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Home My WebLink AboutZ-28041FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28041 Date: 10/30/01 THIS CERTIFIES that the building DWELLING Location of Propez~y 370 CRITTEN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0012 Lot 014 Eutx~ivision Filed Map No. __ LOt No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,~nt to which CERTIFICATE OF OCCUPANCYNUMBER Z- 28041 dated OCTOBER 30, 2001 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 GARAGE The certificate is issued to WILLIAM A. & VIRGINIA ASIP ( OWNER ) of the aforesaid building. SUFP~)LK COUIqTY DEPART~T OF ]~]~ALTH APPRO%~kL ELEt~TRICAL CERTIFICATE NO. 56481 IO/r12/OI PLUMBERS c~KTIFICATION Rev. 1/81 *PLEASE SEE ATTACHED INSPECTI~L~EPORT. ~ ~ ~Aut~ature BUILDING DEPARTMENT TOWN OF SOUTHOLD ROUSING CODE INSPECTION REPORT LOCATION: 370 CRITTEN i~ SOUTHOLD SUBDIVISION: PAP NO.: LOT (S) NAME OF OWN~ (S): WILLIAM A. & VIRGINIA ASIP OCCUPA/qC~f: SINGLE FAMILY WILLIAM A. & VIRGINIA ASIP OTHER: * NON-HABITABLE CELLAR ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE D-NIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE (~ INSPECTION: 09/26/01 TIJ(E START: 9:50 AM ]~: 10:25 AM Form No. 6 TOWN OF SOUTIIOIA) BUILDING DEPARTMENT TOWN IlALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fi!led in by typewriter OR iuk and submitted to the boildi.g i.spector with the following: for sew building or new use: I. Final survey of property with accurate location of s].l buiIdings, property ].i.es, streets, and unusual natural or topographic features. 2. Fi.al Approval from Health l)ept, of water supply a.d sewerage-disposal(S-9 form). 3. Approval of electrical tnstaliat]on from Board of Fire Uuderwriters. Sworn statement from plnmber certifying that tbs so]der need iii system contains less than 2/10 of 1% lead. 5, Commercial buildin, g, industrial bsilding, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or e.glneer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. F.r ex.Lati.g buildings (prior to Apr;}L 9, 1957) .ou-conformieg uses, or bt, lid!aRs end "pre-existiug" land uses: I. Accurate survey of property showieg mi1 property liees, streets, building and u.usual eatural 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 Occupaecy - New dwellieg $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory bui]dieg $25.00. Businesses $50.00. 2. Certificate of Occnpaucy on Pre-existin~ Buildtne - $[00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupaucy - .~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 {la te . .S.e.p.t.e.m.b..e.r..1.8. ,..2.0. Q 1 .................. Old i ti t.tdi x New Cnustructioa ........... Or Pre-ex s ng Bu: ng ................. 370 Crittens Lane Southold !,ecatJo. of Property ......................................................................... llouse No. Street Ilamle t Onwer or Owners of Property ..... .V.irginia Asip Co,,nty Ts× No O00, Sectioe .... 79 ........ Block ..... .........Lot .... ?.4 ................ S~bd Iv!sion .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ............. Applicant Ilealth Dept. Approval .......................... Underwriters Approval ......................... P/anuiug Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ...................... .~., .-..--~-...~]~.~~y. . · ..... ~ ~o~0ql El c Wcol Znsp c ion Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Date: 10/12/01 Application No.: 56481 Issued to: Virginia Assip Street: 370 Cdtters Rd Village: Southold Section: Block: Zip: 11971 Lot: Town: Southold Introduced by: Vogel Electdc Inc. (L) Lic.# 3943-E wos exomined ond found to be in comp//once with the N~tionol Electricol Code [] Commercial []NV Defects [] Pool [ fst FIoor [~lndoor []Basement [] Hot Tub [] Residential [] Det. Garage []Attic [2nd FIoor [~Outdoor [] Addition [Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 5 2 5 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Other Equipment: Building Permit No. Final Inspect/om 10/12J01 Rough Tnspection: Television Carbon Monoxide President This certificate must not be altered in any manner Inspectors may be identified by their credentials Inspector: Quentin Reynolds CONSENT TO INSPECTION Virginia Asip · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town 370 Crittens Lane, Southold NY 11971 of Southold located at · which is shown and designated on the Suffolk County tax map as District 1000, Section 70 , Block 12 , Lot 14 That th~ undersigned (has) (have) filed, 'or caused to be filed, an applica- tlon in the Southold Town Building Inspector's Office for the folloxving: Pre-Certificate of Occupancy 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 ins~ections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,)rules and regulailons of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained [n the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations oL-~Ne Town o~outhold. September 18, 2001 ~_~~~ Dated: ( signature ) Paul A. Caminiti (print name) (signature,) "~ (print name) MAP OF' LAND .JOHN' G, ~. "d_.A~_._E BUCKLEY .eT BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL REMARKS: DATE INSPECTOR~ 765.t~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY I~MARKS: ~ DATE