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HomeMy WebLinkAboutZ-20423FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20423 Date DECEMBER 23r 1991 THIS CERTIFIES that the buildin~ Location of Property 1250 STERLING ROAD House No. County Tax Map No. 1000 Section 104 Subdivision ONE FAMILY DWELLING CUTCHOGUE ~ N.Y. Street Hamlet Block 4 Lot 12 Filed Map No. 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-20423 dated DECEMBER 23r 1991 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 GISBERT P. & JOANN AUWAERTER N/A N/A N/A Inspector Location BUILDIiIC DEP:ZRTi.~NT TO';S,I OF SOUTIIOLD, N. Y. HOUSING CODE I?iSPECTION REPORT 1250 STERLING ROAD CUTCHOGUE, N,Y. ~numoer ~ szree~) Subdivision Map No. (Piunlcipatlsy) Lo Nmme of Owner(s) GISBERT & JOANN AUWAERTER Occupancy A~mitted by: A-1 [type) GISBERT AUWAERTER ONWER ( own er- E enanr ) Accompanied by: SAME Key available Source of request Suffolk Co. GISBERT P. AUWAERTER Tax No. 104-4-12 Date DEC. 18, 1991 DYfELLIMG: Type of construction FoLuqdation CEMENT BLOCK Total rooms, let. Fi Bathroom(s) ]FULL BATH WOOD FRAME #stories Cellar 2/3 Crawl space. 2nd. F1 -- 3rd. F1 -- Toilet room(s) Porch, type SCREEN PORCH Deck, type Breezeway siu~ Garage 2 CAR Type Heat_. OIL Warm Air Fireplace(s) YES No. NON u~xa~ioN~L Domestic hotwat~r YES Other Patio, Utility room Hotwater x I STORY 1/35 type_ ~its 3 Airconditionin~ Type heater OFF BOILER ACC=~SORY STRUCTURES: NONE Garage, type const. Swim, ming pool Other Storage, type const. Guest, type const. V_IOLATIOMS: --Location .CHAPTER 45--N.Y. STATE ~NIFORM FIRE PREVENTION & BUILDING CODE Description Sec. Remarks:.. BP #146zrcoz-2763 & BP #200~-Z C0 Z-1667 Inspected by: ~ ~' /z~ Date of Insp. Dec. 20, GARYI~FIS~ ' Time start 2:40 end 1991 3:00 ~ Form No. 6 t TOWN OF SOUTIIOLD BUILDING DEPART,~IENT , TO~4N HALL 76_ - .8o2 ! 0ECI81991 ~PLICATZON FOR CERTIFICATE OF OCCUPAN~ · \- This application must be filled in by Cypes~riter OR ink and submicted co the building inspector with the following: for new building or new use: 1. Final survey of property with accurate locacion of all buildings, property lines. streecs, and unusual natural or topographic feacures. 2.Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3.Approval of elecCrical inscallacion from Board of Fire Under, riCers. &. Sworn staCement from plumber cercifying chat the solder used in system contains less chon 2/10 of lZ lead. 5. Commercial building, industrial building, mulCiple 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 compleced site plan requirements.  For existing buildings (prior co April 9, 1957) non-conforming uses, or buildings and pru-exiscing" land uses: ~. Accurace surve~ of property showing all property lines, s~raets, building and ' unusual natural or Copographic feacures. 2. A properl~ comDleced aDDlicar~,%n and a consent tm inspect signed by che applicant. If a Cercificate of Occupancy is denied~--che Building I~spec=or shall state ~he reasons cherefor in writing co the applicant. C. Fees ~. Cor~ificate of Occupancy - New dwelling $25.00, Addi~ions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00 Addi~ions CO accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing guilding - $100.00 Copy of Certificate of Occupancy - $5.00 over $ year~- $1~-~0 &.Updated Certificate of Occupancy - $50.00 5.Temporary CertificaCe of Occupancy - Residen[ial $[5.00, Commercial $15.00 ~:ew Construction ........... Old Or Pre-existing Building .... ~ ............ Location o~ Property . ~.S-~ ~te.r.l~.c~.~ .............. House No. S~reet Hamlet O, O of Proper~7 ~qej~ R .~l~ J..oDp4n. ~..u~a...e~..e~. ' wet or whets .... . County Tax Map No 1000, Seccion..lQ~..QQ ...... Block... 9~:P9. · .Lot. 012.000 [;ubdivision ............................ ...... Filed ~iu- 1179 150 Permlc No . ......... Dace Of Permit ...... ' .......... Applicant Health Depc. Approval ....... ................... Underwriters Approval ..... · ~.~]llng Board Approval ............ · ,oquus= for: Temporary Cortificace ......... Final Corc' .. · · rulca__~ .... X ...... .co S bmicted: o0 ' ........ . GISBERT p. AUWAERTER O~mer(s) Name(s) do(es) hereby state: CO,','SE T [EC 8 1991 TO INoPEC FION -, the undersigned, an That the undersigned (is) (~lit'a~ the owner(s) of the premises in the Tovm of Southold located at Sterling Road, Cutchogue which is shovm and desi~n,ated on tile ,S, uffolk County tax map as District I000, Section 104.00, ]3lock 04.00 Lot 012.000 That the undersigned (has) ~ filed, or caused to be filed· an applica tion in the Southold Town ]auilding Inspector,s Office for the following:. --glle_~tory_ .frame house, enclpsed porch, attached ,{araqe, detached wood shed That [he undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto 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, includ/ng 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 [n the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lation of the laws, ordinances, rules or r ~ Gis~rt p. Auwaerter (print name) (sicnature) (print name)