The URL can be used to link to this page

Home My WebLink AboutZ-24795FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. EXISTING ~RTIFICATE OF OCCUPANCY No 5-24795 Date DECEMBER 12, 1996 THIS CERTIFIES that the buildin~ Location of Property 4585 PEQUASH AVE. House No. County Tax Map No. 1000 Section 137 Subdivision O~ FAMILY DWF~LLING cuTCHOGUE, N.Y. Block 4 Filed Map No. Street Hamlet Lot 5.2 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-24795 dated DEC~B~ 12, 1996 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 OME FAMILY DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr~ASE SEE ATTAu~O INSPECTION REPORT. JAMES & JOHANNA CANCRO N/A N/A Rev. 1/81 LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 4585 PEQUASH AVE. CUTCHOGUE, N.Y. (number & street) (municipality) SUBDIVISION NAME OF OWNER (s) HAP NO. JAI~S J. CANCRO & LOT(s) OCCUPANCY A-{ I~SIDENTIAL OWNER (type) (owner-tenant) ADMITTED BY: JOBAMA CAMCRO ACCOHPANIED BY: KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000--137-4-5.2 SOURCE OF REQUEST: PAUL CAMINITI., ATTY DATE:NOV. 21, 1996 DI4ELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DONESTIC HOTHATER TYPE HEAT OIL OTHER: WOOD FILAME { STORIES I-I/2 # EXITS 3 CEI~NT BLOCK CELLAR PARTIAL CRAWL SPACE IST FLR. 4 2ND FLR-LOFT ~OFULL B4THS TOILET ROOM (s) DECK· TYPE FIREPLACE~ TYPE HEATER LILCO GAS WARM AIR UTILITY ROOM RE4RWOOD PATIO GARAGE AIRCONDITIONING NOTWATER STEAl{ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIllING POOL OTHER: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP. M FIRE. PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~13578-C0 Z-13730, BP {14582Z-COZ-17402 & BP ~20604Z - CO Z-2267~ INSPECTED BY ~~ ~ DATE OF INSPECTION DEC' 5, 1996 - G~/'~ISH / TIME START lo:m5 END 10:30 TOWN OF SOUTIIOI,D DAU, g t 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY '['hJs application must be filled in by typewriter OR ink and submitted to the building Inspector with the following: for new building or new use: I. Fiual survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Flea1 Approval from Health Dept. of water supply and sewerage-disposaL(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/IO of 1% lead. 5. Commercial buildiqg, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the b,ilding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnitdi,gs aad "pre-existing" land uses: 1. Accurate survey of property showing all property Jlnes, streets, building and unusuaJ satural or topographic features. 2. A properly completed appltcatiou and a conseut to inspect signed by the applicaut. ]fa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor i.n writing to the app]tcaut. C. Fees I. Certificate of Occupancy - New dwell, isg $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.O0, Accessory bull. ding $25.OD, ~--~l~{~t-~.ong_kD ac~e~s.~.r~v__~butiding ~ Businesses $50.~ · Cer[lficate of Occupanc~ o~Buildln~ ~'~l()O.O~ 3. Copy of Cert~ of Occupancy - .25¢ l,. Updated Certificate of Occupa.cy - ~50.O0 5. Temporary Certificate of Occupn.cy - Reside.rial $15.(10, Commercial $15.OO New C~st-~ ctiou ............ . OJd orkgre~xJ~i,g BuiJding..~ ............ ], ~ llouse No. Street ltam].et Onwer or Owners or ~'o-ert',, I~% ~O~q~'~ ~e~ ,0o0, 157 ................................. I~et-m:Lt No ................ Date Of Permit ................ AppJtcaut ............................. Ilealtb l)ept. Approval .......................... Underwriters Approval ......................... Planniug Board Approval ......................... Request for: Temporary Certificate ........... Fi~icate / / 'ee ............. ~ APPI,I CANT LOT I~ ~ l-J. ~T'~IS' OC)" ~'. CONSENT TO INSPECTION Ca cg . the undcr. i ed. Ovmer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of thc premises in the To~m , which is shox~ and designated on the Suffolk County tax map as District 1000, Section ~ ~, Block~ , Lot ~, ~., That the undersigned (has) (have) filed, or ~aused to be filed, an applica- tion. in the Southeld To~m Building Inspector's Office for the follow,g: That the unders~ned do(es) hereby give consent to the Build~g Inspectors of ~e 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 necessarx with respect to the aforesaid application, ~clud~ inspections to determine that said premises comply with all,o~ the laws. ordinances, rules and regulations of the Town of Southold. The undersigned, in consentin~ to such ~spections, do(es) so ~th the knowled[e and understanding that an~ ~[ormation obtained in the conduct of such inspections ma~ be used aa evidence in subsequent p~osecutions lation~ of the laws, ordinances, rules or ~e~lat~o[ the Town of Southold. .~(siauaturel. (print name) ~ (signature) (print name)