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Home My WebLink AboutZ-22247FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22247 Date APRIL 8~ 1993 THIS CERTIFIES that the building. Location of Property 940 RUCH LANE House No. County Tax Map No. 1000 Section 52 Subdivision ONE FAMILY DW~Lr. ING GRRk~PORT~ N.Y. Street Block 2 Lot Filed Map No. Lot No. Hamlet 32.1 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22247 dated APRIL 8~ 1993 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 DW~.LLING * The certificate is issued to EIL~N L. BROWN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ~pector Rev. 1/81 BUILDING DEPARTHENT TOi4N OF SOOTHOLD LOCATION: SUBDIVISION HAME OF OWNER (s) HOUSING CODE INSPECTION REPORT 940 RUCHLAHE (number & street) GREEN[q3RT, N.Y. (munlcipatiry NO. LOT (s) EILEEN BROI~N OCCUPANCY A-I I~S. (type) (owner-tenant) dDMl'rl-~D BY:. EILEEN BROWN KEY AVAILABLE ' SOURCE OF REQUEST: EILEEN L. BROWN ACCOHPANIED BY: SAME SUFF. CO. TAX MAP NO. 52-2-32.1 DATE: APRIL I, 1993 D~/ELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: mST FLR. 4 BATHROOM (s) WOOD FRA}~ [ STORIES ONE ~ EXITS 2 CELLAR FULL CRAWL SPACg 3RD FLR. ONE FULL BATH TOILET ROOM (s) UTILITY ROOM PORCH TYPE SCREEN PORCH (FROIfI~ECK, TYPE BREEZE~/AY FIREPLACE ONE DOI~STIC HOT~ATER XX TYPE HEA~ER LILCO TYPE HEAT OIL WARM AIR XX O'l'ltl~R: PATIO, TYPE GARAGE AIRCONDITIONING HOT~/ATER ACCESSORY STRUCToKES: GARAGE, TYPE OF CONST. S{dII'4HING POOL OT{i~;R: FLAG POLE NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: ~ DATE ON INSPECTION APRIL 6, 1993 TINE START 9:25 ENE 9:45 TOWN OF souTHoLD [993 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 2½10 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-~onforming 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 $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . z~ ~ . . New Construction ........ Old Or Pre-ex~isting Building.iI~z/. ..... i '~' H~aa ~et~' Location of Pro er~~ ~ ~ '' House No. Street Onwer or Owners of Property ....... ...Y...':.....%O. .......................... County Tax Map No 1000, Section .... ~.~ ...... Block...~ ........... Lot..~f.~ ............... Subdivision ...................................· Filed Map ............ Lot ................. ... . . Permit No ............... · Date Of Permit ............ .... Applicant ...................... ... . .. . Health Dept. Approval ....................... ... Underwriters Approval ....................... . . Planning Board Approval ........................ Request for: Temporary Certificate ....... Final Certicate ........ Fee Submitted:~ ~$ ............................. . ~ ~ ~~ ?'5.0 Owner(s) CONSENT TO INSPECTION Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~ ~-,o- ~.~ o~ ~,, · 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 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 ail buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aferesaid application, including inspections to determine that said premises comply with ail 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 4if! %gnatC~u~ e)~ (print name) (signature) (print name)