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Home My WebLink AboutZ-23606FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO Z-23606 Date APRIL 24, 1995 THIS CERTIFIES that the building. Location of Property 1220 THIRD STREET House No. County Tax Map NO. 1000 Section 117 Subdivision ONE FAMILY DWELLING NEW SUFFOLK NY Street Hamlet Block 7 Lot 15 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--23606 dated APRIL 24, 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 A ONE FAMILY DWELLING* The certificate is issued to ROSE & AGNES BURKHARDT (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAc~D INSPECTION REPORT. Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTHOLD EOUSING CODE INSPECTION REPORT 1220 T~IRD STREET (number & street) MAP NO. ROSE & AGNES BDRKHARDT NL~ SUFFOL~ NY (municipality) LOT(s) OCCUPANCY A-I I~S. OWNER (type) (o~ner-tenant) ADMI'rrED BY: ROSE & AGNES BURKHARDT ACCOMPANIED BY: SA~ KEY AVAILABLE SUFF.CO. TAX MAP NO. {000-1{7-7-15 SOURCE OF RE~UEST: ROSE & AGNES BURKHT DATE: 4/17/95 DNELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK CELLAR TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 BATHROOM (s) ONE FuLL BATE TOILET ROOM (s) PORCH TYPE FRONT SCNEENED, REAR ENCLOSED BREEZEWAY DOMESTIC HOTNATER YES TYFE BEAT ELECTRIC PARTIAL 31{1) FLR. BECK, TYPE FIREPLACE TYPE HEATER PROPANE W~LRMAIR ~ STORIES 2 { EXITS CRAWL SPACE PARTIAL UTILITY R0(Oi PATIO GARAGE AIRCONDITIONING ROTWATER Ol'ltiiR: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. METAL SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FINE PREVENTION & BUll.DING CODE LOCATION DESCRIPTION ART. SEC. RENARKS: BP#3971-Z CO{Z3264 & BP~I7445-Z CO{Z23605 DATE OF INSPECTION APRIL 20, 1995 TIME START 9:40AM END lO:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 B~°PLICATION FOR CERTIFICATE 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 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 contairs 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and pre-exxstlng 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. Certificate of Occupancy on Pre-existing Buildinz - $100.00 Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building....~...' Location of Property..d' ~z~.g~j ' House No~.~.~. '~'~' Street Hamlet Onwer or Owners of Property.. ~$g ~. ~]~. ~...~. County Tax Map No 1000, Section.~./. ....... Block ...... Lot.. ..... 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: $ ....... . ...................... "~'~ "~ "' ' APPLICANT OwneMs) Name(s) do(es) hereby state: INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town , which is shoxm and designated on the Suffolk County tax map as District 1000, Section //7 , Block / . Lot /,5' That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector's Office for the follow.g: 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 inspe:ztions to determine that said premises comply with all,of the laws, ordinances, rules and regulations of the Town cf 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: (signature) "e (print name) ,'~/' ~ ' ~i~ature) ~ (print n~me)