HomeMy WebLinkAboutZ-33264FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33264
Date: 09/11/08
THIS c~KTIFIES that the building DWELLING
Location of Property 725 MASON DRIVE
(HOUSE NO.)
County Tax ~p No. 473889 Section 104
Subdivision
CUTCHOGUE
(STREET) (HANLET)
Block 0005 Lot 024
Filed ~p No. Lot NO.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
~u~ANC"f ~ER Z- 33264 dated SEPTE~ER 11, 2008
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 ENCLOSED PORCH AND ATTACHED ONE CAR GAPU%GE.*
T~e certificate is issued to PAUL & CHRISTINA DINIZIO & ANO
(OWNER)
of the aforesaid building.
~/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
DWELLING:
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
I~: BP13271 DECK C0Z25704
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOX~q~I ItALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and snbu'dtted to the Bnilding Department with the following:
A. 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 fi'om Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead.
5. Co~mnercial building, industrial building, nmltipIe 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 si~e plan l equirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses:
I. Accurate survey of property showing all propelqy lines, stl eels. building and unusual natural or topographic
features.
2. A properly completed applicalion and consent to inspect signed by the applicant. Ifa Cert. ificate of Occupancy is
denied, the Building Inspector sball state the reasons therefor m writing to the applicant.
C. Fees
Certificate ofOccupaucy - New dwelling $25.00, Additions to chvellmg $25.00, Alteratious to dwelling $25.00,
Swimming pool $25.00, Accessory building $2500. Adcliduns to accessory building $25.00, Businesses $50.00.
2. Certificate of Occapancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $25
4 UpdatedCe~lificateofOccnpancy- $5000
Temporary Certificate of Occupancy - Residential $l 500, C<nnmercial $15.00
New Constm~tion:
Location of Property: ?ftc House No.
Owner or Owners of Property:
SuflBlk C~unty Tax Map No 1000, Section
Subdivision ~/~
Penmt No. Date of Permit.
Old or Pre-existing Building:
Street
Health Dept. Approval:
Plmming Board Approval:
Block
Filed Map.
Date, ~0~-0~00o0
%/~,__ (check one)
Hamlet
Lot:
Applicant:
Underwriters Approval:
Request for: Temporary Certificate
Fee Subnfitted: $ t'/~~'~-~-
Final Certificate:
(check one)
Al~plicant Sig~hre
,. .~ . ~ ~,. TOWN OF SOUTHOLD PROPERTY RECORD CARD /~ 9
,'-"O ~i. /,~ ~- .6 ~ ~' Jj
~ ACR. " ~ - ~' ~ I
AGE
NEW
FAR'Vt
Tillable
Woodland
Meadowland
House Plot
Total
t
NORMAL
Acre
BUILDING CONDITION
B[LOW ABOVE
Vo[ue Per
Acre
V~lue
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
Extension
3LOR
Breezeway
Patio
Total
TRIM
CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersized (is) (are) the owner~s).of the pr~mises in the Town of
Southold, located at ?a2ff'~ /'~o~ 0~/~,t/2x. ~.~g'~ay-e~
whiChsectioniS shown, and[~)c/Blockdesignated~°n, Lotthe SuSol~k~t~ ~C°unty. Tax Map as District 1000,
That the undersigned (has) !have) filed, or cause to be filed, an appli.cati,on in the
Southold Town Building Inspector s OffiCe for the following ~F'¢ v ~ ~-~,~
That the undersigned do(es) hereby give conSent to ihe 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, roles 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, roles or
regulations of the Town of Southold.
Dated:
L-