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Home My WebLink AboutZ-23285FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23285 Date OCTOBER 14, 1994 THIS CERTIFIES that the building Location of Property 1375 PINE NECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block 5 Subdivision Filed Map No. ACCESSORY BUILDINGS SOUTUOLD, N.Y. Hamlet Lot 39 Lot No. conforms substantially to the Requirements for Accessory Structures built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCy NUMBER Z-23285 dated OCTOBER 14, 1994 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 NON-~ABITABLE ACCESSORY BUILDING & ACCESSORY 2 CAR GARAGE * The certificate is issued to NENEY BARRy (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A lding In~pector~' BUILDING DEPARTHENT TOWN OF SOUTIIOLD IIOHSING CODE IHSPECTION REPORT oOGAT'ION: 1375 Pine Neck Rd. (number & street) SUBOITISION NAME OF OWNER (s) BENNY BARRY MAP NO. (municipality) LOT(s) OCCUPANCY (type) (owner-tenant) ADMI'Er~D BY: I4ARY BREWER ACCOMPANIED BY: S~ KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-70-5-39 SOURCE OF REQUEST: PAUL CAMINITI, ATTY DATE: SEPT. 16, 1994 t~mlmYuN~:xx ACCESSORY BUILDING TYPE OF CONSTRUCTION FOUNDATION CONCRETE TOTAL ROOMS: IST FLR. 4 BATHROOM (s) 01~ PORCH TYPE FRONT SCREENEU BREEZEWAY NO DOMESTIC HOTWATER YES TYP~ HEAT NONE (NON-HABITABLE) WOOD FRAME # STORIES I { EXITS 2 CELLAR NO CRAWL SPACE NO 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOM HECK, TYPE NO PAt-'IO NO FIREPLACE NO GARAGE NO TYPE HEATER ELECTRIC AIRCONDITIONING WARM AIR HOTWATER 0TIi,LR: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWI]414ING POOL OTktER: 2 CAR WOOD FRAME STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~4~-C0,/Z-4116 FOR DWELLING INSPECTEH BY ' DATE OF INSPECTION SEPT. 22, 1994 TIME START 9:30 END I0:00 ~ 0~: sourr~ou~) A. Form NO. 6 TOWN OF SOUTIIOLD BUILDING DEPARTblENT TOWN UALL 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: i. 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 I% 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 Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzstzng" 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. 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. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ' isting Buil~kin~...'.."... New Construction ........... Old Or Pre-~x~ . Location of Propertv..j3.~.~.. .. ..... .......... ' ..... ........... ............ House No. Street Hamlet Onwer or Owners of Property...~l~-. ............................ County Tax Map NO 1000, Section. · * .... ~- ..... Block ...... Lot ........... Subdivision .............................. Filed Map ............ Lot ..................... Permit No ................ Date Of Permit ........... Applicant ..................... Health Dept. Approval ......................... Underwriters Approval ......................... Planning Board Approval ..................... Request for: Temporary Certificate[ .......... Final CerXate~ ..... Fee Submitted: $ ...................... ~.~.. .- , .......... o~,mer(s~ Name(d) do(cs) hereby state: CONSI~NT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of thc premises in the Town of Southold locatcd~t /37~ ?;* ,t/e~,~ g.I · which is sho~m and designated on the Suffolk County tax map as District 1000, Section 70 . Block ~ . Lot 37 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~%m Building Inspector's Office for the follow.g: 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 xvith 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 ordinances, Dated: ( print na~e) ~ ~a ~ / (signature) (print name)