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Home My WebLink AboutZ-25977FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25977 Date: 09/17/98 THIS CERTIFIES that the building DWELLING Location of Property 5200 PEQUASH AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 110 Block 0003 Subdivision Filed Map No. Lot No. CUTCHOGUE (HAMLET) Lot 024 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25977 dated SEPTEMBER 17, 1998 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 ONE FAMILY DWELLING WITH ACCESSORY STORAGE SHED * The certificate is issued to FRANK W & MARION CARR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTPOLD HOUSING CODE INSPECTION REPORT LOCATION: 5200 PEOUASH AVE SUBDIVISION: NA~ OF OWNER (S): FR~ W & MARION CARR OCCUPANCY: SINGLE FAMILY ADMITTED BY: FRANK CARR KEY AVAILABLE: SOURCE OF REQUEST: CUTCHOGUE MAP NO.: __ LOT (S) -- DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: lST FLR.: 6 BATHROOM(S): 2.0 PORCP TYPE: BP~EEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL-FHA WARM AIR: OTHER: *MUD ROOM/WASPER-DRYER 2ND FLR.: O TOILET ROOM(S): ... DECK TYPE: FIP~EPLACE: YES TYPE HEATER: GAS BOTWATER: # STORIES: i,Q # EXITS: 4 CELLAR: 70% CRAWL SPACE: 3Q~ 3RD FLR.: ._% O,O UTILITY ROOM(S): YES* PATIO TYPE: CONCRETE G;~RAGE: ATTACMED 1 CAR AIRCONDITIONING: GARAGE, TYPE OF OONST.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIP. E PREVENTION & BUILDING CODE SEC. P~S: B#12066Z-COZ12207 (;%DD)RE~19207Z-COZ25974 (ALT)BP~25158ZCOZ-25976 (ADD) INSPECTED BY: -- MICHAEL J. VERITY DATE ON INSPECTION: 0S/19/95 TIME START: 10:25 END: 11:20 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. ~ - TQWN 9F S0UTH0LO 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ~{~98.. .............................. New Construction ........... Old Or Pre-existing Building...Y~ ........... A .e_n.R Location of Property...~qq . ..sA , ......................................... House No. Street Hamlet O~r or Owners of Property.. County Tax Map No 1000, Section .............. Block ................ Lot .................... Subdivision ..................... Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ....................... .. . Underwriters Approval ......................... Planning Board Approval ..................... Request for: Temporary Certificate ........... Final Certicate..y.e.s. ...... Fee Submitted: $..1.0.0...0.0. ..................... 5150 ...... CONSENT TO Frank & Marion Cart the t ld(,wsigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (liFe) the owner(s) of the premises lo the Town o[ Soutbold located at 5200 P~sh ~v~ue, ~t~e which is shown and desi~nated on the Suffolk County tax map as District 1000. Scction 1~0 , Block 3 , Lot 24 That the undersigned (bas) (have) filed, or caused to be filed, an applica- tion in the Southold Town Buildinff Inspector's Office for the folloxvi~ff: pre-C/O , call 734-6595 That the undersigned do(es) hereby give consent to the Building Iospectors of the Town of Southold to enter upon the above described pr.operty, iucluding any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including iaspectlons to determine that gaid premises comply with all,of the laws, ordinances, rules and regulatioas of the Town or Soutbold. The undersigned, in coasentlnff to such fi~spections, do(es) so with the knowledge and understandiug that any hfformatlon obtained In the conduct o[ sacb inspections hmy be used as evidence in subsequent prosecutions for lations o[ the laws, ordinances, rules or regulations of the Town of Southold. Dated: 8/5/98 ~ ~r~ ~ty, as at~moy for (print name) (sifnature) (print name) o{ SURVEY FOR FRANK C/IRR 8 MAR/ON C/IRR AT CUTCHOGUE DATE : DEC. 8,/98.p TOWN OF EO~THOLD SCALE, /" = 40' SUFFOLK COUNTY, NEW YORK ~O. 82- ~6~ ~ ..,.,o.,~ ,...,.~.,o. o......~... ~~ /5/ RIVERHEAD) NEW YORK ALDEN W. YOUN~PROFESSIONAL ENGIneER AND LAND SURVEYOR NXS. LI~NSE ~.12845 ~WARD W. YOUNO, LAND ~URVEYOR NXS. LICENSE ~. 4589S