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HomeMy WebLinkAboutZ-26907FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26907 Date: 02/03/00 THIS CERTIFIES that the building DWELLING Location of Property 435 PINE PL (HOUSE NO.) (STREET) (HAMLET County Tax Map No. 473889 Section 037 Block 0004 Lot 015 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- 26907 dated FEBRUARY 3, 2000 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 SCREENED PORCH.* EAST MARION The certificate is issued to DAN A ABBOTT & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT LOCATION: 435 PINE PL SUBDIVISION: NA~ OF OWNER (S): DAN A ABBOTT & WF. OCCUPANCY: ~INGLE FAMILY ADMITTED BY: PAUL HEFFEP/~A-N MST MARION MAP NO.: __ LOT (S) -- DANA ABBOTT & WF. ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 37.-4-15 SOURCE OF REQUEST: DAM A. ABOTT DATE: 02/03/00 TYPB OF CONSTRUCTION: FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FLR.: ~ BATHROOM(S): 1.0 WARM AIR: # STORIES: _ . CELLAR: 2ND FLR.: O TOILET ROOM(S): O.O DECK TYPE: REAR FIREPLACE: ] TYPE BEATER: ~ EOTWATER: 1,Q # EXITS: __/ CP~AWL SPACE: __ 3RD FLR.: O UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWI~S~ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE SEC. . · DEC 2 11999 BLDG. DEPT. ..... ?OVyN O F,,,S, OUTHO TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: I. Final survey of property with accurate location of all buildings, property lin, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bull. 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 "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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th 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 $25.0' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cor~nercial $15.00 Date .~.~..~,.~...~. ~..[.~..~~ .............. New Construction ........... Old Or Pre-existing Buildi~u~..~.~?,..¢..,.., Location of Property. H~...~.~..~- 1~(--~- ....... House No. . Street Onwer or Owners of Property...L.~..%~..~bC.~. ................................ · ion.S. ½ County Tax Map No I000, Sect .......... Block ............. Lot ........... Subdivisio . .Filed Map ............ Lot ................ Permit No ................ Date Of Permit ................ Applicant ....................... Health Dept. Approval ........................ Underwriters Approval ............. Planning Board Approval .. Request for: Temporary Certificate ........... Final Certicate..~. ........ 'ee Submitted, ................ - ........ , .... OWNER TOWN OF SOUTHOLD FORMER OWNER RES. LAND SEAS. IMP. ~ oo VL. I~oo STRE~ N FA~RM TOTAL DATE AGE BUILDING CONDITION NEW' NORMAL BELOW ABOVE FARM Tillable Woodland Meadowland House Plot Total Value Per Acre Vclue PROPERTY RECORD CARD VILLAGE W DIST. I SUB. TYPE OF BUILDING COMM. CB. MICS. Mkt. Value REMARKS/~/'~.//o/So 17~ FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK 7-- COLOR TRIM Extension Extension Porch Porch Breezeway Garage Patio Total I =/70 ,j I Foundation ~l~asement Ext. Walls Fire Place Bath Type Roof Interior Finish Heat Rooms 1st Floor Recreation Room I Dormer Rooms 2nd Floor Driveway Dinette BR. FIN. Bi POND S.C. ?'AX i~o' I N 82'07'42,, W J7~04- 74 79.97' tV £ $ O~r...z,t / 32 4' Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (.~.,~ the owner(s) of the premises in the Town ~t6~ , which is shown and designated on the Suffolk County taxmapasDistrict 1000, Section%l 0 Block L~, Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 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 as evidence in subsequent prosecutions for rio- rules or regulations of the Town of Southold. lations of the laws, ordinances, Dated: i~.~'-~ ~ (p~i~t~na-me)- (print name( BUILDING DEPARI~IENT TO~I OF SOUTtlOLD HOUSING CODE INSPECTION REPORT LOCATION: (number & street/ SUBDIVISION :)~~ ' ~NO. ADHI~D 5Y: ~Y AVAILABLE · .(municipality LOT (s) (ovner-tenant) ACCO~PAN'IED BY: soFP. cO. T^× ~P NO.~ -- S ~- ~'-/~ SOURCE OF REQUEST: D~JgLLING: CONSTRUCTION O ATION TOTAL ROOMS: IST FLR. RA~ROOM (~) O~R: 2ND FLR. ' # STORIES ~ # EXITS_~ CELLAR CRAWL SPACE 3RD FLR. TOILET ROOM (s) ~ DECK, TYPE ~ FIREPLACE ~ T~PE HEATER ~ UTILITY ROOM PATIO, TYPE GARAGE ~ AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOC~__ATIOJ~M/ __ · DESCRIPTION ART. SEC. TI.E.START ~ EM /I,, ~