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Home My WebLink AboutZ-25741FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~4ENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25741 Date: 05/27/98 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property 6575 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 0004 Lot 006 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- 25741 dated MAY 27, 1998 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 SINGLE FAMILY DWELLING WITH ATTACHED BRICK ADDITION, 2 WOOD SHEDS AND METAL GARAGE The certificate is issued to BEATRICE C DAVIDS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A Building ~spector BUILDING DEPARTMENT TOWN OF SOUTHOLD HQ~SING CODE INSPECTION REPORT LOCATION: 6575 SKUNK ~ SUBDIVISION: NAME OF OWNER (S): BEATRICE C DAVIDS OCCUPANCY: SINGLE FAMILY ADMITTED BY: KATE CARPLUK MAP NO.: __ LOT (S) -- BEATRICE C DAVIDS ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAp NO.: 104.-4-6 SOURCE OF REQUEST: DIANA OLIEN DATE: 05/27/98 TYPE OF CONSTRUCTION: BRICK FOUNDATION: CINDER BLOCK TOTAL ROOMS: 1ST FLR.: BATHROOM(S): PORCH TYPE: FRONT BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OIL OTHER: ADDITIOn* 2ND FLR.: 2 TOILET ROOM(E): DECK TYPE: FIREPlaCE: ONE TYPE BEATER: ~ WARM AIR= EOTWATER: # STORIES: 1.5 # EXITS: ~ CELLAR: FULL CRAWL SPACE: 3RD FLR. ~ O UTILITY ROOM(S): __ PATIO TYPE: RAISED. CEMENT C~ARAGE, TYPE OF CONST.: METAL SWIPING POOL: OTHER: STORAGE, TYPE CONST.: 2 WOOD SEEDS GUEST, TYPE CONST.: VIOLATIONS: CEAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: *BP1282Z- CO Z1273- BRICK ADDITION TO DWELLING TIME START: 11:15 END: 12:00 Form No. 6 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 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 contains less than 2/I0 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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-existinK Buildin~ - $100.00 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 ..... ~P~.JP!.JP~ ...................... New Construction ........... 01d Or Pre-existing Building.. X Location of Property .... 9PYP. P~P~.~PF!.PPY~DP~Y? ........................................... House No. Street Hamlet - - Beatrice C. Davids Onwer or Owners of rroperny .................................................................. County Tax Map No 1000, Section.. 104 .Block .... J ....... Lot 6 Subdivision .................................... Filed Map..J~7? ...... Lot. 130 Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ 109:9.° ......................... . ........ ~PLIC~ CONSENT TO INSPECTION Beatrice C. Davids by Diana Davids O~ien, Attorney-in-fact . the undersigned, O~mer(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 6575 Skunk Lane, Cutchogue which is shown and designated on the Suffolk County tax map as District 1000. Section 104 , Block 4 , Lot 6 · That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Sou/hold Tox~qa Euilding Inspector's Office for the following: Certificate of Occupancy on .Pre-existing Building 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 all 'buildings located thereon, to conduct such inspections as they may deem necessary %vith 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 vio- lations of the laws, ordinances, rules or reg'ulations of the Town of Southold. (signafdi~y--v--- .~ Beatrice C. Davids by (print name) Diana Davids Olien, Attorney-in-fact (siEnature) (print name) '\ SUE,- 26L9~ FZOA, D LU 'SCALE' r~