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Home My WebLink AboutZ-13892 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 PRE - EXISTING CERTIFICATE OF OCCUPANCY October 2 19 .8.5 Date ................. , ... This CERTIFIES that the Lot . A pp~..~mj)~ Dwelling Location of Property 3315 Wells Ave. Southold House # Street Hamlet County Tax Map #, Section..............070 Block................04 Lot..PP~ ....... . X .......................... Filed Map # .......... Lot # ........... Subdivision .. conforms substantially to the applicable provisions of the Zoning Code of the Town of Southold. The premises are located in the A-Residential - Agricultural Zoned District and may be used for such uses as are presently authorized by the Zoning Code in such district subject to, however, all of the requirements of the Zoning Code. The certificate is issued to .... ~AMPBELL, DORIS C. (owner, O~csacc-o~-~) of the aforesaid lot. Building Inspector Rev 1/85 BUILDING DEPART~ENT TOWN OF SOUTHOLD, N. Y. Location Subdivision Name of Owner(s) Occupancy ]2- HOUSING CODE INSPECTION REPORT (n'amber & street) (Municipality) -- Map No. ~ Lot(s) .-r(2type)~ Key available Source of request ( owner-tenant Accompanied by: Suffolk Co. Tax No. DWELLING: Total rooms, !st. F1 ~ 2nd. F1 ~- Bazhroom(s) ~--4Oo Toilet room(s) -- Porch, type._~~-~Deck, type ~. Patio, type__ Breezewa~ __ GarageO'~(-~/~ Utility room -- Type Heat~JT~a_ Warm Airo~ gi~.f3 Hotwater ~ Fireplace(s) <~) No. Eo~its-~-~- Airconditionin~ Domestic hotwatero~fLay3~ Type heater Other' -- #stories Crawl spaco_~.~..~_ 3rd. Fi ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, --Location Description ';Art. Sec. Remarks: Inspected by: mate of Insp. ~'-Z--~-~ Time ' ' start//-~o end FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings 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 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 requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of pzt~perty showing all property lines, streets, buildings and 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date. · · ~ .'~.'..~...~...~..~..~.7 .... New Building ............. Old or Pre-existing Building . <. ........ Vacant Land ............. Location of Property.. F/~.?Z ...... ·-~..&;. ((.~....~..~...~. ................ . .~..O.'..~..~..~.~,~..: House No, Street Ham/et Owner or Owners of Property - (,~.,~...J--~...~. ~ County Tax Map No. 1000 Section .... '~'7 .O. ..... Block ...~.~. ?. ........ Lot...~..~/..~.. ....... 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 $ .I.../'~.. ....................... Construction on above described building and. permit meets all applic~able codes }d regulatigns. ; ....... : ...... :..¥..:: ...... CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~'V'- /~/~t~ Z~ '~O~T~'~tr-~z_trP -. , which is shown and designated on the Suffolk County tax map as District 1000, Section O7~ , Block O ~:~ , Lot ~PO~7~ . 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: / / 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 ali 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 rio- lations of the laws, ordinances, rules or regulations .of the Town of Southold. ~ (signature) e~ (print name) (siffnature) (print name)