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Home My WebLink AboutZ-22624FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22624 Date SEPTEMBER 28~ 1993 THIS CERTIFIES that the building. ONE FAMILY DWR3J,ING Location of Property 3680 STILLWATER AVE. CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 1 Lot 13 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-22624 dated SEPTEMBER 28r 1993 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 DWRJJ,ING WITH TWO ACCESSORY STORAGE BUILDINGS * The certificate is issued to DANTE & FLORENCE M. COLOMBO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~/~Building In spec tot Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTmeNT TOWN OF SOU~IOLD [lOUSING CODE INSPECTION REPORT 3680 STILLWAT~R AVE. (number & street) MAP NO. CUTCItO~, I//W ¥OR/ (municipaLity LOT (s) DAgrg COLOMBO & WIFE OWNER OCCUPANCY A-I RES. (type) (owner-tenant) ADMITraO BY:. DAIfI~ COI,~O ACCOMPANIED BY: SA~ KEY AVAILABLE SIrFF. CO. TAX MAP NO. 1000-137~1-13 SOUKCZ OF REQUEST: DAI/TE & FLORENCE H. COL~ DATE: SEPT. 17, 1993 DWELLING: ~YFE OF CONSTRUCTION WOOD FRANE FOUNDATION CEI~lqT BLOCK TOTAL ROOMS: IST FLR. 5 2ND FLR. BATHROOM (s) ONE ffo~L BATH · TOILET ROOM (s) PORCII TYPE OPEN CO. RED FROETDECK. TYPE SCREEN PORca ~Aa BREEZEWAY PIREPLACE DOMESTIC RO~4ATER YES TYPE HEATER TYPE HEAT OIL WAPRtAIR O~IER: # STORIES ONE ~ EXITS 2 CELLAR PARTIAL CRAWL SPACE 3RD FLR. ELECTRIC UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HOTWATER XX' ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~I}MING POOL OTIIER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. 2 STORAGE BUILDINGS VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. I SEC. RE~PJ<S: BP ~19879 COZ-2006l (DECK) BP ~16487Z-COZ16432 (PORCH) BP ~15678-COZ15797 (ACCY) BP ~I5261Z-COZ-14870 (DECK) BP ~Ii955Z-C(~ZI5412 (ADD) BP 16010Z-COZ5380 (ADD) BP ~4474Z-COZ3613 INSPECTED BY: ' · DATE ON INSPECTION SEPT. 27, 1993 ~A'Y/. FISH TIME START 9:50 Al/ ENI~ 10:15 AM FORM NO. 6 TOWN OF SOUTHOLD . Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLIdATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted -. I,,~.,,.a~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposel-(S-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all properl~f lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25;00 -- SUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ ~Y0 / ~o. oo 3. Copy of certificate of occupancy $ 5;'00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5 .Updated C .O. $' 50.00 Date ....5.ep.t.e.m.b.e.r ..... !.9.9.3 ..... Newc°nst~'ucti°n ...... Old or Pre-existing Building ..X .......... Vacant Lanc~ .............. Location of Property .... .3§~Q. ~Sl~i I ]V~1~[~6¥?,,..(~ ~(~.h .og.u.e, ..NY. ........................... House No. Srreet Ham/et Owner or Owners of Property . .. [~ OQI~(~. (~[ 91~J~. 0[l~J. F. [ 9[(~0~C .~1, .~Q],Q~9 .................... County Tax Map No. 1000 Section . [ 3.7. ........... Block .... 1. .......... Lot. [3. ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ....................... . Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 100 Fee Submitted $ ........................... ~. Applica~n Gary Fla~lner (~lsen, Esq. ~,~.~o.~o. Ta Main Rd/. P. O. Box 706 ~-//' / q&~d Cutchogue, NY 11935 CONSENT TO INSPECTION Dante Colombo and Florence M. l;olombo '~ Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 3680 St111water Ave., Cutchogue, NY - , which is shown and designated on the Suffolk County tax map as District 1000, Section 13'7 , Block 1 , Lot 13 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'~ Southold Town 14ullaing lnsp~;t,~, 'o o~ei.o fo,, +h,, fallnavinff: One family dwellin9 That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, inc!l:dh,g 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 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: September /? , 1993 (signature) Dqnte ,Colombo (print name) (si~nntu~e) Florence M. Colombo (print name) Scale.: S,~'~ I" T~"f le lq!