HomeMy WebLinkAboutZ-26474FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26474
Date: 05/24/99
THIS CERTIFIES that the building DWELLING
Location of Property 230 OYSTER PONDS LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 017 Block 0006 Lot 012
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- 26474 dated MAY 24, 1999
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 FRONT PORCH AND ATTACHED ONE CAR GARAGE.
The certificate is issued to STEPHEN B ALLIEGRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
pLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~lding In~ector
Rev. 1/81
BUILDING DE PA~RTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2}0 OYSTER PONDS LA
SUBDIVISION:
NAME OF OWNER (S) : ~TEPEEN B ALLIEGRO
OCCUPANCY: SINGLE F~MILY
ADMITTED BY: AL MOULD
ORIENT
NAP NO.: __ LOT (S) .--
STEPHEN B ALLIEGRO
ACCOMPANIED BY: S;~4E
KEY AVAILABLE: __ SUFF. CO. TAX NAP NO.: 17.-6-12
SOURCE OF REQUEST: J, KEVIN MCLAUGHLIN. ATTY. DATE: 05/24/99
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~
FOUMDATION: BLOCK CELLAR: FULL CRAWL SPACE: __
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: O 3RD FLR.: __0
BATHROOM(S): ~,O TOILET ROOM(S): 0~0 UTILITY ROOM(S): __
PORCH TYPE: WOOD (FRONT) DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: ONE CAR
DOMESTIC HOTWATER: YES TYPE HEATER: LILCO AIRCONDITIONING:
TYPE HEAT: OIL* WARM AIR: HOTWATER:
OTHER: *FORCED HOT AIR
A~CESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~94ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
RE~KS: ORIGINAL WINDOWS P~EpLACED. REINSPECTED 5-21 99.
MICHAEL J. VERITY TIME START: 10:30 AM END: 11:00 AM
CONSENT
TO
INSPECTION
Owner(s) Name(s)
the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
/
which is shown and designated on the Suffolk
County tax map as District 1000, Section__o._L'~ , Block O~c:~ , 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 Southoldto enter upon the above described property, including
any and allbuildings located thereon, to conduct such inspections as they may
deem necessary wilh respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, trules
and regulations of the Town of Southold.
The undersigned, in consenting to such fl~speetions, 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.
~ (p-~int name)
Islgnature) 0
(print name)
TO
()wrier(s) N;tme(s)
, the undersigned,
That the nndersigned (is) (are) the owner(s) of the pretnises in the Town
· x,'ht_n t~ shown and designated on the Suffolk
(:otmty tax map as District 1000, SectionOlt~__, Block 1~ , Lot I~)(,:~.~..
That the undersigned (has) (have) filed, or caused to be filed, an applies-
ti~m in the Southold Tox~m Building Inspector's Office for the following: ~x~.~
Tlmt the undersigned do(es) hereby give consent to the Building Inspectors
of tlm Town of Southoldto enter upon the above described property, including
any amt all buildings located thereon· to conduct suchinspeetions as they may
deem necessary with respeetto the aforesaid application, includinginspeetions
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town cf Southold.
The undersigned, in consenting to such h~spections, do(es) so with the
kn~,wled~e and understanding that any information obtained In the conduct of
in~;peetions maybe used as evidence in subsequent prosecutions for vio-
lati(ms: *ff the laws, ordinances, rules or~ofSouihold.
(print name) --~J
(signature)
(print name)
Form No. 6 t' ~
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 buildin
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ali 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 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildi
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 a
'!pre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
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 $25.00,
Additions to accessory building $25.00. Businesses $50.00.
. C
ertificate of Occupancy on Pre-existinK Buildinm - $100.00
Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .~-~4-~..~-~'~.~. J .% -~9 .............
New Construction ........... Old Or Pre-existing Building..~-~ ...........
Location of Property ..... .~..~...~. ....... ~.~. ~-~.~'.f~ .~.OA~. ~-,-- .... .~. ~ ~-.~. · . . .
House No.~,O.~7 Street Hamlet
Onwer or Owners of Property.~--~p.~0...~,.~.k.%--~.~ .....................
County Tax Map No 1000, Section..~l.7 ....... Block...~.~ ........ Lot...(]~.~-~ ........
Subdivision .................................. . . Filed Map ............ Lot ..................
Permit No ................ Date Of Permit ................ Applicant .........................
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
APPLICANT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREP~AC~J~ &CHIMN.Y
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