HomeMy WebLinkAboutZ-24701FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24701
Date OCTOBER 28, 1996
THIS CERTIFIES that the buildin~
Location of Propert~ 1895 MINNEHAHABLVD.
House No. Street
County Tax Map NO. 1000 Section 87 Block 3
Subdivision Filed Map No.
ONE FAMILY DWELLING
SOUTHOLD, N.Y.
Hamlet
Lot 53
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-24701 dated OCTOBER 28, 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 DWELLING WITH ACCESSORY GARAGE *
The certificate is issued to OTTO YARO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTA~D INSPECTION P~EPORT.
Rev. 1/81
N/A
N/A
N/A
// //~uildin, Inspector
BH l LI)I NG DIr, PARTMEN'r
TOWN OF SOUTIR)I,I)
tR)IISING CODE INSPECTION REPORT
LOCAT [ ON: 1895 HINI~DAHA BLVD. SOIITHOLD, lq. Y.
....... ~m,mber & street~ ......................... ~'~ity)
SUBD I V I S I (IN MAP NO. [,OT( s )
NAME OF O~NER (s)OTTO_~YARO ..........................................................
OCCUPANCY A- I RESIDEIqTIAL OWNER
...... ~ ........................... ~¥. e r - ,~,..~--~VY-
ADHI'I'TED BY: DEBBIE DARRESS ACCOHPANIED BY:__~S~AI~Z~ ................
KEY AVAII,ABI.F-~ ....................... ~}J~'F~.CO. WAX MAP NO._ 87X0~
SOURCE OF REQilEST: ........ OJTp_~A~ .......................... DATE:
I)~EI,L ING:
TYPE OF CONSTRUCT1BN ~ F~ { STORIES { { EX[TS
EBHNDAT[ON GE~NT BLOCK CEI,I.M~ NO CRAWl, SPACE
TOTAl, ROOH~: {ST FLR. 5 2~O F1.R. ]RI) F[.R.
Ton.ET ROOM (.) ___o~(~ut~si~dd~rr[.vrY ROOM_ ..............
BECK, TYPE PATIO CFAqEIqT
FIREPI.ACE .... O~NE ..... GARAGE .......................
TYPE IIEA'FER OIL A [RCONBiTION lNG
WARH AIR HO'I~ATER ~
........................
BATIIROOM (s)
PORCH TYPIr, HOHE
BREEZEWAY
l)Ol'~: ST lC IIOTWATER YES
TYPE IIEAT OIL
OTIIER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWrMM1NG POOL
o'rIIER:
WITH ATTACHED CARPORT
WOOD FR/~ 2 CAR / STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
ACCY WOOD FRAI~
VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FiRE PREVENT]ON & BBII.I)ING CODE
LOCATION DESCRIPTIOIq ART. SEC.
RE~ARKS: BP ~1526{Z - CO Z-15681 (ACCY) BP ~17662-g-CO Z-{7367 (RELOCATE ACCY)
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 i% lead.
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.
¸5.
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-existinR Buildinm - $100.00
3. Copy of Certificate of Occupancy - . .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date October 10, 1996
New Construction ........... Old Or Pre-existing Building..~ ............
Location of Property 1895 ~nn~ha~ Bi~, Sp~thold, NY
House No. Street Hamlet
Onwer or Owners of Property ............................................................... 0%~o Yaro . .
County T~x Map No 1000, Section. . P? .......... Block ..... % .......... Lot...~.~ ................
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: $ ............................. .~~~
............
Otto Yaro
C O N $ l!; N T
TO
INS I~I:iC'I'] ()N
the undersigned,
Owner(s) Name(s)
do(¢~'s) her'eby state:
'Fhat the undersigned (is) (are) the owner(s) of the premises in thc Town
of Soutbold located at 1895 Minnehaha Blvd, Southold NY
, which is shown and designated on the Suffolk
'~ · 53
()t~unly tax map as District 1000, Ne. etlon 87 13lock 3 1,or
That the under'signed (has) (have) filed, or caused to be filed, an applica-
tion in the Soutbold Town Building Inspector's Office for the following:
That the undersigned do(cs) hereby give consent to tile Buildin(~ lnspectom;
of thc 'l'ow~l of Sm~thold to enter upon the above described property, hlcluding
any and all buildings located thereou, 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
aud regulations of thc Town of Southold.
q'he undersigned, in consenting to such hmp¢ctions, do(es) so ~vitb the
krmwledge and understanding that any information obtained in the conduct of
StlCh inspections may lm used as evidence in subsequent prosecutions for
lations of the laws, ordinances, rules or regulations of the Town of Southold.
1)aled: 10-10-96
___ Ott o_./aro_
(print name)
(signature)
(print name)
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