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Home My WebLink AboutZ-19272FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z19272 Date AUGUST 7~ 1990 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Propert~ 26705 RT. 25 MAIN ROAD CUTCHOGUE House No. Street County Tax Map No. 1000 Section 109 Block 02 Lot 13.4 MINOR SUBDIVISION Subdivision RALPH M. & THERESA Y. ASSELTA Filed Map Lot 2 conforms substantially to the requirements for a private one-family dwelling built prior to APRIL 9~ 1957 Hamlet pursuant to which Certificate of Occupancy Z19272 Dated AUGUST 7, 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 DW~.LLING~ ACCESSORY SHED AND PARTIAL ACCESSORY BUILDING The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ESTATE OF RALPH ASSELTA NIA N/A ***SEE INSPECTION REPORT AND SURVEY ~ - ' /~ Bdilding Inspector Rev. 1/81 Location BUiLDi![C DEP:tAT>~NT T0~,! OF SCUTHOLD, ~;. Y. HOUSi~G CO~Z IHSPECTIOU RZ?ORT 26705 RT. 25 MAIN ROAD CUTCEOGUE Subdivision ~.lap No. Lot(s) Nm,ne o£ Owner(s) ESTATE OF RALPN ASSELTA Occupancy A- I [zype) ~ ~- ~ ~ BRIDGETTE ~C~.~ .~ed by': Key ~vai!abl e Source of request DIA OWNER ( own er- L enanz) -Ac~ompanied b~: SAME Suffolk Co. Tax No. 109-2-13.4 NICHOLAS VINCENT'*'CAMPASANO Date JUNE 14, 1990 OPEN FRONT ~%'~LLI~: Type of construction Foundation BRICK Total rooms, let. F1 Bathroom(s) 2 FULL Porch, t~e ~,~0~ Breezeway.. Type Heat OIL Fireplace(s)2 SEALED UP Domestic hotwater OIL Other WOOD FRAME #stories 2 Cellar PART Crawl space -- 2nd. F1 5 5rd. F1 Toilet room(s) -- Deck, typq -- Patio, type Garage Utility room 'Warm Air Xx Hot,~;ater No. ~cits 3 Airconditioning Type heater FO~D ACCESSORY S~onn~T~ · Garage, type const. Storage, tYPe const. ONE WOOD Swim.~,ing pool Guest, tYPe const. Other PRIVY. ACCESSORY GARAGE LOCATED PARTIALLY IN 'r~ RIGHT OF WAY (LOT 2) PARTIALLY ON (LOT 4) AS SPECIFIED ON S~VEY.(MINOR SUBDIVISION) _VIOLATIO~IS: CHAPTER 45--N.Y. STATE UNIFOrm! FIRE PREVENTION & BUILDING CODE _Location I Descriotien I Art. I Sec. Inspected Date of Insp. Jb~y 26, 1990 · Time start 9:45 end ~__k~fl~O_~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTM~NT APPLICATION FOR CERTIFICATE OF OCCUP~ O~ 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 limes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~m). 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 residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board Approwa! of completed site plan requireman~s. 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 amd unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......................................... New Construction ........... Old Or Pre-existing Building....X. ............ Main Road Cutchogue Location of Property..~.~.7.O.~. ....................................................... . . . . House No. Street Hamlet 0nwer or Owners of Property...~..t.e..o.f..l~..lp.h..A~..se. 1..tg...,.............,.............' ...... County Tax Map No 1000, Section ..... .1~ ...... Block ....... '2'''''''''''''L°t' ~....~. ...... Mino~ Subdivision for Ralph M. Su sion.. ~ ............. Filed Map ............ Lot ............. ~ ........ ~te of Ralph R. As~lt~ Permit Ho ................ Dace Of Pe~it .............. Annlicant.B~...~,cholas ~lncent Attorney ~6r ~{eal th Dept Approval Underwriters Approval ~lanning Board Approval ...... Requsst for: Temporary Certificate ........... . ......... Fee Subm~ - 0~ .... ' ~[tea. $ ...../...~ ......... i ' .- · · ............. APPL,c CONSENT TO INSPECTION Estate of Ralph M. Asselta , , 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 Southold located at Main Road, Cutchogue, New York, · which is shox~ and deo~,~L~e~ on the. c, County tax map as District 1000, Section 109 . Block 2 _, Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Existinq Use for house~ shed and ham 13.4 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 of the laws, ordinances, rules and regulations of the Town of 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. June 14, 1990 Dated: Nicholas Vincent .C~"pasago, Esq., Attorney representkng estate (print name) (signature) (print name) PROPERTY