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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' = /"