HomeMy WebLinkAboutZ-26078FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26078
Date: 10/30/98
THIS CERTIFIES that the building DWELLING
Location of Property 1705 FOUNDERS PATH SOUTHOLD
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0004 Lot 013
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- 26078 dated OCTOBER 30, 1998
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.*
The certificate is issued to PATRICIA ANDRES
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION~RT.
Rev. 1/81 ~
N/A
N/A
N/A
B6i~di~g ~spector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION ~PORT
LOCATION: 1705 FOUNDERS PATS
SUBDIVISION:
NAME OF OWNER (S): PATRICIA ANDRES
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: CAROL BOHN
SOUTEOLD
MAP NO.: __ LOT (S) --
PATRICIA ANDRES
ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 64.-4-13
SOURCE OF REQUEST: PATRICIA ANDRES DATE: 10/30/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME
FOU~ATIOM: CE~4ENT BLOCK
TOTAL ROOMS: 1ST FLR.: _~
BATHROOM(S): 1.0
PORCH TYPE: REAR OVER CONCRETE
BREEZEWAY:
DOMESTIC BOTWATER: XX
TYPE HEAT: LIPA
OTHER:
2ND FLR.: ~
TOILET ROOM(S): 0,Q
DECK TYPE:
FIREPLACE: ~
TYPE BEATER: ELECTRIC
WARM AIR: XX EOTWATER:
$ STORIES: ~-0 ~ EXITS: ~
CELLAR: PIT CRAWL SPACE: --
3RD FLR.: O
UTILITY ROOM(S): --
PATIO TYPE: {SEE PORCMI
GAP-AGE: ONE CAR
AIRCONDITIONING:
ACCESSORY STRUCTUP~ES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
OTHER:
STORAGE, TYPE OONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION MT.
REF~KS: BP~17564~'~O#Z-26077 ADD,
DATE ON INSPECTION: 10/28/98
TIME START: 10:35 AM END: 10:55 AM
TOWN OF $OUTHOLD
TOWN RALL
7~-[8C2
OCT 0
P.04
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This appllcatl:>n must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for maw building or new uae:
Final survey of proper=y with accurate Location of all buildings, property lines.
2. Final Approval from Health Dept. of watar supply and saweraie-diaposal(S-9 form).
Apprsva] of electrical installation from goerd of Fire Und~r~rriters,
Sworn 8tatament from plumbe~ certifying chat the solder used in system co,cains
Less than 2/10 of 1% lead.
5. Cor~erciat building, industrial buildlcg0 multi~le residences &fid slml. la~ buildings
a~c i~e~al[ltions, a certificite of Code Compliance from erchi:ec~ or en$inaar
reaponsible for :he
6. Submit P[annin$ guard Approval of completed si~e plan
For existing buildings (prior ~o April 9, 1957) non-confot'~lng usaa, or buildings and
i, Accurate snrvey of p~operty showing all proper~y lines, streets, building and
unusual hatural or topographic features.
2. A properly completed application and a consent ~o lnspe¢: signed by ~ba appiica~.
if s Cer=ificate of Occupancy is denied, ~he ~uildin8 Inspector shall s~ate
reasons therefor ~n ~ri~lsg to fha appli;ant.
Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Al~eratiol~s to dwell£n~ $25.00, Swimming pool $25.00, Acce~sory building $25.00,
Addl:lons to accessory building ~25.00. Businesses 1~0.0(!,
Certificate n~ Occupancy on Pre-ex£stinl 6uildiai - $i00.00
Copy of Car~lficate of Occupancy - , .25¢
Upde;eu Certificate of Occupancy - $~0.00
Temporary Certificate of Occupancy - Rasiden~lal $1~.00, Commercial $15.00
Date ...... 1,QZ 2.0X 9B .........................
Construction ........... Old Or Fro-axis[ins Butldimg..}Q~ ............
House ~o. Street Hamlet
rower or Ov~ers o~' ~rmperty ...... ~AT~ICY~.AI~Pg~$ ........................................
o~.n~y Tax Map No lO00, Section ..... 6.4 ....... ~lock ..... .4 .......... Lot .... ~ ................
;,.bdivision .................................... Filed Map.. ~{ ...... Lot .... 88 ................
'ermi: No ................ Date Of Pe~it ................ Applican~ .............................
DeFt. Approval .......................... Unde~writars Approval ..........................
CONSENT
TO
INSPECTION
PATRICIA ANDRES , the undersigned,
o~$ou~holdloeatedet 1705 Founders P.ath
Certificate o,f Occupancy for Existing
Buildinq
10/20/98
ZT'
LOT 88
-r'l I'L. E
Lo'T'
87