HomeMy WebLinkAboutZ-26136FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~-RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26136
Date: 12/02/98
THIS CERTIFIES that the building DWELLING
Location of Property 375 MASTERS RD
(HOUSE NO.)
County Tax Map No. 473889 Section 126
Subdivision
LAUREL
(STREET) (HAMLET)
Block 0009 Lot 021
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- 26136 dated DECEMBER 2, 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 GARAGE *
The certificate is issued to LOUIS D COLI
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
· ~/Bu i~ing~ Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSIN~ CODE INSPECTION REPORT
LOCATION: 975 MASTERS RD
SUBDIVISION:
NAME OF OWNER (S) : ~QUIS D COLI
OCCUPANCY: AL1 RESIDENTIAL
LAUREL
MAP NO.: __ LOT (S) --
LOUIS D COLI
ADMITTED BY: TRACY GIOE & CATBERAINE STEADM ACCOMPANIED BY: S~4E
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 126.-~-21
SOURCE OF REQUEST: ~E~IE P. COSTELLO~ 11/12/98 DATE: 12/02/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ~.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE: PART.
TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: O 3RD FLR.:
BATHROOM(S): ~.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: SUNROOM DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC EOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIS~4ING POOL:
OTHER:
WOOD FRAME STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
INSPECTED BY: ~ARy' .~ S/H '~
DATE ON INSPECTION: 11/30/98
TIME START: 10:35 AN END: 10:53 AM
10/"6B/i998 10:51 51676S4643 LAt~l OFFICES MOORE PAGE 82
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOg C~RTIFICATE OF OCCUPANCY
A. This application must ha filled in by typewriter OR ink end submitted to the building
inspector with the following: for flew building or new use:
1. Final survey of property with accurate location of all building~, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and as~erage-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 chon 2/10 of 12 lead.
5. Co~ercial building, industrial bulldin$, ~ulcipla residan~es and similar buildings
and installations, a certl~icate of Coda Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval' of completed site plan requirements.
B. For existing buildings (prior to April ~, 19~?) eon-conforming uses, or buildings and
,"Pre-existing" land USES:
1. Accurate survey of property showing all property lines, streets, building and
unusual aatursl or topographic features.
2~ A properly completed application and a consent to lnspec~ signed by the applicant.
If a Certificate of Occupancy is denied, the ~ullding Inspector shall s~ate the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New d~elling $2~.00. Additions ~o dwelltn~
Alterations to dwelling ;2}.00, Swimming pool $2~.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses ;50.00.
Certificate of Occupancy on Pre~exietinl Buildin~ ~ $[OO.OO
3.Copy of Certificate of Occupancy - $20.00
Updated Certificate of Occupancy - $50.00
Temporary C~rtiflca~e of Occupancy - Residential $15.00., Commercial $I§.00
Location of Prope · ................. ........ .....
Onver Owners of Property - /
.............................. Flied aa~ ........... Loc ......................
Perml~ No Dace Of Permit
Applicant
Health Dep:. Approval ......................... Umler~riCers Approval .........................
Pla~nln8 Board Approval ........................
~mques: [or: Temporary CemtificaCe .... . ...... ~tnal Carclcat~ ...........
L
DRAWN ~y b ~,. F/f..E ,NO.