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Home My WebLink AboutZ-24831FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24831 Date JANUARY 9, 1997 THIS CERTIFIES that the building. Location of Property 1045 KOKE DRIVE House NO. County Tax Map NO. 1000 Section 87 Subdivision ONE FAMILY DWELLING SOUTHOLD, N.Y. Street Hamlet Block 5 Lot 16 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-24831 dated JANUARY 9~ 1997 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 DW~.ING WITH ACCESSORY GARAGE * The certificate is issued to MARY ~.~MENS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION NEPORT~ Rev. 1/81 N/A N/A Building InspeCt o/ BD II,DING I)EPAR'I?4ENT TO%4N DP $OIFFIIOI.D IlOUS1 HG CODE INSPECTION REPORT SOo'I't:tOLD, N.Y. (~nunicipal ity) 1.OT(s) OCCIIPANCY SINGLE FAMILY ...... ~C~.y~ ....................... ~,3;F-- t ~%~ AI)HITTED BY: DAI/E GAROFALO ACCOMPANIED BY: REV AVAIl,ABLE SDFF.CD. 'fAX HAP NO. 1000-87-5-16 SOURCE OF REQUEST: ........ MARY CI~__.~S_ ..................... DATE: DEC. 2, 1996 I)~4EI,I. I NG: TYI'F. OF CONS'FRDCTION ~/OOD FRAI~ ~ STORIES FOUNDATION BRICK & BLOCK CEI.I.AR PART CRAWL SPACE TOTAL ROOMS: IST FI,R. 4 2ND FLR. 3 3RD FLR. BATIIROOM (.~) Ol'~m'{~ TOILET ROOM (~) ON]~ UTILITY ROOH PORCI1 TYPE SIDE ENCLOSED~ SIDE COVERED_ DECK, TYPE PATIO BREEZEWAY FIREPLACE _2_ ..... GARAGE 2 t EX]ITS 3 DOMESTIC [IOI~4ATER XX TYPE REATER OIL AIRCONI)ITIONING TYPE IIEAT OIL WARM AIR II()T~ATER STEAM OTIIER: ACCESSORY STRUCTURES: GARACE, TYPE OF CONS'F.______~_ C~ ~OOD STORAGE, TYPE CONS'F.. ................. S~4IMH1NG POOl. , C, DEST, TYPE CONST. OTIIEE: VIOLAT£ONS: CDAPTER 65 N.Y. STATE DNIFORM FIRE PREVENTION & BU[I.I)ING CODE LOCATION DESCRIPTION ART. SEC. OHN H. BOUFIS // rmNE StARt 10'05 AM ENO 10 30 A, DEC 13 Form No. 6 TOWN OF SOUTHOLD 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: ]. Final survey of property witb 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/I0 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 tbe reasons therefor in writing to the applicant. i. 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-existin~ Buildins - $100.00 3. Copy of Certificate of Occupancy - .25¢ 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building...~ ............ l'ro~er~ 7630 Main Bavview Road .$Q~hO%~ ............. House No. Street Hamlet Onwer or Owners of Property.. . Mary.. Clemens County Tax Map No 1000, Section..~.~ ......... Block ...... ~ ......... Lot ....... ~.~ ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. tlealtb Dept. Approval .......................... Underwriters Approval ......................... Plamning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate,...X ....... Fee Su b m itt ed: $..1.0.0.: .0.0 ..................... '~ ~Y~q~, ~..~ary ~emens bYAPPLiUANT Joan Cl~e~s Davis . 5 :o ,:/ / ............................ ":: ............ :' ~ ['/~ '~ ~8 3 I Attorney-in-Fact 3 CONSLN l TO INSPECTION MARY CLEMENS , the undersigned, Owner(~ Name(~) do(es) hereby state: That the undersigned (is) ~ the owner,s) of the premises in the Town of Southold located at 7630 Main Bayview Road, Southold, New York · which is shown and desianated on the Suffolk County tax map as District 1000. Section 87 , Block 5 , Lot 16 That the undersigned (has) ~ filed, or caused to be filed, an applica~ tion in the Southold Totem Building Inspector's Office for the following: Certificate of Occupancy. on Pre-existing building. That the undersigned do(es) hereby give consent to the Building Inspectors of tile Town of Southold to enter upon the above described property, iucluding 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 h~spections, 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 vio- lations of the laws, ordinances, rules or regulations of Jhe Town of Southold. x,~ (signature) Mary Clemens by Joan Clemens Davis Attorney- in-Fact (print name) (sianature) (print name)