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)