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Home My WebLink AboutZ-25411FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRM EXISTING CERTIFICATE OF OCuu~AN~Y No E-25411 Date DECEMBER 9, 1997 ON~ FAHILY D~ELLING THIS CERTIFIES that the building Location of Property ~ESEVOIR ~D. County Tax Map NO. 1000 Section 9 Subdivision FIS~S ISLAND Street Hamlet Block 8 Lot 3.4 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-25411 dated DECemBER 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~r~.ING * The certificate is issued to MICHAEL COLLYER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pT~SE SEE ATTA~D INSPECTION BEPORT. Rev. 1/81 N/A N/A N/A 1A')CAT 1 ON: SUBI}IVI S][ON NAHE OF OWNER IH! I 13) I NG I)I,:I'AETNI'~NT 'I'OI,/N OF SOIITIIOI,I) ' HOUSING COI)E INSPE(=rlON IH~POIVF ~SERVOZR ~. FISHES IS~D~ N.~ ~"t~omi)er & etreel:~ ...................... ~mtHttCll)nl II:y~ HAP NO. LOT(s) SA~ COLLAR & ANOT OCCUPANCY A- I P,~S. (type) ADH I TTEI) BY: IIORKRT EVANS KEY AVAlI.ABI.E SOURCE OF REQUEST: HICHA~L COLLYER O~NER ACCOHPAN1F.D BY.' SAM]K ~iiFF.CO. TAX HAT' NO..____1_000-9-8-2:,4 DA'rE..SBP'r. 25, 1997 DWELLING: TYPE OF CONSTRUCTION FOUNI)ATTON TOTAL ROONS: IST FI.R. BATIIROOH ($) 2 PORCII TYPE BREEZE~,/AY I)OHESTIC IIOT~AI'ER YES TYPE IIEAT OIL BRICK CONCRETE & STONE CF.I.LAR PARTIAL CRAT~I, SPACE 2ND FI.R. 2 3lid FI.Il. TOll.ET EOOH (s) II'rlI.ITY ROOH DECK. TYPE ~OOD PATIO FIEF. PI.ACE ONE GARAGE TYPE IIEATER OFF BOILER AIRCONDITIONING ~/ARH AlII IIO'I~ATRR XX 3 STORIES ONE i EX[TS PARTIAL THREE O'FIII~R: ACCESSORY STRUC'JCIJRES: GAl{AGE, TYPE OF CONST. S~[HNI NG POOl. OTIIER: NONE STOl(AGE, TYPE CONS'['. · dlllr. S'l', TYPE CONST. V1OLA'I'IONS: CIIAP'i'ER 45 N.Y. STATE UNIFOIIN I~"lllE PREVI~.N'rlON & RIIILDINO CODE I.OCATION DESCRIPTION ART. SEC. EEHAI~KS: BP ~ 1052 I-Z-COZ-22293 (Deck Add) I)A'rl~. Or? INSPI,:C'rlO, S__EP.__T.._~26~,~I9~9_7_ ........... 'rm~ sTaR'r ........ I_j_-.3_~AR- ~no __1_?~:.0_5_ ........ Form, No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF occUPANCY A. 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 Underwriteca. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial buildiqg, 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 topographi~ 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. ]- 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15 00 House No, Street Hamlet ,nw r or Owners of Pro-ertv ounty Tax Map No 1000, Section .... .~. ........Block ................ Lot..~.~. ~bdivision .................................... Filed Map ............ Lot ...................... i'ermit No ................ Date Of Permit ................ Applicant ............................. · !eaith Dept. Approval .......................... Underwriters Approval ianning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... APPLICANT ...................... CONSENT TO INSPEC'rlON Ovmer(s) Name(s) do(es) hereby state: That the undersigned ~ (are) the Southold located at .//ff~_gft/~//~'( of County tax map as District 1000, Section · the undersigned, owner(s) of the premises in the Town · which is shewn and desiKnated on the Suffolk That the undersigned (has) (have) filed, or caused lobe filed, an applica- tion in the Southold Town Buildiu~ Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property· including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to thc aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and ret!ulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge mid understanding that any information obtained in the conduct of sucb inspections may be used as evidence in subsequent prosecutions for rio- latinns of the laws, ordinances, rules or regulations of the Town of Southold. (signature) z7 .... (pF,.h~t name) _ _ (siffnature) (print name) ~ANY ~NO f ~'~ MINIMUM AREA.~ 19(X:,O sq. tt t Ag£'~, = 48,828 * _~01[:. Locatiei dufilities ~m field lie~AJr~ a~J Inf~raol on Imm COOflDIHATE DISI'AIICE$ ARE YEASUREO COAST ANO GEODETIC SURVEY T~IANGULATION STATION "PROS" MINOR $~DtVI$IOI( PLAN OF PROP~:RTY COI~VEYED TO . ROB. ERT