The URL can be used to link to this page

Home My WebLink AboutZ-23387FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ ~XISTIN~ CERTIFICATE OF OCCUPANCY No Z-23387 Date DECEMBER 1, 1994 THIS CERTIFIES that the building OWE FAMILY DWELLING Location of Property 5325 PEQUASH AVENUE uu~HO~UE, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 110 Block 4 Lot 7 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-23387 dated DECEMBER 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 ONE FAMILY DWELLING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to ROBERT BRANSTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TO~dN OF SoIrrlIOLD UOUSING CODE INSPECTION REPORT LOCATION: 5325 PEQUA3H AVEN~[E CUTCHO~o~-, NEW YORK (number & street) (municipality) SUBDIVISION HAP NO. LOT(s) RANg OF O~R (s) ROBERY BRANSTON & WIFE OCCUPANCY SINGLE FAMILY DWELLING (type) ADMI'Fr.sO BY: ROBERT MacLELLAN KEY AVAILABLE SOURCE OF REQUEST: ROBERT BRANSTON (owner-tenant). SAI~ ACCOHPANIEI~ BY: SUFF.CO. 'FAX HAP NO. I000-1 lO-4-1 DATE: OCT. 25, 1994 DNELLING: TYPE OF CONSTRUCTION FOUNDATION CONCRETE TOTAL ROOMS: IST FLR. BATHROOM (s) ONE WOOD FRAME 4 CELLAR FULL 2ND FLR. 2 3RD FLR. STORIES 1-1/2 ~ EXITS CRAWL SPACE TOILET ROOM (s) NONE UTILITY ROOM PORCH ~ REAR & SIDE ENCLOSED DECK, TYPE BREEZEI~AY NONE FIREPLACE ONE DOHESTIC HOTWATER Y~S TYPE HEATER LILCO CAS 'I'¥FE HEAT OIL %~ARH AIR YES O-ruleR: OUTSIDE STALL SHOWER GARAGE PATIO REAR CONCRETE AIRCONDITIONIN~ HOT~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SRIN4ING POOL OTm~R: 2 CAR WOOD STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY ~. ~ATE OF INSPECTION_ [{NM. BOUFIS / TIHE START 9100 NOVEMBER 18, 1994 END 9:25 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTME.NT TOWN HALL 765-I802 APPLICATION FOR 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 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 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__~_0~. 2. Certificate of Occupancy on Pre-existing Buildin~ 3. 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 Date ...... New Construction ......... Old Or Pre-existing Building .... ~ ........ Location of Proper~j ...... .~.~.~. ........................................... A/c '" . ......... House No. Street Hamlet Onwer or Owners of Property . . County Tax Map No 1000, Section...~/.~. ...... Block ................ Lot .................... ............. · .. Filed Map Lot Sebdivision ... Permit No .............. Date Of Permit ................ Applicant ........................ Health Dept. Approval ........ ............ Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certi te ...... ed: ............ -'" ~, ~-t..~ ~ . .~,- ........ ,.-. - .~- ......... ._ . . (JOHN C.. ~ /--ILL/~N ~'EIFER TH FIXTURES SWI'[CNES FLUC~E~EIqT DRYERS SERVIC~ DISCONNECT S RAHGES g~CIAL REC'PT ITHER APPARATUS: COOKING DECKS OVENS DISH WASHERS TIMECLOCKS BiLL UNIT HEATERS MULTI-OUTLET j ~V,T, ~PS. TRANS. .~ N SoYST~EMFESET V I C EXHAUST FANS DIMMERS OF NEUTRAL B.S. Electric Stillwater Ave. Cutchogue, N.Y., 11935 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.