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Home My WebLink AboutZ-24007FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. PRE EXISTING CERTIFICATE OF O~C~PANCY No Z-24007 Date NOVEMBER 2, 1995 THIS CERTIFIES that the building Location of Property 2515 CAL~ES RECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block 4 Subdivision Filed Map No. ONE FAMILY DWELLING SOu'£~OLD~ N.Y. Lot Lot No. Hamlet 45.5 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24007 dated NOVEMBER 2( 1995 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 * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SNEATTACHED INSPECTION REPORT. Rev. 1/81 / THOMAS S. & SUSAN L. BL~NKLEY N/A N/A N/A Building fnspecto/ I.O~;^TION: BU I I.I) I fig I)L':PAI{ ['~'II':H 1' 'I'O~N OF SOIJTIIOI,I) IlOIISli'i(; COI)I'; IrlSI'ECTION I{I'~I'ORT 2515 CALVES NECK ROAD SOHTBOLD~ N.Y. HAHE OF ()~I~E (~i) ~ OCCIJI'ANCY SINGLE F~IL~ Al)HIT'fl(I) BY: ~$ BL~EY A(:(iOHPAN[EI) 'I'YPI~ OF CONSTRUCTION ~D F~ FOIINI)ATION C~ BL~ CEI.I.AI( F~L CRAWl. ~I;ACE 'IOTAI. IIOOHS: IST Fl.lt. 7 2HI) Fl.Il. 3 3RD FLR. BATIIROOH (s) 4 TOIl.ET ROOH (s) UTILITY I1OOH ~AS~R & DR~R Pi)RCII '1'~I'1~ Sing SC~gN ~ECK, TYPE · PATIO IHiEI,:ZEUAY ~I~ PORCH F [REI'I.ACE O~ GARAfiE I}OHES'I'I(~ IIOT~A'I'I~I{ ~ TYPE IIIgA'I'ER OIL ........... A II(COHI}IT 10U I N(; TYI'E IIEAT OIL MARFI Alii O'['IIE R: A(~CI~SSORY S'I'RII(~TUJ{ES: CARA(;E, 'I'YPI~ O[; (~ONS'I'. S'I'ORA(;I~ 'I'YPIfi CONST. OTIIEI{; BP #7570 -CO Z-6667 (ADD) BP ~ 1056Z-COZ-786? (ADD) APPLICATION FOIl CERTIFICATE OF OCCUPANCY OCT 2 4 1995 This application must be filled in by typewriter OR ink and submitt~-d;~-;~-bui~J~i~g BLD~DE;'L inspector with the following: for new building or new use: TOWNO~!?~U~-~:'' 1. Final survey of property with accurate location of all buildi~B~7~Y~I%nes, 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-existing" 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 Certificat~ of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, S~imming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesse~ .Certificate of Occupancy on Pre-existin~ Buildin~ Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 Da~e . .L~.: !~. ~.'..~. .......................... New Construction ........... Old Or Pre-existing Building^ ............... ,~L~.....C..,,~..¢~..,,~ ~o~ ~o. "'~ .................. ~,~'~ ........ Onwer Owners of Propert ~X ~' ~Cg or y ............... ~...j .............. ... ~..~.~ .... :o~y r~ ~,p ~o ~ooo, s~o. ..... ~ ...... ~.t~ ...... .¢. ....... ~o~ .... ~..~ ........... Subdivision .................................... F:iled Hop ............ Lot ...................... 2ermit No ................ Date Of Permit ................ Applicant ............................. :lealth Dept. Approval .......................... Umlerwriters Approval ......................... 'lanning Board Approw~l ........................ ~equnst for: Tcmporary Certificate ........... Final Certicate ........... ?ne Submitted: $..~]~...~.. ................... ................ CO~ INSP[~CTiON '" 2 4 1995 Name(s) do(es) hereby state: . the undersigned, of Southold located at That the nndersigned (is) (are) the owner(s) of the premises in the Town I J 7/ , which is shoxvn and designated on the Suffolk County tax .,ap as District 1000. Section 70 . Block ~ . Lot That the undersigned (has) (have) filed, or caused to be filed, an appliea- tion in the Southold Totem Building Inspector's Office for the follo~ving: That the 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 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 h~spections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections rnay be used as evidence in subsequent prosecutions for rio- lations o[ the laxvs, ordinances, rules or regulations of the Toxvn of Southold. Dated: l0 I~ {I ~,/ ] _ (signatUre) - ~ (print name) ~[l~t ' (signatUre) ~ (print nam&) / ~OUT'I40L D NI'