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Home My WebLink AboutZ-24392FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. P~E EXISTING CERTIFICATE OF No Z-24392 Date MAY 31, 1996 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 3075 WEST ~ A~-E. OUT~HOGU~, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 5 Lot 8 Subdivision Filed Map No. 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-24392 dated MAY 31~ 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 * The certificate is issued to HERBerT YOUNG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A *PLEASE BEE ATTA(~B INSPECTION REPORT. Bu-ilding I~ector I.OCATI ON: BIJ 11.D lNG DEPARTHENT TOWN OF SOUTIIOI.O IIODSING CODE INSPECTION REPORT 3075 WEST CREEK AVE.. CUTCHO~UE, N.Y. (number & street~ (~uun~pality~ SUBDIVISION NAME OF OWNER (s) HERBERT YOUNG OCCUPANCY SEASONAL ADMITTED BY: HERBERT YOUNG KEY AVA ILABI.E NAP NO. _ ...... l.OT(s) ACCOHPANIED BY: SAH~ SUFF.CO. TAX MAP NO.__.!.9~9~- I 10-5~ ................. SOURCE OF EEQUEST:_ ____O..E_B_Q..R~_lt ~DOTY, ATTY ...................... DATE:___I~..Y_ 2~ 1_9__9~.6._ ..... DWELI. ING: TYPE OF CONSTRUCTION WOOD FRAHE ~ STORIES I ~ EXITS 3 FOUNDATION CEIqENT BLOCK & PIERS CELLAR PART CRAWL SPACE TOTAL EOOHS: IST FI.R. 5 2ND FI.R. 3RD FI.R. BATHROOM (s) ONE TOILET ROOM (s) PORCI1 TYPE FRONT SCREENED COVERED ]~ECK, TYPE BEEEZEWAY FI REPLACE ONE DOMESTIC ItO'I~A'FER XX TYPE IIEATER LILCO TYPE IIEAT NONE UTII.ITY ROOM PATIO CEMENT BLOCK GARAGE AIRCONDITIONING WARM AIR I10'I~ATE~ .... OTIIER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL~ .............................. , GUEST, TYPE CONST. OTtlER: VIOLATIONS: CtlAPTER 45 N.Y. STAqZ UNIFORM FIRE PREVENTION & BUII.D~NG CODE LOCATION DESCRIPTION ART. SEC . REMARKS: INSPECTED BY TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-!802 APPLICATION ~OR 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: i. 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 [rom Board of Fire Underwriters. d. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5- Commercial building, industrial building, multiple residences and similar buildings and install~tions, 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 (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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 ~he applicant. If a Certificate of Occupancy is denied, the Building Inspector shell state the reasons tberefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altermtions 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-existin~ Buildin~ - $100.00 3- Copy of Certificate of Occupancy - $20.00 a. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 uate .... .............................. Ne~ Construction ........... Old Or Pre-existing Building.. Y~ ............ Location of Property .... 3075.West.Creek.Avenue ............................. Cu~choque ......... ~ouse No. Street tlamlet Dnwer or Owners of Property Herbert A. Youn9 ;ounty Ta× Map ~o 1000, Sectiot,..]!q ......... l~l,.,ck ...... 5 .......... hot .... ~ ................. Subdivision ['ermic No ................ Date Of Permit ................ Applic:lnt ............................. ;te~lth Dept. Approval .......................... Umlerwriters Approval ......................... 'lamting Board Approval ........................ 2eques[ for: Temporary Certificate ........... Fi.al Certicace ........... Tee Submz~teo. $ 100.00 ........ ....... CONSENT. , TO INS PF.;CTION Herbert A. Young . the nndersigned, Oumer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) [lie owner(s) o[ the premises in the Town or Southold located nl 3075 West Creek Avenue, ~tchouge , which is shewn and designated on tile Suffolk County tax map as District 1000, Sectioo 110 , Block 5 , Lot 8 That the undersigned (has) (have) filed, or caused tobe filed, an applica- tion in the Sou*hold Tox~m Building Inspector's Office for the following: .~ Pre-~istin~ Certificata of That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Sou*hold to enter upon tire above described property, including any find all buildings located thereon, to conduct such inspections as they *nay deem necessary with respect to the aforesaid application, including inspections to determine that §aid premises comply with ail.of the laws, ordinances, rules and regulations of the Town of Sou*hold. The undersigned, tu consenting to such hlspeetions, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections }nay be used as evidence in subsequent prosecutioos roi' vio- lations of the laws, ordinances, rules or regulations of the Town of Sou*hold. (signature) "~ ~ Deborah Doty, as atty for owner CONTACT: (print name) (si~nature) (print name)