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HomeMy WebLinkAboutZ-26211FORH NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26211 Date: 01/12/99 THIS CERTIFIES that the building DWELLING Location of Property 95 STROHSON RD CUTCHOGUE (HOUSE NO.) {STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 0010 Lot 015 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- 26211 dated JANUARY 12, 1999 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 TWO CAR GARAGE * The certificate is issued to THE COMER FAMILY TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTy DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTBOLD HOUSING CODE INSPECTION RR~ORT SUBDIVISION: MAP NO.: -- LOT (S) -- NAME OF OW~R (S): T~E COMER P~ILY TRUST TYPE OF CONSTRUCTION: FOUNDATION: CI~4ENT BLOCK TOTAL ROOMS: 1ST FLR.: 5 BATHROOM{S): 2.0 PORCH TYPE: BREEZEWAY: DOMESTIC EOTWATER: TYPE BEAT: OIL OTHER: WOOD YES WARM AIR: XX 2NO FLR.: O TOILET ROOM(S): DECK TYPE: FIREPLACE: WOOD STOVE TYPE BEATER: PROPANE HOTWATER # STORIES: 1.0 # EXITS: 3 CELLAR: SLAB CRAWL SPACE: -- UTILITY ROOM(S): REAR PATIO TYPE: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIb~4ING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRM PP. EVENTION & BUILDING CODE LOCATION DESCRIPTION ART. REMARKS: BP #25450-Z-CO Z-26210 (CHIMNEY ADD) DATE ON INSPBCTION: 12/04/98 TIME START: 10:30 END: ll:00 '~ TO~ OF SOUTHO~ BUI~ING DEP~THE~ ~ I/ , 765-1802 This application must be filled in by t~ewriter OR ink and submitted to the inspector with the following: for new building or new use: 1. Final su~ey of property with accurate location of ail buildings, property lir streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Hnderwriters. 4. Sworn statement from plumber certifying that the solder used in systm ¢onta±~ less than 2/10 of Ig lead. Conmerei~ building, industrial building, mule±plo residences and s~m~[ar bu±l and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or 'buildings '!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 applic~ If a Certificate of Occupancy is denied, the Building Inspector shall state th~ reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~,rming pool $25.00, Accessory building $25.0£ Additions to accessory building $25.00. Businesses~l~o 2.Certificate of Occupancy on Pre-existinR 3.Copy of Certificate of Occupancy - 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · ........... Date . New Construction ........... Old Or Pre-existing Building.....~.'..'~..... .......... ocation of Proper .......................................... House No. Street H~mlet Onwer or Owners of Property ....... County Tax Map No 1000, Seetion.{~3'O0..........Bloek......O..../O'O .....Lot.~.........';....I-~'O00 '. . Subdivision ............................... Filed Map Lot ... i'.... Appli ' Permit No ................ Date Of Permit ................ cant .................. ...,.. Health Dept. Approval ...... Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~...... Fee Submitted: .. APPLICANT CONSENT TO INSPECTION 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 C0~r~/t/~_7~ (~¢' ~-~-~/q~)/L/ ~ f ~/F~ ~-~ ~ . which is sho,~ and designated on the Suffo~ County tax map as District 1000, Section [03,~. Block/0~0. Lot~/~0. That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g:. __ 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 the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, grules and regulations of the Town of Southold. The undersigned, Sn 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. (signature) (print name) I/ ~ITU{~TE gT CUICWOGU[ ~JC A LF=- 40'-- PiPE I1~0 H Ul~ffN f