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Home My WebLink AboutZ-24011FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. PI~ F~ISTIN~ ~TIFI(~TE OF No Z-24011 Date NOVEMBER 3, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLIN~ Location of Property 550 FT.UmTWO~D ROAD ~u'~:HOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 5 Lot 1 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-24011 dated NOV~MB~ 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 ONE FAMILY DW~T~.ING WITH ACC~BSORY GAR~E * The certificate is issued to JOAN De~ULIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA,:-K,, INBPB~TIONREPORT. /~u~fd in~ Inspector Rev. 1/81 BIII I.I) I N(; I)I(I'AI~ IHEIH' T()~H OF $OUTIIOIA) IIOUS ] Fi(; COI)E I I'ISI)ECT 1 OH I~EI'OWI' I.OCA'[' I ON: 550 FLEE~D ROAD C~CH~, ~.Y. SUIII)IVISION HAl' HO..,.,,Ln'rts, ~ IJAHI.: OF ()~NEI( (s) JOA~ De~IS OCCUI'AN{:y A-I ~S. O~R .......... [ t y p~ ........................... ~ o~ .e r- t e n a n~ ADHITTEI) BY: J~S HeKIL~P AC{:OItI'AHIEI) BY: KEY AVAII.AITIJ~ SUFF.(:O. TAX HAP NO. ]000~ S()IJI~CI5 OF Ill~(~lll.:S'l':.. JO~ & ~O~ DE~IS DA'I'll: I ~l~l.l,1N(,: ...................................................... TYPE O]7 CONSTIIIICTI()N ~D F~ I STORIES I I EXITS 2 I"OIINI)ATION PIERS - C~ BLO~ CEI.I.AE ~O~ CRAWL SI;ACE T(I'I'AI. ](()OHS: IST FI,R. 6 2RI) F'I.R. ]RI) FI.lt. SCREEN PORCH TOIl,ET ROOH (s) IITII, ITY ROOH IIECK, TYPE ' L'ATIO F I RI'; I'I,ACI~ II^'I'IIIIOOH (s) O1~ POIICII TYPE BIU:.EZE~r^y I)OFII~.,~;T I C I IO'l'[4^Tl'~ Il '1'¥ I'E lll';AT ELECTRIC OTIIER: YES ........ '1'¥ I'E IIEATER GAS ^ l IICOItI)I T 1 Oil I I1(; ~4AI~}I Al R 110'll4A'l'l';It ACCI~SSOIIY STIIIIC'I'UIII,:,$: (;ARA(;E, 'I'YF*E OIr CONST. STI I I'lt'l I FIG POOl, O'I'IIE R: I~OOD FRA~ffi I CAR ................ S'I'()IIA(:I':, TYPE CONST. (,ULSI, TYPE COHST. .................................................................. ZZZZZZZZZZZZZZZZZZXZZZZZZZZZ V 101,A'I' 1 ()NS: CIIAPTER 45 N.Y. ST^TI,; IINII~OItH FlEE I'RI~I/ENTION & BUII,I)IItG CODE ].O(;AT 1 OH DE SC R I PT 1 ON __ _A_R '~r _. .... _S_E~C: _ It EH^ RK S: II1,.1 ,[.II,D I1¥ Il^IF. elf IlISI'ECTIOII OCI. 11, 1~5 CA~O. I~ISH T- 'I'IHF. S'I'ART 9.'40 ENI} 10:25 TOWN OF SOUTIIOLD 763-[802 APPLICATION FOR CERTI¥1CATE OF OCCUPA~C~ ~6. DEpll 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: Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of wmter supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contai.$ less than 2/10 of i% lead. 5. Commercial b~ilding, 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 A~ril 9, 1957) non-conforming uses, or buildi.gs and "pre-existin" la es: '-['~ Accurate survey of property showing all property limes, streets, building and unusual natural or topographic features. 2. A properly completed. 9pplication and 8 c_~_onsent ~o inspect signed by the appiicanc. If a Certificate of Occupa.cy is denied, the Building inspector shall state the reasons therefor in writing to the applicant. C. Fees t. Certificate of Occupancy - New dwelling $25.00, Additioms 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.~ Buildi.e - $[OO.O0 3. Copy of Certificate of Occupancy - ~. Updated Certificate of Occupancy - $50.00 5. Iemporary Certificate .~f Occupancy - Residential $t5.O0~ Commercial $15.OO ,te .......... ..................... New Construction ........... Old Or Pre-existing Building ....... Uocation of Property ....... 2~.~7~.& .................. ~, .......... ~ouse No. Street Ilamle t ~n,~er or O~.ers of Property. ,o O00, Soctio,,..L ..? ....... ','.ok .... .0.'. ......... tot. .................. %~bdivision ................................... F'iled Hnp ............ Lot ...................... Permit No ................ Date Of Permit ................ Applic:mt ............................ HenlLh Dept. Approval .......................... Underwriters Approval ......................... 'lan,,ing Board Approval ........................ :!squest for: Temporary Certificate ........... Fi,mi Certicate ........... Tee Submitted: $ ............................. CO~ INSPECTION do(es) hereby state: Name(s) , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at F"~'~0~b ~' ]~/T?/Z/~°;H ~49 ~tJ/c./~o?~/~ /k// , which is shoxvn and designated on the Suffolk County tax map as District 1000, Section /,.,X~__, Block 5~ , Lot / 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 property, iucluding any and allbuildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includinginspecttons to determine that said premises comply with all.of the laws, ordinances, rules and regulations of the Town ~f Southold. The undersigned, in consenting to such il~spectlons, 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 r%omlations of the Town of Southold. Dated: (s ign,4t u ~e-~ (print name) :'L. ~TWOO~ ~-0 YE BLDG. DEP]~ TOWN OF SOUrHOI_P,