HomeMy WebLinkAboutZ-24439FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
~TIFICATE OF OCCUPANCY
No Z-24439 Date JUNE 19~ 1996
THIS CERTIFIES that the building
Location of Property 280 RUCH LANE
House No. Street
County Tax Map No. 1000 Section 52 Block 2
Subdivision Filed Map No.
STRUCTURE
GRMENPORT, N. Y.
Hamlet
Lot 21.1
Lot No.
conforms substantially to the Requirements for a Structure built prior
to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24439 dated JD~RE 19, 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 NON-~ABITABLE ~OAT HOUSE *
The certificate is issued to STEPREN COKINOB
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAC~ED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
BUILDING I)EPAR'I~ENI'
TOWN OF SOUTtlOI,D
IIOUSING CODE INSPECTION REPORT
I.O(iA'F1ON: 280 RUCH L~ GREENPORT, N.Y.
...... (number-& str~)' ...............
SUBI)IVISION HAl' NO. LOT(s)
NAME OF OWNER (s) STEPHEN COKINOS
OCCUPANCY NON-HABI'fABLE BOAT HOUSE
(type) ...............
AUM[TTEI) BY: ACCOHPANIEU BY: SELF
KEY AVAILABLE
SOIJRCE OF REQUESI':
SUFF.CO. TAX HAP NO. 1000-52- -2L~]~.{
PAUL HEFFERNAN DATE: Jl~ 12, 1996
DI~EI,LING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAl. ROOI~S:
BATU ROOI4 (s)
PORCIt TYPE
BREEZEWAY
DOt4EST IC HOI~/ATER
'tYPE IIEAT
OTHER:
I ST FLR.
STORIES
{ EXITS
CEI.I.AR CRAWL SPACE
2ND FLR. 3RD FI.R.
TOILET ROOH (s) UTILITY ROOH
BECK, TYPE PATIO
F I REP1.ACE GARAGE
TYPE MEAI'ER .............. AIRCONDIT1ONING
WARH AIR .............. I{O'I~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIHMING POOl.
OTIIER:
· GUEST, TYPE CONST.
~Z~~~~~~~~~~
VIO1,ATIONS: CUAPTER 45 N.Y. STATE IJNIFORM FIRE PREVENTION & BUI1.D~NG CODE
LOCATION DESCRIPTION ART. SEC.
NON HABITABLE BOAT HOUSE IN HEED OF REPAIR.
REHARKS:
· iii Tom OF SOUTHO""
: APPLICATION FOR CERTIFICATE OF OCCUPANCY
A, ~his application mus~ be filled in by t~pewriter O~ ink and submitted to the buildin~
inspector ~ith the follow'ns: for new huildins or new use:
1. Final survey of property with accurate location of all buildings, proper~y lines,
streets, end unusual natural or t0poEraphtc features.
2. Final Approval from Health Dept. of water supply and sewerase-disposal(S-9 form).
3. Approval of elec=rical ~nstalla~ion from'Board of Fire Unde~i=ers.
' 4. Sworn statemen= from plumber certifyin~ tha~ ~he solder used ~n sysg~ contains
less than 2/10.of 1{ lead.
5. Co~erc~al build,s, ~dus=rial build~ns, ~l=iple residences and s~ilar build,nBs
and ~s=alla=ions, a cer=iftcate of Code Compliance from archi=cc= or ens~neer
responsible for =he bu~ldin~.
6. · Submi= Plann~nE Board Approval of completed sire plan requiremen~.
B. For exis=~ns buildfn~s (prior to April 9, 1957) non-confo~ins uses, or buildinss and
Vpre-existins" land uses:
{. Accurate survey of proper=y showinE all proper~y lines, sCreegs, buildins and
unusual natural or topo~raphic features.
2.. A properly comple=ed applica~on and a consen~ to inspec=' siEned by ghe applican=.
If a Cer~if~ca~e of Occupancy is denied, the Buildin8 Inspec6or shall s=ate =he
reasons therefor in writtn8 to the appl~can=.'
C. Fees
1. Cergiftcage of Occupancy - New dwellin~ $25.00, Additions ~o dwellln8 $25.00,
Al=era=ions ~o dwellin~ $25.00, Swt~in~ pool $25.00, Accessory buildin~
Add~=ions =o accessory buildin~ $25.00. Businesses $50.00.
2.Cerciftca~e of Occupancy on Pre-exis=in~ Bufldin~ - $100.00
3. Copy of Cer=ificage of Occupancy - $5.00 over 5 years - $10.00
4.Updated Cer~ificate of Occupancy - $50.00
5.Temporary Cer~tficate of Occupancy - Residential $15.00, Co~ercial $15.00
· . .
~WCon~tructfon ........... Old Ox Pr~-~ist~ng Butld~ng.~ ..... ~ ..... ~ ~ .
.... .... .....
Ha~et
House No..~_ ~, ~ ~. Street .
Subdivision
~alth Dept.,ApProval .......................... Hnder~r~t~rs ~pproval
Planning. Board Approval
Request for: Temporary Certificate ........... Final Car;icate.~ .......
Fee Submitted: $ .... ]..~..~..C~...
CONSENT
TO
INSPECTION
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~-~ ~--4~
!
· which is shown and designated on the Suffolk
County tax map as District 1000, Section ,-~., Block ~ , Lot ~.~/. / .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold T~wn Building I~nspector's Office for the following:
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 ail 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 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 the Town of Southold.
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