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)
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