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Home My WebLink AboutZ-22243FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22243 Date APRIL 6~ 1993 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 3693 PINE NECK ROAD SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 25 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-22243 dated APRIL 6~ 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~I.LING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. RUDOLPH H. & VIRGINIA BRUER Building -Inspector Rev. 1/81 LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 3693 PINE NECK ROAD SOUTItOLD, N.Y. (number & street) SUBDIVISION HAP NO. N/h~E OF OWNER (s) RUDOLPH & VIRGINIA BRUER (municipality LOT (s) OCCUPANCY A-I RES. O~rNER (type) ADMI'n'~D BY: VIRGINIA BRUER K~Y AVAILABLE SOURCE OF REQUEST: RUDOLPH H. BRUER (owner-tenant) ACCOMPANIED BY: SAME SUFF. CO. TAX MAP NO. 1000-70-6-25 DATE: APRIL I, 1993 DNELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. 5 BATHROOM (s) 2 FULL BATHS PORCR TYPE BREEZEWAY DOHESTIC Ho'rWATER xx TYPE HEAT OIL OTHER: WOOD FRAME CEMENT BLOCK · ~ STORIES ONE # EXITS ONE CELLAR FULL CRANL SPACE - - 2ND FLR. 3RD FLR. TOILET ROOM (s) . UTILITY ROOM DECK· TYPE PATIO, TYPE REMOVED FIREPLACE ONE GARAGE RENOVATED TYPE HEATER OIL AIRCONDITIONING WARM AIR HOTWATER ACCESSORY STRUCTURES: GARAGE, 'I~PE OF CONST. SWIMMING POOL OTHER: STEPS TO THE CREEK STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #IIS06Z-CO Z-11062 (ADD) BP #11604Z-CO Z-I1662 (POOL) GARY/J¢ FISH DATE ON INSPECTION APRIL 5, 1993 TIME START 9:25 END 9:40 INSPECTED BY: Form No. 6 TOWN OF SOUTIIOLD BUILDINC DEPARTMENT TOWN I~LL 765-1802 APPLICATION FOR CERTIFICATE OFiOCCUPANCY This application must be filled in by typewriter OR ~nk 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 C~pliance from archiuect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or bd'ildings and "pre-existing" land uses: ~ ~ 1. A~_~ccurate survey o~f property__showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicat~9n and a consent to inspect signed by the applicant. If a Certificate of Oc~n~ is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Bu%ldJn~ - $100.00 3. Copy of Certificate of OccupanCy 2 $5.00 over 5 years - $10.00 4. Updated Certificate of Occuphncy - $50.00 5. Temporary Certificate of Occupancy - Residential $15,.00, Commercial $15.O0 ato ... ........................ - NewC°nstruction ...... Old or Pre-existing Building / Vacant Land CounW Tax Map No. 1000 Secdon ...~.~.~'. ...... Block .. ~.~.. ........ Lot..~2~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Oept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~' .Pranning Board Ap0roval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted S . . ~..O.Q...q.c? ................. Construction on above described building and..la~-'~eets all.applical~le codes and regulations. .......................... CONSENT TO INSPECTION 'Owner(s) Name(s)~ ~ do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~J 0 ~' ~/ru~ ~j {~ ~o~ ,, ~D~c~d · which is sho~ and designated on the Suffolk County tax map as District 1000· Section '70 , Block ~ , Lot ~S 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 deem necessary xvith respect to the aferesaid 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 vio- lations of the laws, ordinances· rules or regulations of the Town of Southold. ~ (signatui'e) (print name) (signature) (print name) i'dAP OF PFiOPEf2T'Y ' i~UDOLPPt BI2U EIb_ 50~T HOL~ TOWN or ?¢2UTH?~-~_P, ~ F4ODEF21CE. ',/AN 'FUYL. RC.