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Home My WebLink AboutZ-35222FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 35222 Date: 10/03/11 THIS U~K'rIFIES that the building DWELLING Location of Property 1565 BRAY AVE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0008 Lot 009 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 fK~C~]PANC~ I~3]4BER Z- 35222 dated OCTOBER 3, 2011 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 WILLIAM SCHONEWALD (OWNER) of the aforesaid building. SuFfOLK C~)LIITYDEPARll~ENTOFHF~%,LTEAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~/~o-~~at u r e Rev. 1/81 BUILDING DEPlkRTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ACCESSORY STRUCTURES: LOCATION SEC. CPL~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. DECK NEEDS VDJRIA/~CE, BUILDING PERMIT ~ CERTIFICATE OF OCCUP~kNCY 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 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 (8-9 form). 3. Approval of electrical installation from Board 0f 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 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shah state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 New Construction: Location of Property: Old or Pre-existing Building: House No. Street · Owner or Owners of Property: Date. / // (check one) Hamlet · Suffolk County Tax Map No 1000, Section ] Subdivision Permit No. Date of Permit. Block Filed Map. Applicant: Lot Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /_t~]), g~. Underwriters Approval: Final Certificate: V (check one) · Applicant Signature CONSENT TO INSPECTION Owner(s) Nme(s) , the undersigned, do(es) hereby state: 8 ' .That the ~undersi._gn,ed (is)~(are) the owner(s) of the l~r_emisas in thc Town of w_men ~s.san~o.v? and des!gn?_~ on tl~ Suffolk County Tax l~ap as District 1000, Section/~,## , Block ~t$,~ , Lot 00~',OPZ~ . That the undersigned (has) (have) filed, or muse to be filed, an application in the Southo!d Town Building Insp~tor's Office for.the fgllowin~: ~ & ~tl~ Od~ 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, miss and' regulations.of the Town of 8outhOld. 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 tho Town of Southold. (Signature) (Prin~ l~Iame) _ '(Signatme,) (Print Name) TOWN OF ~DING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL~J~O~UGH) [ ]ELECTRICAL (FINAL) REMARKS:/'///"/~ '~ , ~- DATE _/~///J~//~ INSPECTOR LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner-tenant) KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCT1ON: {~,- ~t& #STORIES: FOUNDATION: C~ .i~ . # OF BEDROOMS: IST FLR: # EXITS: BASEMENT:~_~__CRAWLSPACEI~__~ /~- 2ND FLR: ~ 3RD FLR: ~ TOILET ROOM(S): UTILITY ROOM: DECK, TYPE: ~[~ ~ PATIO, TYPE: FIREPLACE: ~- GARAGE: TYPE HEATER: ~ AIRCONDITIONING: ~ HOTWATER: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: /C~fp~) WARM AIR: / # OF KITCHENS:/ FINISHED BASEMENT: YES OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OFCONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER I44 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIOJSL- DESCRIP~.~)N ART. SEC. · ' -' ~ "-~JD.c___tzg r~ ~': REMARKS: INSPECTED BY: .-~ ~ DATE OF INSPECTION: ?//~/g//'~' hi`y-' // , / ,/ TIME START: