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Home My WebLink AboutZ-17292FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI7292 ................. Date Sept. 13, 1988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Pro~ertv ] 7 ] 30 NEW SUFFOLK AVE. NEW SUFFOLK House AIo. Street .... Ham/et County Tax Map No. 1000 Section I 17 .Block 09 .Lot 2 8. l Subdivision.. XX XX ............................. Filed Map No. XX....... .Lot No .............. REQUIREMENTS FOR A PRIVATE ONE.-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the 7~FIl~t~hXX~aXl~Fa~di~q(~fg]i~ltfoT~T, rlt~:aXlrnX~[~~ CERTIFICATE OF OCCUPANCY I/ .A.P.R..I .L..2. 3. ,..].9. 5. .7 .... pursuant to w~ich B ~dt~,~Xgog-~ltNq~ Z 17292 dated Sept. 13; 1988 ............................. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wkich this certificate is issued is ......... O.qe family..d.w.e..1.1.i.n.g, and accessory garage with attached storagb. The certificate is issued toJOHN BONNAR ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval N lA . UNDERWRITERS CERTIFICATE NO ...... N/A N/A PLUMBERS CERTIFICATION DATED: See ATTACHED INSPECTION REPORT Rev. 1/81 BUILDIMG DEP.~d~Ti.~NT T0:'~r OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 17130 New Suffolk Ave. New Suffolk (n~moer & szree~) (i,iunicipaii~y) Map No. Lot(s) Nmme of Owner(s) JOHN BONNAR Occupancy A-Residential (type) Key ~vailable (owner-~enanv) 'AcDOmpanied bk :. Suffolk Co. Tax No. I~7-9-28.] Source of request John Bonnar Date 9/7/88 l, T TST · D.~L_~.G. Type of construction wood FRAME Fou-~datio~.,,Stone & cement block Total rooms, 1st. F1 3 Bathroom(s) 2 Porch, Breezewa~ Type Heat CAS HW Fireplace(s) Domestic hotwater Other #sTories Cellar FULL Crawl space_. 2nd. F1 3 3rd. F1 ' Toilet room(s) Deck, type] 2nd floor Patio, type.,~ rear Garage 2 car Utility room Warm Air Hotwater No. Exits~ Airconditioning Type heater ya ACCESSORY STRUCTURES: Garage, type const. WOOD FRAME Swimming pool Other J Storage, type const.]6x20 ·attached to Guest, type const, gsrage VIOLATIONS: Location I Housing Code, Chapter 52 Descriotion I Art. I Sec. Remarks. Inspected GAR/ FISH .- Date of Insp. 9/9/88 · Time start 11:10 end 11:25 a.m. CONSENT TO INSPECTION Ovrner (s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (~) the owner(~) of the premises in the Town of Southold located at ..~.~//~ V c~ ~/,~. Countx fa× map as ~istrict ~000, Section //~' , moo~.-?..:~, ~,ot That the undersigned (has) (.h~-~e) 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 ru es soupcons. (print name) (signature) (print name) FORM NO. 6 TOWN OF SOUTHOLO Building Depa* t,,ent 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 I ~ 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 p~operty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certif|cateofoccupanc¥ New Dwelling.$25.O0, Accessory~$10.O0 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.g. $ 20.00 5.Updated c.g. $ 50.00 Date ..~./~..~. ............. NewConstruction ...... Old or Pre-existing Building .. · .l¢~.. .... Vacant Land . Owner or Owners of Property .....'h~.~7/f~ .... I~:~/~z~./~ ~, ............................. County Tax Map No. 1000 Section ...~?.~. ....... Bl°ck"r'-~..~.. 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 Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted $ ....................... ./~,< Construction on above described building and lerr~ Applicant .... ~ 'e?/;s a~plicable cod~and regulations. . ........ SURVEYED FOR:- LOCATED AT /,_/~-/~l/ ,.~'~/,~--~'O~.,~ LOT MAP OF ~~/~ SCALE 1" = ~' SUFFOLK CO. TAX MAP DATA:- DIST ./~ , SEC. BLK. ~.~ LOT ~/ OFFSETS F~O/'A ST~.UCTUP, ES TO RELATIVE BOUNDRY LINES, ON SURV[Y, ARE FOI{ A SP[CiFIC USE OHLY, AND SliOULD HO[ BE USeD FOR CONSTRUCTJOH OF CENCE.$ OR OTHE~ ST~,UC'iLJ?,ES, , TOWN OF ,J .- , CO. CLK. NO. //.7 FlEE NO. , SUFFOLK COUNTY N.Y. FILED SURVEYED ~:~77 ~, 19~BY WILLIAM R. SIMMONS JR. PlO BOX 377 JAMESPORT, L. E, N.Y. 11947 PAGE 2~cj~' GRID~-,.~.~