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Home My WebLink AboutZ-22976FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. EXISTING C~RTIFICATE OF OC~JU~,~J'~ No Z-22976 Date MAY 2, 1994 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Propert~ 9870 NEW SUFFOLK AVE. CUTCHO~U~, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 116 Block 5 Lot 1.3 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-22976 dated MAY 2, 1994 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 3 CAR GABAGE * The certificate is issued to DORIS E. DEAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *pT.RASE SEE ATTAc~D INSPECTION REPORT. N/A N/A Rev. 1/81 BUILDING DEPARTHENT TOWN OF SOUTtlOLD HOUSING CODE INSPECTION REPORT LOCATION: 9870 NEW SUFFOLK AVE. (number & street) SUBDIVISION NAME OF OWNER (s) DORIS E. DEAN CUTCHOGUE, NEW YORK (municipality) HAP NO. LOT(s) OCCUPANCY SINGLE FAMILY DWELLING (type) ADMITTED BY: DORIS DEAN KEY AVAILABLE SOURCE OF REQUEST: DORIS E. DEAN OWNER (owner-tenant) ACCOMPANIED BY: SAHE SUFF.CO. TAX MAP NO. ]OOu-IIO-J--I.J DATE: APRIL 25, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY ENCLOSED DOMESTIC HOTWATER TYPE HEAT OIL WOOD FRAME I STORIES CEHENT BLOCK CELLAR FULL WITH EXIT CRAWL SPACE IST FLR. 6 2ND FLR. - - 3RD FLR. 2 TOILET ROOM (s) SHALL FRONT COVERED ~ECK, TYPE FIREPLACE NONE YES 'tYPE HEATER SOLAR & OFF WARHAIR OTIt~R: EXITS UTILITY ROOM NONE PATIO FLAGSTONE WITH GARAGE I CAR ~dSk"~UV~J~bb ~mChUbUrd~ AIRCONDITIONING NONE HOTWATER YES ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTU~R: WITH 10x6 ATTAcBED SHOWER SHED WOOD FRAHE 3 CAR STORAGE, TYPE CONST. · GUEST, TYPE CONST. V~0LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: ~ INSPECTED BY DATE OF INSPECTION APRIL 29, 1994 TIME START 10:55 AM END 11:15 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~t,OG. OEP]'. TOWI~t OF ~OUTHOLO 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 2/10 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. 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. Ifa 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-existing Buildin~ - $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 415.00 ~, ~., - .~_ ~7~/ Date .................................... . . .. . New Construction ........... Old Or Pre-existing Building. Location of Property... ~.~ ~ ~,.../.f{:.'~!'O.~ 2:,,-.~ ~%..~.'. V: . ......... . House No. Street Hamlet Onwer or Owners of Property .... ~%[%f{~ ....... -, . ~.~ ....... County Tax Hap ~o 1000, Section./ ........... Block.. ~ ........ Lot .................. Subdivision ................................ · · .. Filed Hap ............ Lot ...................... Permit ~o Date Of Permit Applicant Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval .................. .. .. . . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ........................... ~ · ' .~T'.'~'.~ Q- -'~--~ Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION 2 5 1991 , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~j' ?C /)~ )L ~-~ F?~/'~' /~ ,~c ~- ~ 9T<;//C; ~' u ¢. ~ ,i? \/ , which is shown and designated on the Suffolk County tax map as District 1000, Section / j & , Block .5~- , Lot / ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town 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 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, 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 regulations of the Town of Southold. Dated: ~6z- ~-25L '~- _ (signature) (print name) (sianature) (print name) () 5 t~ . f 0