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Home My WebLink AboutZ-24366FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C~RTIFICAT~ OF OCCUPANCY No Z--24366 Date MAY 20, 1996 THIS CERTIFIES that the building Location of Property 4639 STILLWA'r~K AVE. House No. Street County Tax Map No. 1000 Section 137 Block 3 Subdivision Filed Map No. OWE FAMILY DWELLING N.Y. 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-24366 dated MAY 20, 1996 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 OWE FAMILY DW~.ING WITH ACCES~ORY 2 CAR GARAGE * The certificate is issued to MURIEL ANNABEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION REPORT. N/A N/A N/A Rev. 1/81 i,OCATION: 4639 STILLWATER AVE. ~mulnber & street~ SUEDIVISION NAME OF OWNER (s) MURIEL ANNABEL OCCUPANCY A-I RES. IIUIIAIING UEPAETNENT TOWN UF SOUTIIOLI) IIOUSING CODE iNSPECTION IIEPOWI' CUTCHOGUE, N.Y. MAP NO. I.OT(s) OILIER DWE I,L I NG: '['YPE OF CONSTRDCTION WOOD FRA~ i STORIES 2 ~ EXITS FOUNDATION CEMENT BLOCK CELLAR FULL CRAWl. SPACE TOTAl, ROONS: IST F1.R. 6 __2ND F1,R. _ ~_ 3RD F1,R. _ ........ RA'I'IIROOM (s) 2 FULL TOILET ROOM (s) POECil TYPE DECK, TYPE BREEZEWAY FIREPLACE I)OMESTIC IIOTWATER YES TYPE UEATER ELECTRIC TYPE HEAT OIL WARM AIR (}TILER: REAR ENTRY WAY UTILITY ROON PATIO RRTCg GARAGE AIRCONDITIONING DOTWATER STEAM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.___2~C_A_R ~OO~D_F_~ .... STORAGE, TYPE CONST. SWIMMING POOl, , GDEST, TYPE CONST. OTilER: VIOLATIONS: CHAPTER 65 N.Y. STATE UNIFORM FIRE PREVENTION & BUII,D~NG CODE I,OCATION DESCRIPTION ART. SEC . REMARKS: INSPECTED BY ~~ DATE OF INSPECTION MAY 15, 1996 TIHE START 9:50 Effi) 10:20 Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-~802 APPLICATION FOIl 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: i. Final survey of property with accurate location of all 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 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. i. 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. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction ........... Old Or Pre-existing Building...X .............. Location of Property..4.6.3.9...S.t.i. 1..1.w.a.t.e..r..A.v.e.n..n.c.,..C..u.t.c.h.o.g.u.e. ......... 2 ...................... House No. Street Hamlet 9nwer or Owners of PropertyJzunes. Annabe.L, .Russell. 3tnnat~el,. ffimoth.y..Annabel .......... 2ounty Tax Map No 1000, Section.%.~2.0O ...... Block. D.~.OO ......... Lot..(107.OllO ............ 3ubdivision .................................... Flied M~U) ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. :ealth Dept. Approval .......................... Umlerwriters Approval~ .... ..................... lanning Board Approwll ........................ CONSENT TO INSPRCTION william C..G°q~ins, Atborney for Owner 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 Southqld located at 4639 Stillwater Avenue z Cutchoquef New York . xvhich is shown and designaied ou [he Suffolk Cqunty {ax map as District 1000, Section 137. , Elock 3 . Lot 7 Tha~ the Fnders~gned (has) (have) fi]ed, or caused to be f~l(!c~, an applica- tion tnth~ Sou~old To~ Building Inspector's Office for the follow,g: Certificate of Occupancy for Pre-Existing Use. 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 o~ the laws, ord~nancos, rules and regulations o[ the Town o£ Southold. The undersigned, in consenting to such inspections, do(es) so w/th the knowledge and under,tending that any reformation obtained in the conduct of WILLIAM C. GOGGINS (p~'i~t name) (sil;nalure) (print ~arne)