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HomeMy WebLinkAboutZ-12025FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.1.2. q2..5 ......... Date .... O..c.~.qb.e. r' .3.1 ......... 19.8.2. THIS CERTIFIES that the building s... ( 3. l ....................... Location of Property .267. Q.0 ..... .M.a.~.n. Road Orient Hou~ No. ' ' County Tax Map No. 1000 Section . .q q..8 ....... Block . .0.6. ........... Lot 016 Subdivision X X ............................... Filed Map No. X .Lot No: Requirements for a private one-family dwelling built prior to conforms substantially to the APPtieatio~'fo~-t~ildi~g-Perrni-t~crctofo~e-~ited-i~-this-offierdated- Certificate of Occupancy .... Ap.r .i.1. ?.3 ........ 19 .5.7. pursuant to which Ik61din~-Permit- No..Z..q .~.0.2.5. ............. dated ... 9.c).°. ~. ??..2. ! ............. 19...,83 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 ......... a..p.r.i.v, ate one-family dwelling, an accessory one-car garage, an The certificate Js issued to RICHARD F. BINZLEY & WIFE ..................... /o¥.'e;, ...................... of the aforesaid building. Suffolk County Department of Health Approval .... L~ p. ?.e. ~ 9? ~. .................. UNDERWRITERS CERTIFICATE NO ............ ~ ~..r. ~ ~ p.~.~ ........................... SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUI~DI.,= DEPARTMENT T0~,'~'[ OF SOUTHOLD, N. Y. HOUSI~[G CODE INSPECTION REPORT Loc .... n 26700 Main Road Subdivision [numoer & szree~) x Map No. Orient (~4un±cipa±~y) X Lot(s) X Name of Owner(s) Richard F. Binzley & Wife Occupancy R-1 ~type) A~ed by: Mr. Scott Key available unoccupied (owner-~enanz~ Accompanied by: same Suffolk Co. Tax No.18-6-16 Source of request Richard Binzley ' Date 10/18/83 D!'~LLi~: Type of construction Foundation Total rooms, F1 Bathroom(s) Porch, type wood Breezeway Type Heat oil fired Fireplace(s). 4 Domestic hotwater Other Butler's wood framed #stories 2 block & stone Cellar 2-parti~rawl space_ rest 1st. 4 2nd. F1 4 3rd. F1 2 Toilet room(s) 1 Deck, type Patio, type slate Garage. Utility room Warm Air Hotwater x Mo. ~its 5 Airconditioning pantry, stairs Type heater to attic. ACCESSORY STRUCTURES: Garage, type const. 1-car wood Storage, type const. Swim~ing pool Guest, type const. Other 2-car wood storage, large fenced in dog run. ~IOLATIONS: Housing Code, Chapter 52 --Location utility ro .kitchen DescriDtion Dm floor in room weak I Art. I S eb. I III 152-30-A side door bad 52-31-B Remarks: Curtis W. Horto~ 'Time start 9:50 10/27/83 end 10:00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"_ land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15~00 Vacant land C.O. $ 5.00 Date ..... New Building ............. Old or Pre-existing Building ....v~. ....... Vacant Land ............. Location of Property ...... .~..o... ~o~,~ ~,~o.¢J~. I~-~.~- .~.:.~. House No. }Street Ham/et Owner or Owners of Property ¢~'~,ct~-~ ~','-'~,N ~..~.~ County Tax Map No. 1000 Section ....t.~. ......... Block ....0..~ ......... Lot ..... I.~o ......... Subdivision .................... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Construction on above described building and per, mit meets all applicable~,~des and r,egulations. CONSENT TO INSPECTION · the undersigned, (print name) 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 ~O ~,~;~) z~co~ ! · which is shoxwa and designated on the Suffolk County tax map as District 1000, Section I~ , Block O~ · Lot That the undersigned (has) (have) filed, or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following: // / 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. .A Z MAP OF PROPERTY 3U~VEYED FOR CONSTANCE BAR.WISE BINZLEY 3tTUATE AT 0RIENT, N.Y. 5 c...a, u ~: 30': 1"