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Home My WebLink AboutZ-16154FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16154 THIS CERTIFIES that the building . 51 a e..f.a n~ ~_ ~[ y.. t~ v ~.1.1. i..n g ........................ Location of Property 45400 Main Road Peconic h36s Ho: ........................................................ Street Hamlet County Tax Map No. 1000 Section . . .7 .5 ........ Block .... .6 .......... Lot 10 Subdivision ............................... Filed Map No ......... Lot No .............. Rea.uirements for a pyivateone family dwelling built prior conforms substantially to the Alpt6KgYaZi~t~ll~flll~&~lPl~]tfltlil[lhl~;~l~eXffil~eX][~l~l[i[~ Certificate of Occupancy .... A. p .r.i.1.. 2..3.,.. [ 9..5.7. p ursua ntt o which 1gl~il~ilt~[ l~[~h~It No. Z16154 dated ...S.c.p..t .e.m.b.e..r..1.4. ,...1.9.8. 7. .... 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 ......... .... 0..n.c..family dwelling, 2 accessory wood garages. The certificate is issued to ARMANDO CAPPA ..................... ?oYn' ; ..................... of the aforesaid building. Suffolk County Department of Health Approval N../.A ............. UNDERWRITERS CERTIFICATE NO.. N/A PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT ATTACHED Building Inspector to Rev. 1/81 BUILDI~:G DEPARTttENT TO%'fN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 45400 MAIN ROAD (number & streeT) Subdivision SOUTHOLD, N.Y. ~ap No. (Municipality) Lot(s) Name of Owner(s) ARMANDO CAPPA Occupancy R-l (type) A~mitted by:.~S. KWASZZIK Key available owner (owner-tenant) Accompanied by: SAME Suffolk Co. Tax No. 75-6-]0 Source of request ARMANDO CAPPA Date Sept.8, ]987 D~,'~LLIMG: Type of construction Foundation brick Total rooms, 1st. F1 Bathroom(s) I Porch, typq WOOD wood #stories 3 Cellar Full Crawl space 5 2nd. F1 4 .3rd. F1 Toilet room(s) Deck, type Patio, type Breezewa~ Type HeatOIL FIRED Fireplace(s), Domestic hotwater Other PANTRY Garagq Utility room xx 'Warm Air Hotwater xx No. ~xits Airconditioning Yes ~ype heater GAS XX ACCESSORY STRUCTURES: Garage, type const.2 CAR WOOD Swimming pool Other GARAGE ~%~, type const. Guest, type const. 2 car wood ~IOLATIONS: Location Descriotion I Art. f Sec. HAS A SMOKE DETECTOR 2ND FLOOR I ,UTSIDE both 2 CAR WOOD GARAGES NEED REPAIRTNC. CH ~ Housi~ t Maintena~ Housing Code, Chapter 45 N.Y. St~t¢.~iform Fire Prevention Remarks: Inspected by:~Date of Insp. 9/]0/87 CURTIS W. HORTON -Time startl0:00 end ]0:30 a.m. FORM NO. 6 TOWN OF $OUTHOLD 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, 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 property 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. C, Fees: Additions $25.00 1. Certificate of Occupancy New Dwelling $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..S~..~.-..~¥).~.~ ..... NewC°nstruction ...... Old or Pre-existing Building v/ Vacant Land Location of Property .. ~ ~..L~.~ .Q ........ J Q~. House No. Street Ham/et Owner or Owners of Property ..~ 6k. Y~%~t.t~;. ~ Q....(~. ~ .~{'~.~ ............................ County Tax Map No. 1000 Section ..... '1..~ ....... Block .... ~, .......... Lot .... 1.O. ....... '.. 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 $..~p...o.O. ..................... Construction on above described bui~permit meets all appl~/_9~ ~'ons. ql, vlt7 CONSENT TO INSPECTION ~ ~ ~ ~n ~D~ . . the undersigned. ' '' O~er(s) Name(s~ ~ do(es) hereby state: That the unders~ned (is) (are) the owner(s) of the premises ~ the To~ of Southoldlocatedat ~ ~ ~0 ~~ ~.Co~e~ . which is shox~ and designated on the Suffolk County tax map as District 1000. Section q ~ . Block ~ . Lot ]O · That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: __ 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 undersigned, in consenting to such inspections, do(es) so ~vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for v~o- lations of the laws. ordinances, rules regulations of the Town of Southold. or Dated:SiP 0 8 1987 ' (signature) (print name)