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HomeMy WebLinkAboutZ-23940FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Pl~ F/IETIN~ ~RTIFI~AT~ OF OC~u~CY No E-23940 Date OCTOBER 6, 1995 THIS CERTIFIES that the building Location of Property 2840 BA~AVENUE House No. County Tax Map NO. 1000 Section 144 Subdivision ONE FP~MILY D~.?.IN~ Block 3 Filed Map No. MATTITUCK, N.Y. Street Hamlet Lot 21 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-23940 dated O~TOBER 6~ 1995 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 GARAGE * The certificate is issued to JOHN R. BRICE & DAVID W. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H/A H/A *PT.R~SE SEE ATTA~D INSPECTION REPORT. ~ui~ding Inspector Rev. 1/81 LOCATION: 2840 BAY AVENUE (number & street) SUBDIVISION NAME OF O~NEE (s) JOHN BRICE BUILDING I)EPAR'I~IENT TOWN OF SOUTDOI.D IIOUSING CODE INSPECTION REPORT MATTITUCK, NEW YORK (municipality) MAP NO. LOT(s) OCCUPANCY A-! (type) ADHITTED BY: JOHN DeREEDER KEY AVAILABLE SOURCE OF REQUEST: JOHN BRICE O~mER (owner-tenant) ACCONPANIED BY: SAI~ SUFF.CO. TAX NAP NO. ]000-144-03-2! DATE: 9/11/95 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION ~,~...~.._.~.LOCK & POURED CliLI.AE PARTIAL TOTAL ROOMS: mST FLR. 6 2ND FLR. - - 3RD FLR. BATIIROOM (s) ONE PORCN TYPE STORIES ONE ~ EXITS ~O TOIl. ET ROOI4 (s) DECK, 'I~/PE CRAWL SPACE DTILITY ROOM ptL~ioREAR C~lf[ PATIO & BREEZEWAY FIREPlaCE DOMESTIC HOTWATER YES TYPE HEATER TYPE NEAT OIL WAP, H AIR OTIIER: LILCO GAS GARAGE AIRCONDITIONING NOTWATER' XX ACCESSORY STRUCTURES: GARAGE· TYPE OF CONST. SWII~4ING POOL OTHER: I CAR WOOD FRAI4E STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CNAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. REMARKS: INSPECTED BY DATE OF INSPECTION SEPT. 29, 1995 TIHE START I0:00 END 10:30 ~LOG. DEPT, ~ OF SO~'T~OLD TOWS oF SOUTUOLD BUILDING D EPARTMENT~# TOWN HALL 765-[802 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: i. 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-? form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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 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. i. Certificate of Occupancy - New dweiling $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-existin~ Buildiet - $100.00 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 New Construction ........... Old Or Pre-existing Building Location of Property..Z.~..~ .............. .~...~.~ ..... .~..~..~. ......... .~...~..~...~./..~..~..~./..~ ..... House No. Street llamlet Onwer or Owners of Property~./~...~.~../~. ~ ~.2., ........... . :ount Tax No ,tooo, Snctio,.! Y ......... ........... ............ Subdivision .................................... Filed Hup ............ Lot ...................... ?trait No ................ Date Of Permit ................ Applicunt ............................. :ieaith Dept. Approval .......................... Underwriters Approval ......................... 'fanning Board Approval ........................ :lequest for: Temporary Certificate ........... Final CerticaCe ........... e~ Submitted: $. ~.~. (~ ........................ ,~..~....~~ ! Owner(s) Name(sY' do(es) hereby state: CONSENT TO INSPEC'rlON [' ~LOC, the undersigned, That the undersigned (is) (are) tile owner(s) of the premises in the Tow~ of Southold located at · x~htcn is shown and desifnated 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 Town Building Inspector's Office for the following: 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 aeem 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 rio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: '/ / 'g ture) (signature) (print name) OF .~ MAP OF SITUATED MA T TI TUCK TOWAl OF SOUTHOLD SUFFOLK CO.,Al. Y. BLDG. DEPT.