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Home My WebLink AboutZ-23618FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23618 Date MAY 8, 1995 THIS CERTIFIES that the building Location of Property 5750 NEW SUFFOLK ROAD House No. Street County Tax Map No. 1000 Section 117 Block 2 Subdivision Filed Map No. ONE FAMILY DWELLING Lot 19 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23618 dated MAY 8, 1995 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 A OWE FAMILY DWELLING BARBARA & SHERWOOD COOPER (owner's) The certificate is issued to of the aforesaid building. ~/A N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SHE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ROUSING CODE INSPECTION REPORT LOCATION: 5750 NEW SUFFOLK ROAD (number & street) SRBDI¥ISION NAP NO. NA~fl~ OF OWNER (s) BARBARA & KRRRWOOD COOPER OCCUPANCY A- 1 RES (l:ype) ADMI'rr~O BY: SHERWOOD M. COOPER KEY AVAILABLE SOURCE OF REi[/UEST: SHERWOOD M. COOPER NE~ SUFFOLK (municipality) LOT(s) OWNER (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX MAP NO. 100-0---117-2-19 DATE: 3/30/95 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION BRICK TOTAL ROOMS: ]ST FLR. 4 BATHROOM (s) 2 PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES · YFE HEAT ~ILCO GAS OTIt~R: CELLAR 2ND FLR. 3 TOILET ROOM (s) BECK, TYPE FIREPLACE NONE TYPE HEATER LILCO WARM AIR PANTRY OFF RITSa~N, MUD RO0~ OFF KITCHEN" ~ STORIES 2 [ EXITS 2 PARTIAL CRAWL SPACE PARTIAL 3RD FLR. UTILITY ROOM LAuNuRY ROON PATIO GARAGE NO AIRCONDITIORING HOTWATER STEAH ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. S~]I~MING POOL , ~u~ST, TYPE CONST. OTHER: HEN COOP, SMALL HETAL SHED sa~o - BP# 18464 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#ITI21-Z - CO~Z-17137 (DECK ADDITION), BP#I8464-Z - CO~Z-18380 (ACCY SHED), BP#22717-Z - CO~Z-23617 (ALT. TO ENCL. PORCH) TIHE START IO:OOAN END ]0:20AM Form No. 6 TOWN OF SOUTflOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, 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. ,B. For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and '.'pre-existing" land uses: ' -~, Accurate SU~erty showing all property lines, streets, building and unusual natural or topogra~-~hic features. 2. A properly completed application and a conse.__~nt 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. C. 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, 2. Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction ........... Old Or Pre-existing Building.~-~ ............. House No. Street Hamlet Onwer or Owners ,.,f Property. ~ .~ County Tax Map No i000, Section. ?/fl ~ ~ Subdivision .................. .................. Filed Map ........ Lot ...................... Permit No ............... Date Of Permit ................ Applicant ........ , ..... llealth Dept Approval ' ' ...................... Underwriters Approval .................... Planning Board Approval .............. Request for: Temporary Certificate ........... Final Certicate..~. ....... Ovmer(s) Name(s) do(es) hereby state: INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at SS-~ ~l/~q/O~,~. A" ~tt~ ,- /V'~z-qf ,J'~.,/'tco · which is shoxwn and designated on the Suffolk County tax map as District !000, Section ! ~ o,-* Block o;/,~o, Lot o That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building 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 pr. operty, including any and ail 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 albof the laws, ordinances, rules and regulations of the Town cf 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 vio- lations o~ the laws, ordinances, rules or re~malations of the Town of Southold. Dated: (si~nathre) (print name) (s i~'nature9 (print namel