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Home My WebLink AboutZ-25402FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25402 Date DECEMBER 2, 1997 THIS CERTIFIES that the buildin~ Location of Property. 925 NORTH SEA DRIVE House No. Street County Tax Map No. 1000 Section 54 Block 4 Subdivision Filed Map No. ONE FAMILY DWELLING SOuTuOLD, N.Y. Hamlet Lot 11 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-25402 dated DECEMBER 2~ 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 FAMIY DWELLING * The certificate is issued to LORETTA UUFF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 e/a N/A N/A IIII [ I J) I N(; I)I'3'ARTHI'iI4T 'I'¢)~N OP ,~;OIITII01.1) ' IH)IISII{(} COI)ir- IH,~Hq~-(',TI()N IU~.I'OIIT I.()CAT 1 ON: 925 NORTH SEA DRIVE .qlllll)IVl SION NAME oP OWNER (,) LORR~T'~A CUFF OC(3IIPAN(iY At)HI'rTEI) IIY: KEY AVAI I.ABI.]~ ,qOUli(ZE OF RF. QIIE.q'U: A- I RESIDENTIAL · (type) NARC~ C. DIT~RICH SOUTHOLD, N. Y. ( G';]I~. I i~.iIT~ ) ................. HAP NO. ~vne r'-- tenant) ACCOHPANI ED BY; SAME TAX HAt' NO-.JOO0-S6-O6-1 I)UEI.LINC,: TYPE OF C()NSTIlllC'flOlt FOIINIIATION PIERS TOTAl. IlOOH5.' Is'r Fl,Ii. I;ATIlROOH (8) POR(:II 'I'Y ['E II 1{1.2~. ZET4Ay '[KS I)OHESTIC IIOTkIATER TYPP. IIEAT NONE O'I'IIIHI: SINGLE SHOWER UNIT IN SNALL ROOM BY ITSELF. WOOD FRAME I ~'I'ORIILq I CEI.I.^{t NON[[ C EAI, IL 9FACE 8 2NI) PI.II. DIll} F1.R. TOII.ET IH)OH (.) 3 OTII.ITY I~OO~ IIE('.K. TYPE ~D ~'3' ~ss~A*fl~ F I Ill(}' I.ACE O~ (;ARA(IE TYPE IIEA'rER ~ECTRIC AI~CONI}ITIONINC IIO'I~ATER I KXT'I'fi 7 ACCESSORY 5'ERUC'fll lie 8 .' GARAGE, TYPE OF CONST. ST4 ItiN I NC POOl. O'i'lllL l{ ! NONE · qI()RA(,I., 'i'YPE CON.qT. (.UL{; l , TYi'I~. CON.qT. VIOLATIONS: CIIAPTER 45 N.Y. S'FA'I'IT UNIPOI~H PIRE PEEVI~.NTION & EIIILI)INO COI)E I,O(3A'L'TON I)E$CIIIFT ION AR'f. SEC. IU~,HAIIK,q: BP {m2451-z-co z-II962 (deck) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the foli0wing: 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 contains 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ r~x%s~; 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 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, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~.' '~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ Date ..!.~O.~...~..~.lg.~.~. ................. New Construction ........... Old Or Pre-existing Building...~ ......... Location of Property.. ~..~. ...... ~J...~--~...~,%%t'.~ ...... ~.~. ~U.-~.~.~...~ .............. House No. Street Hamlet Onwer or Owners of Property..~.~..~...-~.....~,.~....L..~ ..~.J.~.. :i.~..,...C...~.~..~. ............... County Tax Map No 1000, Section..O.~+ ....... Block ..... .~ ......... Lot .... ~L ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... 2Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..i~ .... Fee Submitted: CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at q~ ~lO~,~q]~ ~_,~-~:~ ~j~__ , which is shox~ and designated on the Suffolk County tax map as District 1000, Section a~ , Block ~ , Lot ~J That the undersigned (has) (ha~e) filed. 'or caused to be filed, au applica- tion in the Southold To~ Building Inspecto~"s Office Ior 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, Jlrules 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 vio- lations of the laws. ordinances, rules or regulations of the Town of Southold. (kignature) '(print name) (signature) (print name)