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HomeMy WebLinkAboutZ-22410FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22410 Date JUNE 21r 1993 THIS CERTIFIES that the buildin~ Location of Property 100 WEST LANE House No. County Tax Map No. 1000 Section 88 Subdivision ONE FAMILY DW~r.LING SOUTHOLD r N. Y. Street Block 6 Lot Filed Map No. Lot No. Hamlet 12 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22410 dated JUNE 21~ 1993 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWRJJ.INGWITEATTAC~B GARB~=E * The certificate is issued to HAROLD & ESTHER WOHL (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 ATTAC~FD INSPECTION REPORT. ' ' yBuild~ InSpecto~ Rev. 1/81 BUILDING DEPARTHENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT LOCATION: 100 WEST LANE SoUTHOLD N.Y. (number & street) (mun£c£paIity SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) HAROLD & ESTIi~R M. ~OHL OCCUPANCY ONE FAMILY DWELLING (typo) (owner-tenant) ADMI'I-r~D BY: OWNER (HAROLD) ACCOMPANIED BY: 0c~'~--~ KEY AVAILABLE SUFF. CO. TAX MAP NO. 88-6-12 SOURCE OF REqugar: SHEA & GOULD, ATTY DAT~: JUNE lO, 199 DNELLING: TYPE OF CONSTRUCTION FOUNDATION FRAME TOTAL ROOMS: IST FLR. '5 BATHROOM (s) I PORCH TYPE BREEZEWAY DOMESTIC HOTWATER XX TYPE REAT O~IER: TOILET ROOM (s) DECK, TYPE FIREPLACE I ELECTRIC # STORIES i # EXITS 2 CELLAR CRAWL SPACE XX 3RD FLR. UTILITY ROOM I TYPE HEATER BASE BOARD ELECTRIC WAP~ AIR PATIO, TYPE GARAGE x:x AIRCONDITIONING HOI~ATRR ACCESSORY STRUC~uKES: GARAGE, TYPE OF CONST. S~II'tMING POOL OTNER: BULKHEAD STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. T~MA Sf. FISHER DATE ON INSPECTION JUNE 17~ ]993 TIHE START 9: 45 EN]~ m 0 = 05 Form No. 6 ~01,m OF 8OUTI~ BUILDZ~G D~PARTMKNT 7&5-1802 AP?LICATION FOR CERTZFICATE OF OCCUPANCY ~nopeetoF ~h ~ha ~o[[o~ngf ~o~ n~ bu~ld~ or ~e~ use; leas than 2/t0 of 1[ lead. reeponstb[e for ~he butldtn~. For exLatinB butldinsa (~rtor to April 9, [957) non-cooforml~ uses, or bul].d[ttRs ;,tld 'pra-ex$,stin~' land uses~ t, Accurate survey of property ihovinl aX1 property JXnen, streets, buildtttR nod 2, A p~operly completed appk~eatLon and a conget~t to inspec~ sighted by the npp] reasons therefor In vr~t~n8 to the appX~coflc. i. Certificate DE Occupancy - New dvellin~ 125.00, Additions Co d~allin~ $25.00, Alterationl to dwelltnl $25.00, $~i~i~g pool $25.00, Accessory buildin8 $25,00, Additions to accessory buildtni $2~.00, Businesses $S0.00. 2. Certl~ieate o£ Occupancy on Pre-ex]erin8 Bu~J(lSn8 - $~00.00 3. COpy of Certi[icete of Occupancy - $5.OO over $ yanrs - Sro.aa &. ~Ddated ~ertigieate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15,00, Commercial St~.OO Rev Cone[~uctinno .... . ..... Old Or Pre-exist[flj Building...~.,. .......... ]louse No, Street Ilam.let co.,,~ T..,..o ~ooo, s.c~o..~A~°O ..~o.~.~'~ .,,,,~ 01~ Subdivision .............. ,, .... , .............. Filed Hop ............ Fermit No .............. ,.Date Of Permit ................ AppI. Lcant ............................ · Health Dept Approve1 Under~rttera Approvml · . Plannln8 Board Approval ........................ Request ZOr: Temporary Certificate ..... . ..... Final Cart/cate ........... rse su~.it~ed, ~..,~,~.~ .................... CONSENT TO INS PECTION Owner(.;) do(es) hereby state: , the gndcrslRncd, Thmt the undersigned (t,) (are) the ownmr(~) o( tbs prQmi~ee ~n the Town ..... , tvhich le she,va and desi~,,nated ow lite Sutfolk County talc map es Dist,-Ici 1000, Section ~.~'~,o~, l~lock _/~/~,d_./~.. Lot~}~.ooO~. Th&t the undersigned (hss) (h&ve) filed, ox' c~used to be flied, e~l ;ppliea- tion tn the Southold Town Buildb~g ~nspeetor's Oifice ior the iol]owi~l~.' _~__ ' Th~t the unders~ned do(es) hereby give con~en/ to the Bulld~tg lnspecto~ the Town of Southold to enter upon the ~bove described property, htcluding say &nd all buildings located thereon, to conduct *~uch inspections ~s they ~nay deem necessary with respect to the a~oresaid nppllestton, including te~peetions to d~termine that said premises comply with -~11 of the laws; ordine.cee0 rules ~nd ~egulations of the Town of Southold. The unde:'slRned~ in consenting to such inspections, doles) so with the knowled{e and understending that any information obtained in the conduct of such Inspections may be ~sed I~s evidence i~1 subsequent prosecutions tot vie- Is/lens et the laws. 0rdinanee$0 ~'ulee or regUlations of the Town o[-~outhold.