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Home My WebLink AboutZ-24012FOI~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Pi~ EXISTING USKTIFICATE OF OCCUPANCY No Z-24012 Date NOVEMBER 3, 1995 THIS CERTIFIES that the building BA~N Location of Property 590 FLEETWOOD I%OAD House No. Street County Tax Map No. 1000 Section 137 Block 5 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Structure built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCy NUMBER Z-24012 dated NOVEMBER 3, 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 BARN STRU~-rU~E* N.Y. Hamlet The certificate is issued to LEONARD De~LIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PT.~SE SEE ATTAu~U~D INSPECTION REPORT. ~B'ui ding Inspector Rev. 1/81 Iltl 11.1) I tit; I)E PANI'HENT TO~N OF SOUTIIOLD IIOUSIN(; COUE INSI'Ir~C'rlON Ilgl'OlIT I,OCATION: 590 FLEET}/OOD ROAD -SUIIUIV1 S ION NAHE OF OWNER ( s ) LEOI~,.RI) DEGULIS OCCNPANCY STORA(~ ADHITTEI} BY: J~S HcKI~P KEY AVAI I.AIH.E CIITCHOi;uII, N.Y. flAP NO. (;~p ~, l i t~ ) 1.OT( s ) ^CCOHI~AN I El) I1¥: gUFF.CO. TAX HAl' NC). 1000--131--5--2 -~;OUI(CI'; OF I~,EQ~IES'r: I~ONARD R. DEGULIS UATE: OCT. 30, 1995 TYI'E OF CONSTRIICTION ~TAL OVeR {/OOD ~ STORIES I ~ EXITS FOIINI)ATII)N_ .......................... (iEI Al/ ......... CRAI4I, SI;ACE TOTAl, RO()HS: IST I"I,R. 2NI) FI.R. 3lid FLR. llATIIROOH is) TOI I,ET ROOtt is) UTII,ITY ROOH POI/CII TYPE IlliEEZI'~h'AY I)OHEST IC IIOTi4ATE R TYPE NEAT OTIIER: BECK, TYPE · PATIO FI REI'I.ACE GARAGE TYPE IIEA'I'EI~. A INCONDI'FIOHI NG 14A lIH Alii IIO'I~/ATER ACCESSORY STRU(71'URES: (iAI{AGE, TYI"E OF CONST. Sh' 1H~'I l NG POOl, OTIIEN: __ STORAGE, TYPE CONST. , GUEST, TYPE CONST. ........................................... ~ ........... Z-ZZZ-Z--ZZ~Z-Z--ZZZZ2-_ZZZZ-_-_Z--ZZZ2Z-_Z VIOI,ATIONS: CIIAPTEI~. 45 N.Y. STATE IINIFOI~'.t I"IRE PNEVENT1ON & IIIJII,IJlI, IG CODE LOCAI'ION DESCRIPTION AR'F. SEC. I(EHAI(KS: I N.~. I'EC'I'EI) BY I)ATE OF INSt'I:,CTION OCT. 31, 1995 TIHE S'I'A RT 10:30 ENU 10:60 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1995 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. 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-existin~ Buildinz - $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 Date New Construction ........... Old Or Pre-existing Building ..... .~ .......... Location of Property .... (-.~..¥Y%..~. · ~.~.~.. ......... House No. Street Hamlet Onwer or O~ners of Property ............................................. County Tax Hap No 1000, Section .... I.~.~ ...... Block .... ~.~. ......... Lot....~:. ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. APPLICANT CO' IN~,I ECiION C)wner(s) N~me(s) , the undersigned, do(es) hereby state: That tile mders~gned (is) (are) the owuer(s) of the premises in the Town , which is shown and designated on the Suffolk County tax map as District 1000, Section IB-7 , Block ~' , Lot That the undersigned (has) (have) filed, or caused robe filed, an applica- tion in the Southold Tox~m Buildin,g Inspector's Office for the following: Pc - C/o ' That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described p~operty, 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 coasenting to such h~spections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may he used as evidence in subsequent prosecutions for vio- lation~ of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) (print name) (signature) (print name) /1//,,4[" OF //. E O/Vd ~ ~.._J_o_ _,4 _Az/_ BLDG. DEPT. TOWN OF \ \ \ · 5'¢,='/~; .5'0 '=/"