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Home My WebLink AboutZ-22908FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PR~ EXISTING ~KTIFICATE OF O~umA~"~ No Z-22908 Date MARCH 17, 1994 THIS CERTIFIES that the building Location of Property 9915 OHEGONROAD House No. County Tax Map No. 1000 Section 83 Subdivision ON~ FAMILY DWELLING uu'~OGUE r N.Y. Street Hamlet Block 2 Lot 20.1 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-22908 dated MARCH 17r 1994 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 WITHAC~ESSOI~Y 3 CAR GARAGE WITH STORAGE S~FJATTAu~d2 * The certificate is issued to JEAN D. ZUlU)SKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A *PLEASE SEE ATTACHED INSPECTION~%.~· ~/ /~ Buildin~ InspeCt Rev. 1/81 LOCATION: 9915 OREGON ROAD (number a street) SUBDIVISION NAME OF o~NER (s) JEAN D. ZUHOSKI BDILDINC DEI'AR~?~NT TOWN OF SOU~IOLD I[OUSINC CODE INSPECTION REPORT CUTCHOGUE, NEW YORK --(,.unicipali~y MAi' NO. LOT OCCUPANCY SINGLE FAMILY (type) ADMIyraD DY: BERTHA HARRIS KEY AVAILABLE SOUKC2 OF REQUEST: JEAN ZUHOSKI (owncr-tenau[) ACCOMPANIED By:BERTHA HARRIS SUFF. CO. TAX MAP NO. 1000-8~=2-20.1 DATE: 14ARCH 2, 1994 DI~ELLING: TYPE OF CONSTRUCTION WOOD FRA~ ~ STORIES ]' ~ EXITS 2 FOUNDATION 'CONCRETE BLOCK CELLAR FULL CRAWL- SPA~E TOTAL ROOMS: ]ST FLR. ' 5 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) 'NO UTILITY ROOM ~0 PORCH TYPE FRONT COVERED DECK, TYPE NO · PATIO, TYPE ~O BREEZEWAY NO FIREP~ICE ORE GARAGE NO DO}~STIC HO~ATER YE~ TYPE HEATER 'OFF BOILER AIRCONDITIONING ~O TYPE H~AT OIL WARM AIR ~ HOTWATER YES OTIIER: paml~ ROom u~ Kii~---i-mEN~ REAR FC,~, R~VESTIBULE, roLL W~JP ATTIC, ACCESSORY STRUCTURES: G,%RAGE, TYPE OF CONST. WOOl) - 3 CAR STORAGE, TYPE CONST. STORAGE SHED ATTACHED TO S~I}iMING POOL , Gl/EST, TYFE CONST. OlqlER: VIOI~TIONS: CU3~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~RT. SEC. INSPECTED BY: DATE ON INSPECTION MARCH 14, 1994 TIME START 9:50 AM END 10:[0 AM Form No. 6 TOWN OF SOUTI1OLD 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 1% lead. 5. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-ex$s~ing" 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 yriting to thm applicant. Fees i. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10,00 4. Updated CertifiCate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate .............. . ~Iew Construction ...... Old Or Pre-ex~sting Building...~, .... ocation rope t ii.: ° ........................... .... House No. Street Hamlet Pro err Onwer or Owners of p y ..................................... County Tax Map No i000. Section.~P.'~ Subdivision-..~-~ ..................... Filed .................... ~ ......... Map Lot Permit No .............. . .Date Of Permit ............. · .... Applicant .............. Dept. Approval .......................... Underwriters Approval .................. .. ... .. Planning Board Approval ................... .. .. . ~equest for: Temporary Certificate ........... Final Certicate ....... O~lcr(s) Nanle~s) do(cs) hereby state: CON£ENT TO . the undersigned` That the undersigned (is) (are) the owner(s) of thc premises in thc Term ~ ~]~ , which is shot~ and designated on the Suffolk County tax map as District lO00. Section~-~.~ BlockO~,°O, Lot 0~0. Tha~ the undersigsed (has) (have) [Hed, o~ caused ~o be Hled. a. applica- tion in the Southold To~ Eui]din~ Inspector's Office for the That the u~dersi~ncd do(es) hereby give consent to the Building Inspectors of tho Town of Souihold to entel- upon the above described pl-operiy, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~clud~ inspections a~d regulations of the Town cf Southo[d. The undersigned, in consentin~ to such ~spectfons. do(es) so %~th the Dated: / / ~ ~ (signature) (s i~.natu re) (prin~ n3me) 3gVdgP£ £~0N1~118 '~'0'~ .0£ NOD_~O · I I '~1 /~. OP. PP o6~' $ · 6 'Z6 · £ '~Z · t '~cZ