HomeMy WebLinkAboutZ-16665FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
No. Z 16665 Date Feb. 23, 1988
THIS CERTIFIES that the building 0..n.e . f..a.m.i.l.y...d.w e t 1 i n g ..................
· 1650 Carroll Avenue Peconic
Location of Property .... .
- House No. ' ......... 'S't/e~i ............... h~r~iei
County Tax Map No. 1000 Section ....7 .5 ....... Block 1 .Lot 3
Subdivision ............................... Filed Map No ......... Lot No ..............
REQUIREMENTS FOR APRIVATE ONE-FAHILY DWELLING BUILT PRIOR TO
conforms substantially to the Application for l~tllllll~It~elgnl~lfi:et~elttll~rexfiletl~i/tllI~gToTfiaVeXaV~l
April 23, 1957 CERTIFICATE OF OCCUPANCY
..................... pursuant to wlfichl~dliS~ l~l~i{MNo .... .Z. 1.6. .6 .6.5 ...........
dated ........ F e b. 2. ................... 3, 1988 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, and accessory garage.
The certificate is issued to JOSEPH J. AND ANN BOOKER
..................... .....................
of the aforesaid building.
Suffolk County Department of Health Approval ........ .N./.A. ...............
UNDERWRITERS CERTIFICATE NO... N/A
PLUMBERS CERTIFICATION DATED: N/A
SEE ATTACHED INSPECTION REPORT
ALSO Accessory storage building B.P~. #4998Z-C0. #Z4086
/ Building Inspector
Rev. 1/81
BUILDIUC
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ]650 Carroll Ave.
~numuer & s~ree~)
Subdivision
Map
Southold
(i'[unlclpall~y)
No. Lot(s)
N~me of Owner(s) JOSEPH J. BOOKER AND WIFE
Occupancy RESIDENTIAL
~ype)
A~mitted by: JOSEPH J. BOOKER
(owner-venanr)
Accompanied by:
Key available
Suffolk Co. Tax No.75-~-3
Source of request
JOSEPH J. BOOKER
Date
2/17/88
D~:~LLIMG:
Type of construction WOOD FRAME
Foundation POURED CONCRETE
Total rooms, 1st.
Bathroom(s) one
Porch, type
Breezewaz
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
F1 7
OIL
#stories
Cellar FULL Crawl space
2nd. F1 3rd. F1
Toilet room(s)
Deck, type
Garage ~ CAR
Warm Air
No. Exits
BURNER
Patio,
Utility room
Hotwater xx
Airconditioning.
Type heater
type. REAR
(30X30)
ACCESSORY STRUCT'JRES:
Garage, type toner. WOOD FRAME
Swimming pool
Other
B.P.#499~8Z-C.O.Z4086
Storage, type const. WOOD (storage)
Guest, type const.
yIOLATI0~IS:
_Location
Housing Code, Chapter 45 N.Y.
Stat¢.~niform.Fire Prevention
& Bun±mine Come
I Art. I Sec.
Descriotion
Remarks:
Inspected by :~xxw
~GARY /FI S~ ;
Date of Insp. 2/23/88
-Time start 2:30 end 3:00 P.M.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OC(
.... iO_w..N OF 'SOUY~OLO
Instructions
A. This application must be filled in typewriter OR ink, and submitted Im 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. Certificate of occupancy New Dwelling $25.00, Accessory '$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 :fears $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
New Cons t vuc t i on ...... Old or Pre-existing Building .... x..x ...... Vacant Land .............
Location of Property 16~0 Carroll Avenue Peconic, N.Y.
House No. Street Ham/et
Owner or Owners of Property Joseph J. & Ann Booker
County Tax Map No. 1000 Section 75 Block I Lot 3
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 .......................
Fee Submitted $ .... 50.00
Construction on above described buildi g~and pe~imi~')~t~pplicable codes
and
regulations.
JOSEPH BOOKER
CONSENT
TO
INSPECTION
· the undersigned,
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 16g0 Carroll Avenue Peconic, N.Y.
· which is shoxvn and designated on the Suffolk
County tax map as District 1000, Section 75 , Block I , Lot 3
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: __
PRE CERTIFICATE OF OCCUPANCY
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 of the To~vn of Southold.
Dated: ~
re)
(print name)
(sifnature)
(print name)
February 17, 1988
To whom it May concern:
To the best of my knowledge, everything is in
good working condition in my residence located at
1630 Carroll Ave, Peconic, New York.