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Home My WebLink AboutZ-31629 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31629 Date: 06 22/06 THIS CERTIFIES that the building DWELLING Location of Property 28495 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 0005 Lot 019 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- 31629 dated JUNE 22, 2006 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 & BEAUTY PARLOR WITH ACCESSORY GARAGE AND ACCESSORY STORAGE SHED* The certificate is issued to BENTON P. FASANO (OWNER) of the aforesaid building. SUFFOL& COUNTY DEPARTMENT OF HEAi,TH APPROVAI, N/A ELECTRICAL CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aut orized Signature Rev. 1/S1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIpI: 28495 MAIN RD CUTCHOGUE SUBDIVISION: HAP HO.: LOT (S) HAMB OP OMHHR (S): BENTON P. FASANO OCCOPANCY: 1 FAMILY DWELL.& BEAUTY PARLOR BENTON P. FASANO ADHITTHD BY: BENTON P. FASANO ACCOHPAHIHD BY: MARK SCHWARTZ KBY AVAILABLH: SDPP. CO. TAY MAP HO.: 102.-6-19 SODRCS OP RRQOSST: BENTON P. FASANO 5/3/06 DATH: 06 22 06 DWELLING: TYPH OP COHSTRDCTION: WOOD FRAME $ STORIPS: 2.0 # H%ITS: 3 FOUNDATION: CEMENT BLOCK CBL*aR: PULL CRAIPL SPACH: TYPAL ROOMS: 1ST FLR.: 3 2HU PLR.: 3 3RD PLR.: 2 BATHROOM(S): 1.0 TOILHT ROOM(S): 1.0 OTILITY ROOM(S): PORCB TYPB: 2 DHCR TYPR: PATIO TYPH: HRHHZEIU\Y• FIRHPLACR: DOMHSTIC HOTIN\THR: YES TYPB HHATHR: BOILER (2) AIRCONDTTIOHffiG: TYPH HHAT: HARM AIR: HOTfO\TSR: YES OTBHR: +OIL HOT WATER - RADIATORS ACCESSORY STRUCTURES: TYPR OP C~75T.: 2 CAR* STORAGE, TYPB COHST.: WOOD FRAME SHDM4ffiG POOL: GUEST, TYPH COHST.' OTHER: +WOOD FRAME WITH ROOM ABOVE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. I II RID4ARR5: ffiSPHCTHD BY: DATH OH ffiSPHCTIOH: OS 23 06 GHORGB GILLHH TIIB START: 10:C0 AM HlID: 10:50 AM Form No.6 TOWN OF SOUTHOLD v 3 ~ ' , BUILDING DEPARTb1ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 from Boazd 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. B. For existing buildings (prior to Apri19,195'n non-conforming uses, or buildings and "pre-existing" 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 writing to the applicant. C. Fees 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 r - /Date.~~1_~O~w New Construction: Old or Pre-existing Building: V (check o/ne~)'T Location of Property: O(~l'-~, q ~ ~~-?`~1~ l 1 House No. Street mle[ Owner or Owners of Property: ~ ~ ~ n q Suffolk County Tax Map No 1000, Section Block S Lot ~ 'I Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature ~.7o~f ~S CONSENT TO INSPECTION n.1 T O N Y J ~ 7r N y ,the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (i~s) (are) the owner(s) of the premi es in the Town of Southold, located at 2-$ `/Q3 M A/A/ (~dQ > which is shown and designated on the Suffolk County Tax Map as District 1000, Section Z ,Block ~ ,Lot / Q That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: yR ~ C.Q, That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~ ? v ~ (Signatu e) 6F~lJ~ N • ~/ts Q~1N O (Print Name) (Signature) (Print Name) - < PAGE 02f@ ,~'~j~~' 04/20/2006 20:21 6317345651 LARK AND FOLTS ESQS ' N/F PENNEY N srorrc N 49'46 50"E 78.00' Mo„ _ FRAME ~ Fr ~cE~ ~ ~ W/ R OM(S) u O >p ACiOV[ z~ ~ s. o' ~ a s,.7~ o o w « ~ ~ jj! ~y Im xs• Q -18`6' ~ ~ a ~ z ~ 19.a~ ~ 0 0 ~ 1 y ~ L x ~ , O.B' TWO STORY r,.ONCSf.'iF. u RESIDCNCE N ---22,3' co,'2'rzco FORCN ~ ' 0 PORCh W>~ e H D p_ Ctl CIr ~ ~ ~ ao,2~ 2~ 5 37,p5 g0 suRVcr of DESCRI6ED C'ROPERTY SITUATE, CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: MARK K, SCHWARTZ LAUREN J. PRAUS SURVEYED: 18 aPRiL 2006 TMf/ 1000-102-05-019 UARANTEED T0: SOALE 1°= 30" ~ MARK K. 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