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HomeMy WebLinkAboutZ-20383FOP~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20383 Date NOVEMBER 29~ 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 145 PARKWAY & 3250 PINE NECK RD. SOUTOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 12 Lot 1 Subdivision Filed Map No. 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-20383 dated NOVEMBER 29~ 1991 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 ATTACHED GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. CENTRAL FEDERAL SAVINGS BANK N/A N/A N/A J /ui l'din-~ Inspector Rev. 1/81 Location UI~DIi,u DEP:Z%T:-~NT T0~,'~%I OF SOUTItOLD, N. Y. HOUoL~G CODE IHSPECTION Rm, ORT ]45 PARKWAY & 3250 PINK NECK RD. SOUTHOLD, N.Y. [numuer ~ street) Subdivision Map No. ([4unzcipaiity) 2141 Lot(s) 33 Name of Owner(s) CENTRAL FEDERAL SAVINGS BANK Occupancy Ad,mitt ed by: ONE FAMILY DI,1KLLING ~ype) RENZO TENANT [owner-venan~) Accompanied by: Key available Suffolk Co. Tax No. 70-12-1 Source of request RENZO SINEONE Date NOV. 13, 1991 D~'~LLI~: Type of construction Foundation NASONKRY Total rooms, 1st. F1 Bathroom(s) 1 Porch, type Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other ~m~ #stories Cellar PART Crawl space..PART 4 2nd. Fi -- 3rd. FI -- Toilet room(s) Deck, type. Patio, type Garage ATTAC~__NE.D-1-1/2Utility room Warm Air Hotwater xx No. E~its 2 Airconditioning. xx Type heater ELECTRIC ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: _Location ~II~RIOR .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Description I Art. I Sec. Ex'r~.aIOR REQUIRES NAINTENANCE I 1242.5 (e) Remarks Date of Insp. Nov. 29, 1991 · Time start 11:35 end r1:55 Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 I% 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. i~. 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 ............................ ..ew Construction ..... Old Or Pr xi ti B ilding ~ Location of Property ..... .~, .~. ~-f~ ~< ~3 f~% ~ oO rt~-O& ~ House No. Street ............................. Onwer or Owners of Property..~ ........ County Tax Map No 1000, Section...2.O. ....... Block .... /...~. ........ Lot ..... ./ ..... '3ubdivision. ~©C/T~3OOp ~_/ ~ ! ~ ........ Filed Map Lot. Permit No ........ . .Date Of Permit ................ Applicant ............................ !lealth Dept. Approval ....................... · .. Underwriters Approval .............. Planning Board Approval ........................ f{equest for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. Owner(s) Name(s) CONSENT TO INS i°ECTION . the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Tovrn of Southold located at __ ~ %~ F~-t~o f+~ __, which is shoran and designated on the Suffolk County tax map as District 1000, Section 7~9 . Block /Z Lot That the undersigned (has) (bare) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector,s Office for the following: Dated: 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 xvith respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws; ordinances, rules and re,~ulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so w/th the knowledge and understanding that any information obtained in the Conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ~ (signature) (print name) (siRnnture) (print nan]e) ptNF-.. 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