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HomeMy WebLinkAboutZ-20578FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20578 Date MARCH 9, 1992 THIS CERTIFIES that the building. Location of Property 1335 HOBART ROAD House No. County Tax Map No. 1000 Section 64 Subdivision ONE FAMILY D~LLING Street Block 2 Filed Map No. SOUTHOLDr N.Y. Hamlet Lot 10 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-20578 dated MARCH 9~ 1992 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY ONE CAR WOOD FRAME GARAGE* The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 PAUL A. & SHIRLEY CAMINITI N/A N/A N/A ~ /~il~ing Inspector Location BUiLDii:C DEP:?Ji'iiiiT T0'.',~[ OF SOUTHOLD, N. Y. HOUSI;:G CODE IiiSFECTI0;'I REPORT 1335 HOBART BOAD SOUTHOLH, N.Y. Subdivision b[ap Li.iun!clpa±ity) Name o£ Owner(s) PAUL A. & SHIRLEY cAMINITI Occupancy A-I ~S. OWNER owner- ce~ail-c ) Ad.mitred by: PAUL CAMINITI Key available Accomp~nied by: SA~ Suffolk Co. Talc No. 64-2-10 Source of request PAUL CAMINITI - Date FEB. 24, 1992 ,Ty~e of construction BRICK ,~ · ' ~storles Foumdation CONCR~T~ Cellar PARTIAL Crawl space Total rooms, 1st. FI S 2nd. Fi ~rd. FI Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type Breezeway_ Garage Utility room Type Heat OIL Warm Air Hotwater xx F__ eplace(s) ONE No. F2~its 3 Airconditioning Domestic hotwater Y~S .Type heater OFF BOILER Other FLAGSTONE Garage, type const. Swir~ming pool Other I CAR WOOD FRA~orage, type const. Guest, type const. V_iOLAT!OMS: _~Location .CI~PTER 45--N.Y. STATE UNIFOR~ FII~ PREVENTION & BUILDING CODE Description I-A~rt.I Sec. I I I I - I I I Remarcs: BP ~7360,~O Z-6108 , BP #20470-Z C0 Z-20577 " Inspected by~ Date of Insp. MARCH 2, 1992 ~J./FISH · Time start 9:00 end 9:30 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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 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. For existing buildings (prior to April 9, 1957) non-conforming 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. Business~ 2. Certificate of Occupancy on Pre-existing Buildia~~~ 3. Copy of Certificate of Occupancy - $5.00 over 5 ye.~.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date f.~. ~ ~:~. ~ ~ ~ ~"~ New Construction ........... Old Or Pre-existing Building.~.. ............ Location of Property ................................................. ~ ................ House No. Street Hamlet Onwer or Owners of Property ............. ] ~ {~t~ ~ a~t~ ~r~ ......................................... County Tax Map No 1000, Section. ~ ~ '. .Block.. ~ .Lot .... [~ ....................... Permit No ................ Date Of Permit .............. .. Applicant ........................... .. Health Dept Approval ....... Underwriters Approval ...................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .......... ?ee Submitted: $ . .~11~ ..................... 3q5 ...................... CONSF.?~'T TO INS PEC'FION do(es) hereby state: . thr~ undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Torts _, . S0~ ~ . which is shown and designated on the Su£folk ' County tax map as District 1000, Section ~ - I31ock ~'~ , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Tox~m Buildiny 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 an5' and all buildings located thereon, to conduct such inspections as they may deem necessary xvith respect to the aforesaid application, inc!udin~ inspections to deter,nine that said premises comply with all of the laws; ordinances, rules and re,~utations of the Town cf Southold. The undersigned, in COnsenting to such inspections, do(es) so with tire knowledffe and understanding, that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations/~h~Town of Southold. (priut ne:ne) (print name) F/tl~ No. .J Lot 0 ~ot ~6 NO ~-£ : · = MONUMENT SU~DIVI$10N MAP FIL~O IN ~ CL~K O~ SUP~OLK COUNKY ON M~YIO~ 19~?&~ MAP ~. N£VI$1ON$ YOUNG ~ YOUNG ~LD~N ~ YOUN~ NO~D ~ Y~N~ ~OP~ION~L ~N~IN~R ~NO LAND ~URV~YOR L AND ~U~YORt N SUrVeY FOR PAUL A. CAMINITI ~ SHIRLEY CAMINITI HAL F OF LOT I~ ~ LO T 15, "FOUNDERS ESTATES" r~a o~ SOUTHO~ rtr~, t*SUR~NC~ CO. SUF co,