The URL can be used to link to this page

Home My WebLink AboutZ-22071FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z~22071 Date DECEMBER 30~ 1992 THIS CERTIFIES that the building. ONE FAMILY DWELLING 6635 NEW SUFFOL~D. & Location of Property 6515 NEW SUFFOI~K ROAD NEW SUFFOLK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 5 Lot 24 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-22071 dated DECEMBER 30~ 1992 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 WOOD FRAME GARAGE * The certificate is issued to MICH~RL J. WITHERS (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. Building Inspector Rev. 1/81 Location BUILDIUG DEP/~T:.iSNT T0'.'g,[ OF souTHOLD, N. Y. HOUoL~G CODE Ii:o.-CTl0J REPORT 6635 NEW SUFFOLK ROAD NEW SUFFOLK, ~ntnnueu ~ s5rees) Subdivision ~ap No. ~i,iunlclpa±~zy) not(s) Na~me of Owner(s) · Occupancy Ad~nitted by: MIC~R~EL J. WITHERS ONE FAMILY DI4ELLING ttype) (owner- n enanz ) Accompanied by: Key ~vailable Suffolk Co. Tax No. Source of request MICHAEL J. ~II~R~. Date 1000-117-05-24 DEC. 8, 1992 Dt'~LLIMG: Type o£ construction Foundation BLOCK Total rooms, 1st. F1 Bathroom(s) I Porch, ~e Breezeway Type Heat OIL Fireplace(s) ~-HRICK Domestic hotwater Other ~OOD FRAME #stories 3 Cellar Crawl space 2nd. F1 2 3rd. F1 Toilet room(s) Deck, ~ype. Garage_ 'Warm Air Xx No. ~:its WOOD Patio, type.__ Utility room .Hotwater 3 Airconditioning Type heater ELECTRIC -1/2 XX ACCESSORY STRUCTURES: Garage, type const. WOOD FP. AI~ Storage, type const. Swim. ming pool Guest, type cqnst. Other p~MPHOUSE (NOW. CORNER) pIR4P~ED (S.E. OF HOUSE} SIX (6) DOCKS & HULa,zAP VIOLATrOMS- ~Lncation Descriotio~ J-~-.') Sec. I Remarks: BP #21149-Z - CO Z-22072 DECK ADDITION Inspected by:. VICTOR LES SARD Date of Insp. DEC. 16, 1992 "Time start.. 10:15 end lO:&5 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: 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 f~om 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 an~ 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.' 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and e-existing" land uses: · Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~A ~roperly completed consent to inspect signed by the applicant. application If[a Certificate of Occupancy is denied, the Building Inspecgor shall state the re~sons therefor in writing to the applicant. · . 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_~Q~Q~. . Certificate of Occupancy on Pre-existing Building -~ 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 . zw Construction.. ......... Old Or Pre-existing Building ..... .......,.o..~ 3cation of Property[ ................. . · . .... House No. Street Hamlet - Owners of Propert~ ' ~.ty Tax ~ap No 100o, Section...//.7 ....... sloek ..... ~. ......... Lot .... ~..~. .............. bdiviaion ~ " ' Filed Hap Lot rmit No ................ Dat~ Of Permit ................ Applicant ........................... .. ~lth Dept Approval . Underwriters Approval mnfng ~oard Approval ..... luest for: Temporary Certificate ........... Final Certicate ........... CONSE?:T TO IN~ P1ZC'F[ ON do(es) hereby state: That the undersigned (is) (ar-e) the owner(s) of the premise:: ~n the To~;m of Southold located at ff~/~ ~M~ ~ ~ XF~Z~ ~ //~d. which is ~hov.-n and c csi~n.ated on the Suffolk County tax map as District 100o, Section //7. Block ~ , Lot 2~ 'That the undersigned (has) (bare) riled, or caused to be filed, an applica- tion in the Southcld Toxxm Building Inspecm*'s Office for the follo,.v~5: _ That the undersigned do(es) hereby give consent to the Iauitding 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, inc!udin~ inspections to determine that said premises comply with all of the laws; ordinances, rules and regulations of the Town cf 5outhold. The undersigned, in conser~tin,g 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 lations of the laws, ordinances, rulcs or regulations o£ the Town of $outhold. 'Dated: / 2. _ ~' (print name) (si,~natur'e} (print name)