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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)