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Home My WebLink AboutZ-19380FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19380 Date SEPTEMBER 24r 1990 THIS CERTIFIES that the buildin~ Location of Property 685 TRACK AVENUE CUTCHOGUE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section I37 Block I Lot 22 Subdivision Filed Map No. Lot No. FAMILY DWF3.T.ING conforms substantially to the requirements for a Private One Family dwelling built priot to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. ~Z-19380 dated SEPTEMBER 24~ 1990 was issued, and conforms to all of the requiren~nts of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY D~RTJ.ING WITH ATTACHED 1 CAR GARAGE * The certificate is issued to FRANK BRUSH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PIF_ASE SEE ATTACHED INSPECTION REPORT. ~/A / ~uilding Inspector Rev. 1/81 Location Subdivision N~me of Owner(s) FRANK BRUSB I BUILDI~ DEPART:,~NT -. T0';~I OF SOUTHOLD, N. Y. HOUSI~G CODE IHSPECTION REPORT 685 T~ACKA~E. ~numoer ~ s~ree~) Map No, N.Y. (Piunzcipali~y; Lot(s) Occupancy A~mitted by: A-I (type) PEARL SCHOEDEL Key ~vailable OWNER ( own er- = enan~ ~ Accompanied by: SA~E Suffolk Co. Tax No. 137-1-22 Source of request D%'fEV~LI~: Type of construction Foundation PAUL A. CAHINITI WOOD FRA~ Cellar tULL Date SEPT. 13, 1990 Total rooms, Bat~hroom(s) Porch, type Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other 1st. FI #sTories ~NE Crawl space 6 2nd. F1 ~rd. F1 Toilet room(s) Deck, type Patio, type Garage ATTAu~O ! CA, Utility room *Warm Air .Hotwater No. ~¢its ONE Airconditioning ~ype heater soc~ 6CCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. V~IOLAT!0NS: .C~"TER 45--N.Y. STATE mtIFO~N FIRE PREVENTION & BUILDINC CODE I - _Location Description J-Art.] Sec. -. j Remarks: BP ~3034z - CO Z-2572 for A~DITION 4 ~ Date of SEPT. 20, ]990 Inspected by: I~ .... -Time startInsP'9:30 end 9:55 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 t APPLICATION FORCERTIFICATE 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 l~-es, streets, and unusual natural or topographic features. Z. 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 conta/ns ~ less than 2/10 of 1% lead. ,- 5. Commercial building, indus, trial building, multiple residences and s/milar 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: , I. Accurate survey of property showing all property lines, streets, building a~d 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 - $100.00 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 September 13, 1990 New Construction Old Or Pre ............ existing Building 685 Track Avenue Cutcho~ue New York Location of Property .............................. . ......... ~ ................................ House No. Street Hamlet Onwer or Owners of Propert .~6~.~.~USH County Tax Map No 1000, Section .... ~% ...... Block..l ............. Lot .... ~ ............... Subdivision Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept Approval Underwriters Approval Planning Board Approval '!'" Request for: Temporary Certificate .......... Final Certi.. CONSENT TO INSPECTION PAUL A. CAMi~ITI for Frank ~US~ the undersigned, O%vner (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 685 Track Avenue, Cutchogue · which is sho%wn and desifnated on the Suffolk County tax map as District 1000, Section 1237 · Block 1 , Lot 22 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: __ pre existing certificate of occupancy 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 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 vio- lations of the laws, ordinances, rules or regulations of~~f Southold. * Please contact Gert at . Marilyn Lang's office for access 734-6472 (print name) (signature) (print name) C u-rc~4oGt~