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Home My WebLink AboutZ-23192FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~E EXISTING U~RTIFICATE OF O~:u~ANCY No Z-23192 Date SEPTEMBER 1~ 1994 THIS CERTIFIES that the building Location of Property 3765 BTILLgFATERA~us House No. Street County Tax Map No. 1000 Section 137 Block 1 Subdivision Filed Map No. ONE F~MILY DW~.nING uu~HO~UE ~ NY Hamlet Lot I Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23192 dated SEPTEMBER 1~ 1994 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 ONE FAMILY DW~Y~.ING WITH ANA~BSORYWOOD SHED. The certificate is issued to COI~INN~ BOO~ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAf~i~D INSPECTION I~EPORT. Rev. 1/81 BUILDING DEPARTMENT TO%~N OF SOUTUOLD [lOUSING CODE INSPECTION REPORT LOCATION: 3765 Stillwater Avenue (number & street) SUBDIVISION NAME OF OWNER (s) Corinne Boos Cutchogue (municipality) MAP NO. LOT(s) OCCUPANCY A-! Res. (type) ADMITTED BY: Carl Boos KEY AVAILABL~ SOURCE OF REQUEST: Corinne Boos (owner-~enant) ACCOHPANIE~ BY: Same SUFF.CO. TAX MAP NO. ]000-137-I-1 DATE: 8/22/94 DVrELLING: TYPE OF CONSTRUCTION Wood Frame FOUNDATION Concrete Blocks TOTAL ROOMS: IST FLR. 3 BATHROOM (s) I PORCH TYPE Screen Porch BREEZEWAY DOMESTIC HOT~ATER Yes TYPE HEAT Propane OT~R: ~ STORIES CELLAR CRAWL SPACE 2NDFLR. 3RD FLR. TOIU~T ROOM (s) UTILITY ROOM DECK, TYPE PATIO FIREPLACE GARAGE TYPE HEATER Electric AIRCONDITIONING WAP~4AIR Yes - Floor Heater HOTWATER 1 # EXITS ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~ilNG POOL O'fmlR: STORAGE, TYPE CONST. · GUEST, TYPE CONST. Wood Frame VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP~I0167-Z C0~Z-10533 - Renovation Add. G~ry J.~ DATE OF INSPECTION TIME START 2:00 8/23/94 END 2:20 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN tL~LL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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 1% 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. B, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and .pre-existing land uses: ----- 1. Accurate s--~rv~oj~p~y showing all property lines, streets, building and unu--~ua% natural or topographic features. 2. A properly completed application and a consent to ~ect signed by the applicant. If a Certificate 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. ?Certificate of.Occupancy on Pre-existing Buildinm - $i00.00 Copy of Certificate of Occup~ - - -- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 New Construction ........... Old Or Pre-existing Building.. / House No. Street Hamlet Onwer or Owners of Property ................................................................. County Tax Map No i000, Section...Z.~.f ..... Block ...... ~. ........ Lot .... Z ................ Subdivision .......................... Filed Map ............ Lot ...................... Permit No ............... Date Of Permit .............. Applicant ......................... Health Dept. Approval .................... Underwriters Approval Planning Beard Approval ................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... /.~e ~ P'/~"~- ~=~:::: -- '-~p~ I ~ ~ APPLICANT CONSENT TO INSPECTION (' ~1,~ ]~1,~ ~ 7~0o$ , , the undersigned· Ox;met(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 3 76 ~' 5'/-/CC ~',4~,,:'IZ /~£/ ¢ c~z~re, c~',~, /,~' · which is shown and designated on the Suffolk County tax map as District 1000, Section ]~] , Block [ , Lot ! That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector's O£fice for the following: C~-~l'¢~r*l~tc/I-~ OF ~c~ ~,~,,~¢'; e~ .~ /),4~-e_=.~cy'~,.~ /!.~,~.~_z~/t.~.. 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 alt. 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) (print name) (signature) (print name) AREA = 16,981sg. ft. C£R77FIED TO* BRUCE R. ~ ARtY J. CIliA60 T/TLE'ffe~IRA~ COMPANY SURVEY OF LOT 19 MAP OF PROPERTY OF M S. HAND A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, AL. Y. 1000- 137- 01- 01 Scale: 1" = 40' Aug.. 17 1994. JOn. /8~ 2001 (ex/sling sepli~ system) LIC. NO. ~19618 ff~bll-.~b~'~O~M'jrAX (631) 765 - 1797 SOUTH~N. Y. 11971 94-259 AREA = 16,9815q. ff. to tie lines ,9.,90 CERTIFIED TO' BRUCE R. JOHNSON ANN J. JOHNSON CHICAGO TITLE INSURANCE COMPANY ANY ALTERATION OR ADDITION TO ~ SURVEY IS A VIOLATION OF' ~CTION 7~09 OF TH~ ~ YORK STATE EDUC4 TION EXCEPT AS I~R ~ECTION 7'ZO~SUBDIVI~ E. ALL C~7~T~C4TIONS I"IEREON ARE VAI. JD FOR T~S MAP ~ COP~$ THET~OF ONL Y F IFHOSE ~ TURE APPEARS HEREON. 4DDITIONALL Y TO COt,~L Y F~ITH SAID LAW THE TERtt 'ALTERED BY' MUST ~' U~E'D BY ANY AND ALL SURVEYORS UTff. IZIN6 A COPY SURVEY OF LOT 19 MAP OF PROPERTY OF M. S. HAND A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 137- 01- 01 Scale: 1"= 40' Aug. 17 1994 N.Y.$. LIC. NO. z19618 YORS, P.C. (516) 765 - 50;20 P. 0. BOX 909 MAIN ROAD SOUTHOLD~ N. Y. 11971 94-259