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,