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HomeMy WebLinkAboutZ-16604FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pre Certificate Of Occupancy No. zl6604 Date January 21, 1988 THIS CERTIFIES that tbe building ....0 p.e.. f..a.m.i.l.y, .d.w.e. 1..1 .i.n.g ...................... Lc~eaticmc~fPrr~nartx, 28850 Main Road Cutcho ue Hous~ No. Street ' ' Ham/et County Tax Map No. 1000 Section l 02 .Block 6 .Lot 2 I Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a private one-family dwelling built prior to conforms substantially to the Certificate of Occupancy April 23, 1957 pursuant to which ~l~~ No. Z16604 dated . . .J.a.n..u.a.r.y...2.1.,.. ! ,9 .8.8. ...... 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 ......... .... O .n.e.. f. a..m3.1, y' .d.%~. 1. l...i.n.g,..a.e.q e..s PP. KY.. g.a.r.a.g.e..1.99 .a.t.e.d., .i.n..B...z.o.n.e.: ......... The certificate is issued to ANTHONY T. /JANE BLADOS ..................... k'x' .................. of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: Also B.P. #13816 C.O. #Z16461 B.P. #16130 C.O. #ZI6462 Also see inspection report N/a deck pool & fence Rev. 1/81 BUILDING DEPgJ~T:'r=PlT T0~;~l OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 28850 Main Road Cutchogue, N.Y. [nuuneer & street) Subdivision Map No. (i~[unicipaiizy) Lot(s), Name of Owner(s) Anthony T./Jane Blades Occupancy B + RI (type) A~mitted by: Mr. Blades (owner-~enanr) Accompanied by: Mr. Blades Key available Suffolk Co. Tax No.]02-6-2~ Source of request Anthony Blados Date 1/20/88 D~,'~LLING: Type of construction Wood Foundation Cement block Total rooms, 1st. F1 Bathroom(s) Porch, typ~ Breezeway Type Heat Oil fired Fireplace(s) Domestic hotwater Yes Other framed #stories 2 4 Deck, Garage Warm Air No. ~its 3 Cel!arpartial Crawl space 2nd. F1 4 3rd. F1 Toilet room(s) ! type. wood rest Patio, type Utility room ! ~ Steam Airconditioning Type heater Oil fired ACCESSORY STRUCTURES: Garage, type const. 2 car wood Swinuning pool in ground with a Other fence SIGN Storage, type const. Guest, type const. frpn~ V~r~. VIOLATIONS: Location Housing Code, Chapter 45 N.Y. Stat¢.qniform~Fire Prevention & Buz±ainq Co~e Descriotion I Art. I Sec. No violations were found This includes B.P.#13816Z issued 3/28/85 Remarks:C.o. z16461 also B.P.#16~30 issued 6/24/87 for a deck addition for an inground pool and fence C.D.~#Z]6462 . Inspected by:~~~ -o.,f~^/_ Date of Insp. CURTIS W. HORTON i e start 4:45 1/2o/88 end 5:15p.m. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m a~.--.~ 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 property 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 bu ildings. 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ............ New C OhS t ruc t i oh ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,(~.4~,~.~.?,. ~..4~.f..~. ~ ~ ~---/'L.~ ~'-c~,~ .~.~..~?.~.._~/'- No. , ..................... OwnerorOwnersofProper"b/~.~...~..~.~...~-./.~...d~.~.?T ./~../_z~-Z) c~ -~ ............. ...- ......... . tyTax Map No. 1000 Section ..~, ............ Block ...~,. .......... Lot ................ 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 Temp~ary Certificate ..................... Final Certificate . .'-~-~... .................. FeeSubmttedSf...~..~.,...~...~'. .............. on above de~ribed bui}ding a~ts all ~odes and regulations. Con,ruction A~lican ..................... z/ zhf CONSENT TO INSPECTION · the undersigned· of Southold located at County tax map as District 1000· Section That the undersigned (~) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk · Block i ., 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: 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 ~vith 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. Dated: (print name)