HomeMy WebLinkAboutZ-29388FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29388
Date: 04/24/03
T~IS CERTIFIES that the building DWELLING
Location of Property 135 SOUTH OAKWOOD DR IJ~UREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 145 Block 0003 Lot 014
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
OCC"JPi~/~CY ~3~ER Z- 29388 dated APRIL 24, 2003
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 ONE CAR GARAGE *
The certificate is issued to FRANCIS C BERBERICH
(OWNER)
of the aforesaid building.
SUFFOLK COUA~I"fDEPART~T OF~EALTEAPPROV~J~
ELEC~ICAL CERTIFICATE NO.
PL~q~BERS CERTIFICATION D~r~3
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
~t ( r/ize~Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I~TION: 135 SOUTH OAKWOOD DR
SUBDIIr/SION:
NAME OF OWI~ (S): FRANCIS C EERBERICH
OCCUPANCY: SINGLE F/~4ILY DWELLING
LAUREL
MAP NO.: LOT (S)
FILANCIS C BERBERICH
SOLIRCI~ OF P~I3EST: MCCARTHY MANAGEMENT 4/21/03 DAT~: 04/24/03
ACCESSORY STRUCTURES:
VIOLATIONS; CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DATE ON INSPECTION: 00/00/00
TIldE START: 10:15 AM ~D: 10:45 AM
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 Depa~aent 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 o f 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-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual uatural or topographic
features.
2. A properly completed application and 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.
New Construction:
Location of Property:
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-existing Building - $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 .
Old or Pre-existing Building: ~. ¢/~ (check one)
Hamlet
House No. ~...~.~Street -- .
Owner or Owners of Property:
Suffolk County Tax MapNo 1000, Section It~'- Block
Subdivision Filed Map.
Permit No. Date of Permit. Applicant:
Lot t E{
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ] C>(~ . v~:,
Underwriters Approval:
Fin~e~ (check one)
Appli~t Signature'
09/15/19~9 1~:07 51~-~?~-49i~ FITZPAT~ICK&?ITZ~AT~
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