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Home My WebLink AboutZ-20799FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20799 Date JUNE 18~ 1992 THIS CERTIFIES that the building Location of Property 4505 ALVAHS LANE House No. County Tax Map No. 1000 Section 101 Subdivision ONE FAMILY DWELLING Street Block 2 Filed Map No. CUTCHOGUE{ N.Y. Hamlet Lot 23 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-20799 dated JUNE 18~ 1992 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~J~.INGWITM ACCESSORY GARAGE & STORAGE SHED * 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. Rev. 1/81 ESTATE OF MARY E. BURNS N/A N/A Location BUILDIi,~C DEP."~%Ti.~,UT T0'.'S,I OF SOUTIIOLD, N. Y. HOUSING CODE INSPECTION REPORT 4505 ALVAHS LANE CUTCHO~UE, NEW YOBK ~numoer & streeT) Subdivision ([.[unzcipa±£ty) Flap No. Lot(s) Ne~me of Owner(s) NARY g. B~S ESTATE Occupancy A~mitted by: ONE FAMILY (type) PEC~"f COPIUS ( vAcAR~ ) (own er- Accompanied by: Key available Suffolk Co. Tax No. 1000-101-2-23 Source of request RI~RAP. D F. LAR~, 'ATTY Date JUNE 8, 1992 DI',~LLI~[G: Type of construction Foundation MASONRY Total rooms, 1st. FI F~ Cellar BRICK 5 2nd. F1 2 #stories PART 2 Crawl space ~ _,~ ~ .3rd. FI Bathroom(s) 2 Porch, tfpe Breezeway _ - - ~e~N~~ glaCTRIC Fireplace(s) - - Domestic hotwater Other I UNI{E4~TED 2 - I OPEN Deck, type. Garage. - - Warm Air - - No. ~cits BA~ KITCItKN Toilet room(s) ~ype heater Patio, type Utility room -- Hotwat er - - Airconditioning ELECTRIC CEmeNT ACCESSORY STRUCTURES: Garage, type const. Swim, ming pool 0 ~ner Storage, type const.F~ Guest, type const. VIOLATIONS: Location .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Description I Art. I Sec. Remarks: by: D~~te of Insp. ~ 17, Inspected ~992 · Time start 10:20 end 10:40 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, end submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ell buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirement1 where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings end unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling.$25.O0, Accessory ;$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 3. Copy of certificate of occupancy $ .5.00~ 5 o. O0 over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date .... J..u.n.e..8. ,..1.9.9..2 ........ Newc°nStructi°n ...... Old or Pre-existing Buildi,g ...X. ........ Vacant Land ............. 4505 Alvahs ~.ane Cutchogue Location of Property ................................................................... House No. Street Hamlet Owner or Owners of Property ...... .M.a, r. ~..E.....B.u.r.n..s ...................................... County Tax Map No. 10OOSection Z01.00 Block 02.00 ........ Lot.. 023.000 Subdivision ................................. Filed Map No ............ Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... ~ ................ Fee Submitted $..1 Q.0;~ 0. (~ ..................... Construction on above described building and perrg~r~,eets aI,Lal~plicabJe codes end regulations. Apphcant' . i?...~'_, '_~._~. ~?~.....~. .......................... icTlard F. L~rk~, attorney for the Estate R~.t0.10-Ts of Mary E. Burns CONSENT TO INSPECTION MARY E. BURNS, by Richard F. ,Lark, attorney , the undersigned, Owner(~[) Name(]{) do(es) hereby state: the Attorney for the E.st~ate..of Mary. E. Burns That the undersigned (is) ~ the owner,s0 of the premises in the Town of Southold located at 4505 Alvahs Lane, Cutchog.ue~' New York , which Is shown and designated on the Suffolk County tax map as District 1000, Section 101.05 Block 02.00, Lot 02.3.00~ That the undersigned (has) (tm~x~kfiled, 'or caused to be filed, an applica- tion in the Sou[hold Town Building Inspector's Office for the following'. __ Certificate of Occupancy.on pre-existing dwelling. 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 unde.rsigned, 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: JUne 8. 1992 - /~/ (ztgnatu f~e) Richard F. Lark (print name) (signature) ' (prin~ name) $ 34~/7' 53 "£ 16 7 5 '-5 /! ,rd 40" Ip. 8 43 ^,/£ b'RO.$COSK/, (n$S/O)'~ VI1L IEN T DESCfiYR~-D PROPERTY CU?-UHOGU£', TOWN OF $OUTHOIO SUFFOtK COUNTY, IVY