The URL can be used to link to this page

Home My WebLink AboutZ-25045FORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PR~ EXISTING CERTIFICATE OF OCCUPANCY No Z-25045 Date MAY 21, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 345 CLARK ROAD House NO. County Tax Map No. 1000 Section 51 Subdivision ONE FAMILY DWELLING CUTCHO~UE, N.Y. Street Hamlet Block 3 Lot 22 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-25045 dated MAY 21, 1997 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 SH~D & 2 ACCESSORY GUEST COTTAGES * The certificate is issued to of the aforesaid building. ~T.RANOR WILSON SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTA~ INSPECTION REPORT. ' ~Inspector Rev. 1/81 flu I 1.1) I N(; I)EI~ AE'IHIr. NT TOWN OP SOIITIR)LU IIOUSINC: GODE INSPECTION REPORT I.OCATIDN: 34~ Clark Rd. (number & street'~ SIIBI)IVISJON NAME OF OWNER (s) ELEANOR WILSON NAP NO. Southold (municlpnh'~y-~ LOT(s) OCCUPANCY A-I RES. (type) ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: PAUL CANINITI O~IER ACCOMPANIED BY: SUFF.CO. TAX NAP NO. 1000-51-03-22 DATE: 4/_30/97 DWELLING: TYPE OF CONSTRUCTION ~]~ F()IJNllATION CEI~NT BLOCK TOTAL ROOMS: IST FLR. BATNROOH (,~) T~O POECII TYPE - EREEZEWAY - DOMESTIC IIOT~ATER ._ Y~ES .... TYPE DEAT ~ STOR[ E S~O~IE CEI,I,AR CRAWl, SPACE X 6 2ND FI.R. - 3RI) FI.R. TOIl.ET ROOM (,~) UTILITY ROOH - I~ECK, TYFE - PATIO FIREPLACE ONE GARAGE 2 C AR TYPE IIF, ATER L _~.L_~___GAS~ ...... A[RCONDITIONING WARM AIR IIO'I~ATER X EXITS 3 OTIIER: LILCO GAS ACCESSORY STRUCI~RES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. ORE SWlMNING POOl. , GUEST, TYPE CDNST. 2 WOOD FRAHE GUEST COTTAGERS_ .......... OTUER: {I COTTAGE/4 ROOM~ I BATH, LILCO HOT AIR HEAT, LILCO HOT WATER HEATER VIOLAT[ONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRiPTiON SEC. ART. REMARKS: CO to read Sin_g_l_e__F~m~Lv~_~a~_l_liAqg_~.th_~T~o_Accesso~r~Guogt~Corta~og .............. INSPECTED BY~~ OATE OF INSPECTION 5/19/97 TINE START END BLDG, DEPT, Form .No. 6 TOWN OF SOUTHOLD BUILDING P EPARTM~NT TOWN HALL 765-!802 'APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatzon must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 lass than 2/10 of i% 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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 sio~ned by the applicant. ~= a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in '~' = wrl~ln= to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AJ_terations 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-existinZ Buiidin~ - $100.00 -" 3. Copy of Certificate of Occupancy - -..25¢ 4. UpdaTed Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date ......................................... Location of Property ....... -- ~~..~..~.~..U.~....~.lP ............ .~J.O.V./.---.~. ~...~ ................ House No. Street Hamlet Onwer or O ers of property ...... ................................ County Tax ~p No 1000, Section..~..~./ ....... Block.. ~ .Lot. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Reouest. for: Temoorarv. Fee Submitted: $ ............................ CONSENT TO INSPECTI~J'N 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. 0~-/ , Block 3 , Lot That the undersigned (has) (have) filed, 'or caused to be filed, an appliea- 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 descrlbed 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 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' f Southold. (signature) (print name)