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HomeMy WebLinkAboutZ-23473FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF OC~umANCY No Z-23473 Date FEBRUARY 2, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 8255 BRIDGE LANE House No. County Tax Map No. 1000 Section 84 Subdivision ONE FAMILY DWK~W.ING Street Block Filed Map No. Hamlet Lot 4.6 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-23473 dated FEBRUARY 2~ 1995 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 3 ACCESSORY OUT BUILDINGS * The certificate is issued to WILLIAM & VIRGINIA ASIP of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A *PLEASE SEE ATTAc~u~D INSPECTION REPORT. BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 8255 BRIDGE LANE CUTCHOg~Ig, N.Y. (number & street) (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) WILLIAM & VIRGINIA ASIP OCCUPANCY SINGLE FAMILY (type) ADMITTED BY: WILLIAM & VIRGINIA ASIP KEY AVAILABLE SOURCE OF REQUEST: WILLIAM ASIP OWNER (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX MAP NO. 1000-84-1-4.6 DATE: JAN. 26, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION BRICK CELLAR MOST TOTAL ROOMS: IST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) ONE PORCH TYPE FRONT & SIDE COVERED - SIDE BREEZEWAY FIREPLACE DOMESTIC HOTWATER YES TYFE HEATER TYPE HEAT OIL FIRED WARM AIR OIl~t,~R: WOOD STOVE ( INSTALLED 1973 ) DECK, NOI~ OFF BOILER [ STORIES 2 ~ EXITS CRAWL SPACE PART UTILITY ROOM KITC~t~N PANTRY PATIO GARAGE AIRCONDITIONING NOI~ HOTWATER YES 3 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, T¥FE CONST. (3) WOOD FP, AI~ OUT BUILDINGS WITIt ELECTRIC VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ? DATE OF INSPECTION JANUARY 27, 1995 TIME START !1:45 AN END 12:15 AM BLDG, DEPT. TOWN OF $OIJTNOLD Form No. 6 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 building inspector with the following: for new building or new use: 1. 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 1% lead. 5. Commercial building, industrial building, multiple residence~ 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 or and uses, buildings "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. C. Fees 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-existing Buildin~ - $100.00 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 ..... ././... ..... Location of Property.. Z.'~.~..~. .... ~.~_ / ~ /--/~'/~/~' .~.'.(~.~.~..~...~%. · .... £ ......... ~. ........ ~.,/~. ......... ~i~. .... House No. Street Hamlet Onwer or Owners of Property...~.~.~.~l... County Tax Map No 1000, Section .... ~.~.... .Block... Subdivision ........ .~.~. ........................ Filed Map ............ Lo t ...................... Permit No ...... ..../~.J.....Date Of Permit................Applicant ............................. Health Dept. Approval....~..// ................... Underwriters Approw~l ......................... Planning Board Approval ............... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted' $..f ........ ................... ~..~, V,~ 3 · ~ .' .................. .... ~ t~-?_ ~ 3 ~ ~ 3 APPLICANT// Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned~ (are) the owner(s) of the premises in the Town of Southold located at O~2-:p/-~ A/~/.,~IS" ~//~'%/~' C~>~-g'/r~f&~g- · which is shown and designated on the Suffolk County tax map as District 1000, Section ~, Block / , Lot /~5 ~ That the undersigned (l~a.s) (have) filed, or caused to be filed, an applica- tion in the Southold To~m Building Inspector's Office for the following: That the undersigned do~'~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-of the laws, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, 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. Dated: f,/%/~ / ~ .//.~~~, ~ (signatui'e) / (print name) (signature) /7, (print name) F~ SOCIETY FOR THE PROPAGATION OF THE FAITH FORMERLY LALLY N 45'-39'-45" E 48J. 11 AREA = 4.3'108 Acre., .~ROACHES ~ $ 44'-00-~35j' If 96.56' S 45' -43 '-~5" 368. ££' Z I'rl 5O ~ ZNCH - 50 FEET 0 50 SURVEY OF PROPERTY S~tueted et CUTCHO6UE TONN OF SOUTHOLD SUFFOLK COUNTY NE# YORK Surveyed August 24. ~gg2, by SNITH & JUNG Profe, s.s~Jons] ~_an~Y Surveyor leu HedfoP~ Avenue Petchogue, NY ~177R Phone: 475-3~9E N/F Mc6UINNIGLE ~ OF qET ESTATES 6390 SURVEY CERTIFIED TO: WILLIAM ASIP VIRGINIA AGIP