HomeMy WebLinkAboutZ-22921FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
P~E EXISTING
CERTIFICATE OF OCuu~ANCY
No Z-22921
Date MARCH 29, 1994
THIS CERTIFIES that the buildin~
Location of Propert~ 835 HALYOKE A~E.
House No.
County Tax Map No. 1000 Section 27
Subdivision
ONE FAMILY DW~'-?-ING
ORIENT, NEW YO~K
Block 1
Filed Map No.
Street Hamlet
Lot 7
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-22921 dated MARCH 29~ 1994
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 F~MILY DW~,ING WITH AC~I~SSORY WOOD S,K- *
The certificate is issued to ALFORD NEWELL~ JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-295539 - NOVEMBE~ 12, 1993
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAu-~ INSPECTION
/
/ - Building
Rev. 1/81
LOCATION: 835 HALYOKR AVg.
(number & street)
SUBDIVISION
NAHE OF OWNER (s) ALFORD REWELL, JR.
BUILDING DEPARTMENT
TO~N OF SOUTROLD
DOUSING CODE INSPECTION REPORT
ORIENT, NEW YORK
NAP NO.
(municipality)
LOT(s)
OCCUPANCY SINGLE FAMILY DWELLING OWNER
(type) (ot~uer-tenant)
ADHITTED BY: SUSAN NADIGAN ACCOHPANIED BY: SANE
KEY AVAILABI~ SUFF.CO. TAX ~ NO. [000-27-]-?
SOURCE OF REQUEST: WlLLIAN WICEHAN, ATTY DATE: MARCH 8,
1994.
DI~ELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOHS:
BATHROOH (s)
PORCU TYPE
WOOD FP.A~g
2+ 3
{ STORIES { EXITS
STONE & CLEMENT BLOCK CELLAR 3/4 FULL CRAWL SPACE PARTIAL
I ST FLR. 4 2ND FLR. 2 3RD FLR. FULL ATTIC
THREE TOII~T ROOM (s) NONE UTILITY ROOM NONE
REAR ENCLOSED & COVERED, FRONT BECK, TYPE NONE PATIO NONE
BREEZEWAY ~t~n. FIREPLACE
DOHESTIC HOTWATER YES TYFE HEATER
TYPE HEAT OIL WARN AIR
OTHER: PANTRY OFF DINING ROON
I~tREE GARAGE NONE
SEPARATE OIL AIRCONDITIONING
- - - HOTWATER STEAM
NONE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
Sl/I~tING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
SHED WOOD
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
B~~,-CO~ Z-5885 ADDITION
INSPECTED E¥ ~ /~~ ,ATE OF INSPECTION --eR ,,. 199,
M. gO~IS
T~ ST~T 10:25 ~
END !0:45 AN
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~65-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1o Final survey of property with accurate location of all buildiAgs, 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 i% lead.
5. Cor~ercial building, industrial building, multiple residences and similar buildings
cud installations, a certificate of Code Compliance from srchitect 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 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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2S.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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..... Msr~h.B~.2~A .......................
Ne~ Construction ........... Old Or Pre-existing Building .... X ............
Location of Property...~ ....................... ~YP~.~Y~PP~ .............. ~q~ ...........
House No. Street Hamlet
0nwer or Owners of Property...N. 9%~1.~,..A.l.f.o.r.d~..J.r:. ~p~. ~[~z. ~... A~f.ox.d.,. ku.s.b.a, qd..a, qd..~i.f.e....
County Tax Map No i000, Section..~7 .......... Block .... ~ ........... Lot..7.,~.
.................................. Filed Map ............ Lot ....................
Subdivision . .
Permit No ................ Date Of Permi~ ................ Applicant..
Owner
Health Dept. Approval ........................ Underwriters Approval ..............
Planning Board Approval ........................
Request for; Temporary Certificate ........... Final/~erticste,,o~.O,c.~U. ll~.ncy for Pre-Existing Use
f r e id c
THE NEW YORK BOARD OF FIRE. UNDERWRITERS";'/
- BUREAU OF ELECTRIC~ '~ '~
NOVEMBER ~8.1993 ~nd found to be ln compliance with the Ntt~onal l~lectrical Code.
! i i
v I C E
PAUL R. BURNS
275 TOWN HARBOR LANE
$OUTHOLD, NY, 1197~
LIC.%282 g
~ ctrlffkote must not be alt~KI in ony nmnne; return t~ the office of the Board ff ~; ~ may be']~dentified by
CONSENT TO INSPECTION
WILLIAM WICKHAM,
Owner(si Name(s)
state:
That the undersigned
of Southold located at
Which is shown and designated on
Section 27 , Block
That the undersigned (~as)
· the undersigned, do(es) hereby
Attorney for the
(is) (are) th_e/owner(s) of the premises in the Town
835 Halyoke Avenue, Orient, New York
the Suffolk County tax map as District 1000,
1 , Lot 7& 8
(have) filed, or caused to be
tion in the Southold Town Building Inspector's Office for the
Certificate of Occupancy for pre-existing use of residence
filed, an applica~
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 inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the ~ '
~.wn of Scuthold.
The undersigned, in consenting to such inspections, do(es) so
with the
kncwledge and
such inspections may
lations ~f the laws,
Dated: March 8, 1994
understanding
that any information obtained in ~_he conduct of
be used as evidence in subsequent prosecutions for vio-
ordinances, rules or regular ons of the Town of Southold,
William Wickham, Attorney for owner
Print name
Signature
Print name
N,~cI*~3'IO"E. - I00.0
r J
roI
$CCl/¢: JO' = /"