PASTuKE ROAD (number & sCreet) SUBDIVISION NAME OF OWNER (s) JAMES P. WICK~AM (municipality) HAP NO. LOT(s) OCCUPANCY SINGLE FAMILY D~ELLING (type) ADMI'F£~D BY: JAI~S P. WICKHAM KEY AVAILABLE SOURCE OF REQUEST: JAMES P. WICKHAM OWNER (owner-tendnt) ACCOMPANIEfi BY: SAl~ SUFF.CO. TAX NAP NO. I000-103-11-21 DATE: 8/9/94 DWELLING: TYPE OF CONSTRUCTION WOOD FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) m PORCH TYPE FRONT COVERED BREEZEWAY NO DOMESTIC EOTWATER YES TYFE HEAT OIL OTHER: CELLAR 3 2ND FLR. 4 TOILET ROOM (s) ~ STORIES 2 ~ EXITS FuLL CRAWL SPACE 3RD FLR. I UTILITY ROOM DECK, TYPE NO PA~I~ NO FIREPLACE ONE GARAGE TYPE HEATER ELECTRIC AIRCONDITIONING WARHAIR HOTWATER YES BUTLER'S PANTRY - KITCHEN CLOSET - CELLAR EXIT - REAR M~-DROO~ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BP~ 19289 - REPAIR FIRE DAMAGE - C0~Z-19331 INSPECTED BY DATE OF INSPECTION 8/15/94 ~ TINE START 2:40 END 3:05 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 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~.u. qq ~ ~ 9~ ~9~ ........... New Construction ........... Old Or Pre-existing Building .... ~ ............ Location of Property 744 ~ RgstgKe ~pa~ .... ~Qg~ ..... House No. Street Hamlet Onwer or Owners of Property James P. ~p~gm .................. County Tax Map No 1000, Section..~O~QO ..... Block...~Q9 ....... Lot .... ~%:O~Q ......... 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: $.~Q,0~ ..................... ~~2 '~/.~' ~._ Q~4~5~ IC NT _Jam_es P. Wlckham CONSENT TO INSPECTION JAMES P. WICKHAM · the undersigned, Owner(g) Name(g) do(es) hereby state: That the undersigned (is) (a~ the owner(s) of the premises in the Town of Southold located at 744 01d Pasture Road, Cutchogue, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 103 , Block 11 , Lot 21 That the undersigned (has) (xh~'g) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the follo~ving: __ Certificate of Occupancy~ on Pre-existing Building 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 applination, 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 Town of Southold. Dated: August 9, 1994 ~/~' ~' (s'fgnature) James P. Wickham (print name) (signature) (print name)