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Home My WebLink AboutZ-19564FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19564 Date DECEMBER 6~ 1990 THIS CERTIFIES that the building. Location of Property 1400 WEST ROAD House No. County Tax Map No. 1000 Section 110 Subdivision ONE FAMILY DWELLING Street Block 5 Filed Map No. CUTCHOGUE~ NEW YORK Hamlet Lot 11 Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19564 dated DECEMBER 6~ 1990 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 ATTACHED ONE CAR GARAGE * The certificate is issued to RALPH W. ARMSTRONG~ DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 Location Subdivision N~me of Owner(s) BUILDI:::G DEP2~Tr. LE?iT ' .. T0'.'~r OF SOUTHOLD, N. Y. HOUSING CODE IHSPECTION REPORT 1400 I, IEST ROAD CIJTCHOGUE, ~ YORK ~numoer ~ s~ree~) (£'iunlcipalx~y) Map No. Lot(s) ~~ON~, DECEASED Occupancy. Ad,mitred by: A-I ('type) JOYCE KERNAHAR ( owner- r enan~ ) Accompanied by: Key available Suffolk Co. Tax No. 110-5-11 Source of request BORO'l'aI HOPKINS Date NOV. 28, 1990 D%'~LLIMG: Type of construction Foundation CEMENT ELOCK Total rooms, 1st. F1 Bat~hroom(s) I FULL l~Ta Porch, type Breezeway Type Heat LILCO CAS Fireplace(s ) Domestic hotwater Other #stories I STORY Cellar ~'ucn Crawl space -- 3 _2nd. F1 -- 3rd. F1 -- Toilet room(s)_ -- ~Deck, type Patio, t~pe?AISED FRONT Garage. ATTAC~ED I CAR Utility room · Warm Air xx .Hotwater No. F~cits 2 -- Airconditioning. - - LILCO CAS Type heater ACCESSORY STRUCTURES. RO~E Garage, type const. Swimming pool Other Storage, type const. Guest, type const. V~!OLATIOMS: .CHAPTER 4S--N.Y. STATE UNIFORM FIRg PREVENTION & BUILDIN~ CODE Location Descriotion Art. [ Sec. - t - I Remarks: Inspected by: ~!F~S~ Date of Insp.DEC 5, ~990 · Time starts9:30 end 9:55 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. TOWN OFSOUTHOI..I) i APPLICATION FORCERT!FiCATE OF OCCUPANCY · 1. 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: [. Final survey of property with accurate location of all buildings, property l~nes, 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 ~lectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of iZ lead· 5. Commercial building, indus, trial building, multiple residences and similar bui/dings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Subm/t Planning Board Approval of completed site plan requirements· g. For existing buildings (prior to April 9, 19~) non-conforming uses, or buildim§s and "pre-existing" land uses: 1.Accurate survey of property show/nE all property lines, streets, building unusual natural or top~ra~hic 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 stata the reasons therefor in w~iting 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. 2. Certific~te of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy " U .... - $5.00 over $ years - $10.00 -. ~uaL~u C~r=ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..~0, Commercial $15.00 :,ow ons ruct on. ' . ' Date .......... .......... O~d Or Pre-existing Building....~..".. ........ House No. ~treet '~ Hamlet Onwer or Owners of Property. . ..... ~ ........ ~. ................. . County Tax Ma'p No 1000, Section .............. Block...~.. ....... Lot .... /Z ................ //0 ... SubdiVision ' Filed Map Lot ' ' ?ermit No ............... .Date Of Permit ................ Applicant ............................. f;ealth Dept. Approval ........... · ' ............. Underwriters Approval ........................ PI rd App 1 ' anning Boa rova ............. '',.. Request for: Temporary Certificate.. · ..... Final Certicate ........... Fee Submitted: $.~ ~ ~, ~ ~ · .. · .... x~ .~ ..... ;.. '- ............. ....... CONSENT TO INSPECTION O~er(s) Name(s) ' do(es) hereby state: That the unders~ned (is) (are) the owner(s) of lhe premises ~ the To~ ~ ~TC~0~ . which is sho~ and designated on the Suffolk County 000. Sea,ion kk9 . That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g: __ That the unders~ned do(es) hereby give consent to the Build~g Inspectors of the Town of Southold to enter upon the above described prope~y, including any and all buildings located thereon, to conduct such inspections as they may deem necessary xvith respect to the aforesaid application~ including to determine that said premises comply with all of the laws, ordinances, rules and ~egulations of the Town of Southold. The undersigned, in consenting to such ~spections, do(es) so ~th the knowledge aud understanding that any ~fo~mation obtained ~n the conduct of such iuspect~ons may be used as evMence in subsequent p~osecutions for lations of the laws, ordinauces, rules o~ ~e~lations of the Town of Southold. (signalre) {print name) (signature) (print name) NOTE___.~: THIS PARCEL IS LANDWARD OF THE I00 YEAR FLOOD BOUNDARY. SURetY FOR , DANIEL. R. DUGAN AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: NOV. 19, 1990 SCALE: I" = $0' NO. 90 - 0907 CERTIFIED TO: DANIEL R, ~ AME R lC AN/T IT,~-~IRSUR& N ~'~" \ -* MONUMENT I z. SUFFOLK COUNTY TAX MAP II m · 1ALOEN W. YOUNG, PIROFESSIONAL EI~INIrER I I DIST I000 SECT. IlO BLK. 5 LOT im II II~l~l A/eOLAND SURVEYORN.Y.S. UCENSE #0.1~4,5 I I II & · I .OwA.o W. VOUNa, ~.o sunv~YO. I ~ ~.Y.s. c,Cr. SE NO.4sog~