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Home My WebLink AboutZ-24367FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ EXISTIN~ C~RTIFICAT~ OF OC~uFANCY No Z-24367 Date MAY 20, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 520 PRIVATE ~D. %12 House No. Street County Tax Map NO. 1000 Section 78 Block 6 Subdivision Filed Map No. ONE FAMILY DWELLING SOu'r~OLD, N.Y. Hamlet Lot 6 Lot NO. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24367 dated MAIl 20, 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 ONE FAMILY SEASONAL D~n~.ING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES H. & (~AI~E L. N/A N/A *PLEASE SEE ATTA~D INSPECTION ~w~.-%/~/ ~ Rev. 1/81 LOCATION: BUILDINC I)EPAR~4ENT TOWN OF SOUTHOLU HOUSING CODE INSPECTION REPORT 520 PRIVATE RD. ~12 WINDY POIHT LANE SOuTHOLD, N.Y. (number & street) SUBDIVISION MAP NO. NAME OF OWNER (s) CHARLES H. WOOLLEY (municipality) LOT(s) OCCUPANCY SEASONAL D~ELLING (type) ADMITTED BY: GLORIA SHIRVELL KEY AVAILABLE SOURCE OF REQUEST: ~ILLIAM H. PRICE~ JR. (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAXMAP NO. IOOO--/B-§-§ DATE: MAY 2m 1996 DWEI~.ING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOHESTIC HOTWATER TYPE HEAT OTHER: WOOD FP.A~ CEI~NT BLOCK & PIER CELLAR IST FLR. ~ _2ND FLR. 2 TOILET ROOM (s) FIREPLACE YES TYPE HEATER ELECTRIC-PART OF WARM AIR OUTSIDE SHO~ER m STORIES I t EXITS NO CRAWL SPACE 3RD FLR. UTILITY ROOM ATTACHED WOOD BECK, TYPE REARWOOD PATIO GARAGE ELEC AIRCONDITIONING HOTI4ATER 5 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~R~ING POOL OTHER: 2 CAR WOOD F~ STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~ FIRE PREVENTION & BUILD~NG CODE LOCATION DESCRIPTION ART. SEC. aRENARKS: BP #11991-C0Z-12107 (ADD) BP ~12622Z-CO Z-15682 (GARAGE) BP ~14500 CO Z-17386 (ADD) DATE OF INSPECTION MAY 14, 1996 TIME START 9:50 END ]0:20 ~LOG. OEP~ TOWN OF $OUTHOLD UU~CU~H~ D~A~TH~T , TO.H ~ MAY - 7 199~ i! 765-L802 I BLDG, DEPT. [ 'FO.~/NOFSOUTHOLD · APPLICATION POR.CERT?ICATE OF OC~U[Ahu~ This appiication'must be filled in by ~¥pewriter OR ink'and submitted to tho buildieg Inspector with the fo[lowingl for new building or new use: [. Final survey of property yith accuratu location o~ ail buildings, propett~ltnes, straets, and unusua[ natural or topoBroph£e £eaturee.' 20 Final Approval from Health Dept.' o~ ~ater supply and sewerage-disposal(~-9 germ). 3. Approval og electrical installation from Board og Fire Unde~writo~s. Sworn state~henc (rom plulnber certifying chat the solder used in system lesa than 2/10 of 1% lead. 5. Commercial b~ilding, .industrial buildings multiple residences and s~ilar 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 (p~ior to April 9, 1957) non-conforming use~, or buildtag~ amd "pre-existing" land uses~ [. Accurate survey of property showing all property lines, streets, building aed unusual natural or topographic features, °" 2. A properly completed application and a consent to inspect signed by the applicant. If a Ce[tificato o£ Occupancy is denied, the Building Inspector shall state the reasons therefor iIi writing to the applicant. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swishing pool $25.00, Accessory buildieg $25.00, ~dditions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - SlO0.O0 3. Copy of Certificate of Occupancy - $5.00'6ver 5 years - Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy ~ Residential $15.00, Commercial $15.00 pate ............. · New Construction ........... Old Or Pre-existing Building ............. Loc t e,, P .... House Ho. Stree~ linnet County Ta~ Hap Ho [000~ Sectio~,*** ,,,.~[ 'oeg,,..,~.,,,, SubdiVision ;~ ' Filed Hap LoC ' ~armi~ t4o,... .,'r~.~'.Date Of Pem~,......, ....... ~Appllcan~ ...... ~. ...... , ............ .~.~,, ~. A..~ov.1 .... ~& ........... ......u,~,~i~, ~,,~o~..~.~ ................. Planning aoard Approval...~.,.. .... Requas~ fort .Temporary Cer[tflcate.,.,..~ .... Final Cecclcace ......... F~. s~t~ta~ t...Z~.........., ..... ..... CONSENT TO · INSPECTION BLOG DEP1 ..... yOWN OF $O._UTHct .... do(es) hereby state: the undersigned. That the undersigned (is) (are) the owner(s) of the premises in the To~n of Southold located at ~ ~ .2 ~9 , ~ ~ - ~, which is sho%~m and designated on the Su£rolk County tax map as District 1000, Section~ ..... , Block ~ , LOt ~,, . That the undersigned (hits) (have) filed0 or caused to be filed, an applies- lion in the Southold Town Building inspector's Office for the following: __ ¢ That the undersigned do(es) hereby give consent to the Building Inspectors of ire Tow,n et Southold to enter upon the above described property, inctudlng any and all buildings located thereon, to conduct such inspections as they may deem necessary %vith respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations or the Town of Southold. The undersigned, in consenting to such inspections, do(es) so x~4th the knowled~,.e and understanding that any information obtained in the conduct of such inspections rnay be used aa evidence in subsequent prosecutions for vie- lotions o[ tile laws, ordinances, rules or regulations of the Town of Southold. Dated: (print name) (print name)