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HomeMy WebLinkAboutZ-25835FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 25835 Date: 07/22/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 235 CAROLE RD SOUTHOLD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 052 Block 0002 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- 25835 dated JULY 22, 1998 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 * (HAMLET) Lot 007.004 The certificate is issued to THOMAS BRENNAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 235 C. AROLE RD SOUTHOLD SUBDIVISION: MAP NO.: NA~ OF OWNER (S): THOMAS BP~ENNAN OCCUPANCY: A-1 RESIDENTI;UL ADMITTED BY: THOMAS B. BRENNAN -- LOT (S) -- KEy AVAILABLE: SUFF. CO. T;G( MAP NO.: 52.-2-7.4 SOURCE OF REQUEST: THOMAS BRENN~ FEB. 19. 1998 DATE: 07/22/98 TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HO~ATER: WOOD FRAME # STORIES: 1.0 # EXITS: ~ CE~4ENT BLOCK CELLAR: __ CRAWL SPACE: XX 1ST F~R.: 2 2ND FLR.: O 3RD FLR.: O 1.0 TOILET ROOM(S): 0,Q UTILITY ROOM(S): -- YBS TYPE BEAT: LIL~ GAS WARM AIR: OTHER: DECK TYPE: WOOD (REAR) PATIO TYPE: FIREPLACE: GARAGE: TYPE BEATER: ELECT~LIC AIRCONOITIONING: HOTWATER: GAUGE, TYPE OF CONST.: OTHER: STORAGE, TYPE CONST.: 2 WOOD FP~E SEEDS * GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNI?O~M FIRE PREVENTION & BUILDING CODE Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ali 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 $50.00. 2. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00'~ -- 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - $50.00 ~5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~f'.~:~...... . ............................ New Construction ........... Old Or Pre-existing Building.~ .............. ' Location of Fro e= ~.$:. G~.~°~ ~ :o~ ~, ~. ~ ~ ~i P Y ................ ~ ................ , ..... ~ ................. House No. Street Hamlet Onwer or Owners of Property..../.-~..~?..~4..~.~.. ~/ZZ.~..A~O~ . . county ,= ~p No 1000, S~ction..O:.~ ....... Bloc~ ...... .g. ........ Lot... ~.~ ............... ......... Filed Map ............ Lot ...................... Subdivision ........................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~. ....... Fee Submitted: $~'~ ..... &~c.z~7 ~6 .................... ':a_CO Z-o~58 3 5 CONSENT TO iNSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) ct the preln[ses in the Town of Soutirold located at ,~ J6'"- ~_~/~,g-~c c /~9. ~o ~c~ ~ ~- ~ , which Is sbown and designated on the Suf[olk Coml.y tax map aa District 1000, Section ~ , Block ~ , Lot Y ~ 'l'ha~ the undersigned (has) (bare) flied, or caused robe tiled, an applica- tion in the Southold To~ Building Inspector's Office [or the followin~ That the undersigned do(es) hereby give consent to the Bnilding Inspectors of the Town of Soutbo]d to enter upon the above described property, including any and all buildings located ti~ereon, to conduct sucbinspectlons 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 tire Town of Southold. Ti~e undersigned, in consenting to such hrspections, do(es) so with the knowledge and understandin[~ that any information obtained iu the conduct of such inspections maybe used as evidence in subsequent prosecutions for vic~ latious of the laws· ordinances, rules or regulations of the Town of Southold. Dated: ~//~'~ff ' / (sigflature) (print name) (ailmature) (print name) Young dc Young, Land 400 Os~ra~der Ave~e, Rtverkead, 5tG-727-2303 NOTE: 1 · = MONUMENT FOUND 2 AREA = 17745 S.F SURVEY FOR: 'H-lOMAS BRENNAN At: ARSHAMOMOQUE Town Suffolk County, New York of: $OUTHOLD Surf. Co Tax Mop: DATE ,BEC 22, 1997 SCALE :1"=50' JOB NO, :97 SHEET NO,:1 OF 1 i® 60459 (970843.DWG)