HomeMy WebLinkAboutZ-24204FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
~TIFICATE OF OCm:umANCY
No Z-24204 Date
~,RC~ 12r 1996
THIS CERTIFIES that the buildin~
Location of Property 2300 HOBART ~OAD
House No.
County Tax Map No. 1000 Section 64
Subdivision
ONE FAMILY DWELLING
Street
Block 3
Filed Map No.
Hamlet
Lot 5
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 E-24204 dated MARCH 12~ 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 A ONE FAMILY DWELLING WITH AC~ESSORY WOOD FRP~ME S~ IN REAR
AND ACCESSORY ONE CAR AND TWO ~AR C.A~EE IN F~ONT YARD*
The certificate is issued to ~.~N YOUN~
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAu-~!: INHPE~TION~
Rev. 1/81 //
N/A
N/A
N/A
Bui
I,OCATION:
RII II,DI NG I)EI, AR'I'HENI'
TOWN ()F SOUTUOLD
IIOUS1NG (;()DE INSPECTION REPORT
2300 HOBART gOAD $OU*rUOLD
(number & sCreet:~ ~{pn[i
SUBDIVISION
NAME OF OWNER (s)
HKLEN YOUNG
MAP NO. LOT(s)
OCCUPAPCY SINGLE
ADMITTED BY: KATHK~N MAZZAFERRO
KEY AVAILAIILE
SOURCE OF REQUEST: KA'rttR~M~RRO
(~ner-CenanC)
ACCOMPANIED BY: SAME
SUFF.CO. TAX MAP NO. 1000-64-3-5
UA'rE: 2/28/96
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TO'FAL ROOMS:
BATIIROOH
PORCH TYPE
BREEZEWAY
DOMESTIC IIO'[~ATE R
TYPE IIEA'[ OIL
WOOD FRAME # STORIES I ~
CEMENT BLOCK CELl.AR FULL CRAWl, SPACE
IST FI,R. 5 2ND FLR. 2 3RI) FI,R.
I TOII,ET ROOM (s) u'rII. ITY ROOH
FROlfr & REAR MUD R(K]M I~ECK, 'INPE PATIO
F I REPLACE 01~ GARAGE
TYPE UEATER OTL AIRCONDITION lNG
WARM AIR }IO'NC~ATER
EXITS 2
OTIIER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOl,
OTIIEE:
(BOTH IN FRONT)
~OODFRA/~ ! CAR&
WOOD FRAME 2 ~ STORAGE, TYPE CONST.
· GtJEST, TYPE CONST.
SMALL WOOD FRAME IN REAR
VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING (]ODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
SUI(vEYORMISSED REAR SHED ON SURVEY.
/M.-BOUFIS ' / ~'rIME START 9.30 AM
END 9:50 AM
TOW~ OF SOUTHOLD
BUILDING DEP.%P. TM~N
TOWi~ H.~LL
765-[802
.~PPLiCATiON FOR CERTIFICATE OF OCCUP:~NCY
This app!icauion must be filled in by typewriter. OR ink and submitted
inspector with the following: for new building or new use:
i. Final su~-vey of property with accurate location of al! buildings, properuy lines,
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Unde~ri~ers.
4. Sworn statement from plumber certify~.'ng that the solder used in system contains
!ess than 2/i0 of i% lead.
5. Co~ercia! bui!d~g, %udusuria! building~ multiple residences and sim~ lar buiidinEs
and ins~ia~ions, a certificate of Code Compliance from archiEac: or engineer
responsible for ~he building.
6. Sub~t Plann~g Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, !957) non-conforming uses, or buildings and
7pre-existing" land uses:
!. &ccuraue survey of property show%ua al! properny lines, streets, building and
unusual nature! or topographic features.
2. A properly comp!e~ed application and a consent zo inspect sig-aed by the appiican=.
if a Certificate of Occupancy is denied, the Building inspector shall s~a~e ohs
reasons therefor in wr_iling ~o the applicant.
Cartis%cata of Occupancy - Ne~ dwelling $?5 00, Additions to
-RfLuarazions 5o dwelling S25.00, Sw%mming pool $25.00, Accessory buildin=_ S25.00,
Additions zo accessory building $25.00. Businesses S50.00.
2. Certificate of Occupancy on Pre-exist!nc Bui!din¢_ - S100.00
3. Copy of Car=ifica~e of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5- Temporary Certificate of Occupancy - Residential S15.00, Commercial S!5.00
ate ........... ..................
New Constz-uc:ion ........... Old Or Pre-existing Building..~.. ............
~ocacion o~ .' top er:y...9,1t. 0~... H ¢.b.,~ r.'t'....?..~.,.d. .............. .~o.~: .-t .k*!.4'. ..........
~ouse No. Street ~am]. et
On,,er or O~ers o~ ~ropert:, .... /:f¢./.*.~....~.',. '.)(.0.~-*,5 .....................................
court:7 z~ ~p ~o ~000, Section../,:,.ff ........ Sloc~...0.'~ ......... ~o~...O..S'T ...............
Subdivision .................................... Filed Map ............ Lot ......................
Perm!n No ................ Date Of ?ermi~ ................ Applicant .............................
Eaa!~h Dep=. Approval .......................... Unde~ritsrs Approval .........................
Flanning Board Approval ........................
Request for: Temporary Cer=i-:icate ........... Final Ca._ica .............
Fee Submit2ad: S ............................. c-,~,,..~, 'f"~
.J
owners.
CONSENT
TO
INS Pl/]CTION
Ox;met(s) Name(s)
do(es) herehy stats:
· the undersigned,
That the undersigned (is) (tire) the owner(s) of tho premises in thc Town
County tax ,nap as District 1000, Section~, mod~ , ~,ot.
That the undersigned (has) (ha~e} filed, or caused to be riled, an applica-
tion in the Southold To~ql Bnihling Iospectm"s Office for the following:
/
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town or Southold to enter Ul)On the above described property, including
any aud all hulldlngs located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
rules
to determine that gaid premises comply with nil.of the laws, ordinances,
and regulations of the Town of Southold.
The undersigned, in consenting to such h~spections, do(es) so with the
knowledge and understanding that asy information obtained In the conduct of
such inspections }nay be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinauces, rnles or regulations of [he Town of Southold.
(signature)U
(print name)
(pr il~t name)