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HomeMy WebLinkAboutZ-26318FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26318 Date: 03/05/99 THIS CERTIFIES that the building DWELLING Location of Property 380 INLET LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 043 Block 0005 Subdivision Filed Map No. __ Lot No. -- GREENPORT (~MLBT) Lot 002 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26318 dated MARCH 5, 1999 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 * The certificate is issued to PETER N & CLAIRE DESANCTIS (OWNER) of the aforesaid building. SUFFOLK ~OUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 ~ N/A N-320224 7/12/94 N/A BUILDING DRPARTM~ TOWN OF SOUTHOLD TYPB OF CONSTRUCTION= W(~D FOUNDATION = C~/~P BLOCK TOTAL ROOMS= 1ST FLR. = ._~ BATHROOM{S) = 1.0 VIOLATIONS: CHAPTER 45 N.Y. STATB UNIPORM FIR~ PREVI~ION & BUILDING CODE LOCATION I I I 1 BUILDING DEPARTMENT 'i ......... BLDG. DE~T.~ 1!~/ TOWN HALL765_1802 L_ PL CATIO C T FICA E OF OCC CY L TQ~N.OF $OU~HOLD J .~,~ ap~A~cat~on must be filled in by t~riter OR ink and submitted to the building ~spector with the following: for new building or n~ u~e: 1. Fimal su~ey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.F~al Approval from Health Dept. of water ~upply and sewerage-disposal(S-9 fo~). 3.Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement fr~ pl~ber certify~g that the solder used in syst~ contains les~ than 2/10 of 1% lead. 5. C~ercl~ build.g, ~dustri~ build.g, ~ltiple residences amd s~ilar buildings and lnst~lations, a certiflcate of Code Compliance from architect or e~ineer rempomsible fo= the 6.Su~t Pla~g Board ~pr~ of co~leted ~ite plan requir~ent~. Fo: ~t~g bu~ld~gs (prior Co ~ril 9, 1957) nom-co~fo~g uae~, or build~gs and '3pr~is~g" l~d uses: 1. Accurate su~e~ of proper~ unusu~ ~tural or topo~raphic features. 2. A properl~ c~leted application ~d a co~s~t to ~spect si~ed by the applicant. If a Cert~icate of Occup~c~ is denie4, the Buildin~ Inspector shall state the reasons therefor in ~itin~ to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~-~,~-$ 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 - , .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupaucy'- Residential $15.00, Commercial $15.00 D,ta ..... Construction ........... Old Or Pre-existing Building.. ??. ............ .~. ~tion o~ Property .................... ' '' House Ho. Street H~wl et ~er or Owners of Property ....... . ' ............. .o .............. fancy Tax No 1000, Section ......... Block ............. Lot ........ lhdivision .................................... Filed Map ............ Lot ..................... Date Of Permit Applicant .............. · ~lth Dept. Approval .......................... Underwriters Approval ........................ auning Board Approval ........ ~quest for: Temporary Certificate ........... Final Certicate ........... · e Sub~cced: ..... · .... CONSENT TO INSPECTION Owner(s) do(es) hereby state: ~ame(s) · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~-~//0 ~ h ~--~- i/'q , · which is shown and designated on the Suffolk County tax map as District 1000, Section (p ~/'_~ , Block -~ , 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 £ollowing: __ oF ' I 7 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, trules 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 regulatiol~ of the Town of S.~Athold. ..._~ (signature) (print name) -- --~ (~'i~nature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ee~e93 BURE^U O,= 85 JOHN STREET. NEW YORK. NEW YORK ~ ~Y 12,1994 ~pplicati~No. on~l~ ~6119194/94 THiS CE~IFIES T~T N 32~224 TN CrOCKs E R V MU~t'kOUT~E DIMMERS SYSTEMS I C E S DOROSKI ELEC. INC. 425 MONSELL LANE CUTCHOGUE, NY, 11935 LIC.#2941-E This certificate must not be oltered in any manner; return to the office of the Board if incorrect. Inspectors by the · credenfiaJs~-