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Home My WebLink AboutZ-22440FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22440 Date JULY 8~ 1993 THIS CERTIFIES that the building Location of Property 335 SMITH ROAD House No. County Tax Map No. 1000 Section 98 Subdivision ONE FAMILY DWELLING PECONIC~ N.Y. Street Hamlet Block 4 Lot 4 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-22440 dated JULY 8r 1993 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 DW~nLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 ROBERT & PATRICIAALCUS N/a N/A /juil~ing Inspector LOCATION: BUILDING DEPARTMENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 335 Si~ITH ROAD PECONIC, N.Y. (number & street) (munictpallty SUBDIVISION NAME OF OWNER (s) MAp NO. LOT (s) ROBERT ~. ~CUS OWI~R OCCUPANCY A-I RES. (type) (owner-tenant) ADMITTED BY: JAY DEMPSEY KEY AVAILABLE SOURCE OF REQUEST: ROBERT ALCUS ACCOMPANIED BY: SAME STIFF. CO. TAX MAP NO. 98-4-4 DATE: FEBRUARY 4, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRA~ FOUNDATION CE~NT BLOCK TOTAL ROOMS: BATHROOM (s) PORCH TYPE SCREEN PORCH(REAR) DECK, TYPE BREEZEWAY FIREPLACE DOMESTIC HOTWATER YES TYPE HEATER TYPE HEAT OIL WARM AIR OTHER: SHOWER ON REAR OF HOUSE (EXTERIOR) ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~IMMING POOL INGROUND POOL OTaR: DECK AROUND POOL IST FLR. 5 2ND FLR. I FULL BATH TOILET ROOM (s) { STORIES ONE { EXITS 3 CELLAR PIT CRAWL SPACE 3RD FLR. UTILITY ROOM PATIO, TYPE ONE GARAGE ELECTRIC AIRCONDITIONING HOTWATER X~ STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP {245-COZ-747-ADD., BP ~ 13046-COZ- 14664-INGROUNO POOL BP ~21441-COZ-22363 PORCH & SHOWER, ADD, CO 'Z-22362, DECK AROUND POOL INSPECTED BY :.._ ~¥~f[..;" /~_._ DATE ON INSPECTION GAR~ FISH TIME START / JULY 1, 1993 Form No. 6 '., % TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 APPLICATION FOR CERTIFICATE OF'SCC~ANCY This application mus~ be filled in by typewriter OR ~nk and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of lZ lead.' 5. Commercial building, indgstrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect 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 stowing 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. 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 ~o accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $5.00 OVer 5 years - $[0.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 2e 3. 4. 5. New C OhS t ~'uc t i on ...... Old or Pre-existing Building . .]{ ......... Vacant Land ............. Location of Property . . Smith Road ' Peconic Owner or Owners of Property ...... .Rp.b.e.r.t..A,l.c.u.s...&..P.a.t..r.i.c.i.a...A.i.C.U.S. ....... ] ............. County Tax Map No. 1000 Section ...9.8 ........... Block ....4. i ......... Lot ..... ,4 .......... Subdivision,..India. p.. N.6~qk. p.a,z;:k ........... Filed Map No...5.5.1 ...... Lot No...8. .......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning 8pard Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted S .1.0.0:p.0 ....................... ~.l~rch 29, 1993 Construction on above described building ~00 and permit meets all applicable c°des and regulati°nSs~' ~/9 ~ ~2 ~VD ]\' Applicant Jay Dempsey as agent for owner CONSENT TO iNSPECTION the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at /'u '/ · which is sho'~wn and designated on the Suffolk County tax map as District 1000, Section ~ . Block ~ , Lot iF 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Jay Dempsey as agent for owners (signature) (print name) at'u re)k ~ (print name)