HomeMy WebLinkAboutZ-26735FOPS4 NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26735
Date: 10/08/99
THIS CERTIFIES that the building DWELLING
Location of Property 480 GILLETTE DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 038 Block 0002 Lot 005
Subdivision Filed Map No. __ 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- 26735 dated OCTOBER 8, 1999
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 WITH RAISED CONCRETE PATIO WITH CANVAS AWNING
AND ATTAC~RD ONE CAR GARAGE.*
The certificate is issued to BOSTWICK BAY CO.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
/ ~ ~B~ilding Inspectol -
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 450 GILLETTE DR
SUBDIVISION:
NAME OF OWNER (S): BOSTWICK BAY CO,
OCCUPANCY: ~INGLE FAMILY
ADMITTED BY: ROBERT MILLS
KEY AVAILABLE:
SOURCE OF REQUEST:
FJ~ST NL~RION
MAP NO.: __ LOT (S) __
BOSTWICK BAY CO.
ACCOMPANIED BY: SA~E
SUFF. CO. TAX MAP NO,: 38.-2-5
DATE: 10/08/99
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS:
BATHROOM (S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC BOTWATER: yES
TYPE HEAT: 0IL WARM AIR:
1ST FLR.: 6
# STORIES: 1-0 # EXITS:
CELLAR: FULL CRAWL SPACE: __
2ND FLR.: O 3RD FLR.: O
TOILET ROOM{S): O-O UTILITY ROOM(S}: __
DECK TYPE: PATIO TYPE
FIREPLACE; ] GARAGE: ONE CAR
TYPE HEATER: OFF BOILER AIRCONDITIONING:
HOTWATER:
RAISED CONCRETE*
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFOP, M FIRE P~EVENTION & BUILDING CODE
SEC.
DATE ON INSPECTION: 09/10/99
TIME START: ~:45AM END: 10:iSAM
Thi~A~pliC~t be filled in OR ink and submztted
to
the
buildir
~,~. inspect.~'~ith ~e following: for new building or new use:
~i 1. ~Final?s~ey of property wmth accurate locatmon of all bu~ldzngs, property line=
~ ~'?'~Cs, and unusual natural or topographic features.
~ ~7~ Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~)
~/ 3. Approval of electrical ~stailation from Board of Fire Unde~iters.
4. Sworn statement from plumber certify~g that the solder used in syst~ contains
less than 2/10 of 1% lead.
5. Co~ercial building, ~dustrial building, multiple residences and s~ilar buildJ
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
~.Sub~t Plann~g Board ~prov~ of completed site plan requir~ents.
'B.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Ppre-existing" land uses:
1. Accurate survey of property showing'ail property lines, streets, buJ-lding and
unusual natural or topographic features. .'
2. A properly completed application and a consent to inspect signed by the applica~
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. Businesse~
Certificate of Occupancy on Pre-existing Buildin~ ~$100.00
Copy of Certificate of Occupancy -
· Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate ...3:.l.-. .........................
New Construction ........... Old Or Pre-existing Building ..... ~. .........
Location of Property .........~.~.o. ............
House No. Street Hamlet
Onwer or O~ers of Property.. ~.~,.~.t.. ~..q.O., ................................... .
'~N' ' .o~. .o..~
County Tax Map No 1000, Section ..... . ........ Block ............ Lot ............
Subdivision .......... ~. ...................... Filed Map...~ ..... Lot .... ~..~. ........
Permit No ...... ~ ...... Date Of Permit... ~. ........ Applicant .... .~../~._. ...............
Health Dept. Approval .......... ~ ........... Underwriters Approval .... ~.~ ...........
Planning Board Approval ........ ./~..~. ............
Request for: Temporary Certifi'cate .... ~/~....
FeD Submitted: $ ....... ./..~3.~.. i ..............
Final Certicate... ~.~...
CONSENT
TO
INSPECTION
/~C~--g~-~L~ r~ ___[%4,.v¢2Ilr ~ . the undersigned.
O~er(s) Na~e(s)
do(es) hereby sta~e:
That the unders~ned (is) (are) the owner(s) of the premises ~ the To~
. which is shox~ and designated on the Suffolk
County tax map as District 1000. Section ~ . Block O~ . Lot O ~ .
That the undersigned (has) (have) ~iled. 'or caused to be filed, an applica-
tion in the Southold To~ Building Inspector's Off[ce for the follow.g: __
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 suoh 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 eonsentIng 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 o[ the laws. ordinances, rules or regulations o[ the Town of Southold.
(signa~ur e) '
~ /I (print,name}r
, ~t~...- _3. t~.[l$ ~
Ix]
N~G4~51'IO'E
?-8, ~ ~
120.00 ~
BLACN:-TOP \ -.- _ _
ES
:3oFF
FlAPDF'PF~OPEP2TY
AT
EAST MA~ tON
TOWN OF ~OOt'MOL~ ,
~' MO NtJ M Etq'l
-.O*PIPF.
AP.EA-1.2,O00 5q Fr,
AS ":,L)I~VE¥ E C,
FEODEF~ICW~'a~.,~
LIe. LAN[,)