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HomeMy WebLinkAboutZ-22100FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22100 Date JANUARY 12~ 1993 THIS CERTIFIES that the building ONE FAMILY DW~.TJ.ING Location of Property 1875 HIAWATHAS PATH SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 3 Lot 60 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 ~ER Z-22100 dated JANUARY 12~ 1993 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ONE FAMILY DW~Lr. ING WITH ACCESSORY TWO CAR GARAGE * The certificate is issued to JOSEPHINE DeMARIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. i'lding Inspector Rev. 1/81 TC',,;I CF ZCUTXoLD, il. '£. Location Subdivision Occupancy . A~ ~ ~ed by: Key available HCUZiXC 1875 HIAWATHA PAT~ SOI/T~OLD, NEW YORK ?-Imp No. Lot(~) JOSEPIiINE DeMARIA A-I (~nTpe) JOl~l deReeder OWNER Accomp~nied by: SAME guf£olk Co. Toe.: No. 78-3-60 Source of request. JOSEPHINE DeMA~IA __Date _SEPT. i0, 1992 D':~LL!3~: ,Type of construction Foundation CEMENT BLOC~ Total rooms, 1st. F1 Bathroom(s) 2 Porch, t~e, ENCLOSED Breezeway~ Type Heat OIL & ELEC Fireplace(s)' ONE Dcmeatic ho~..;a~er Other, WOOD FRAME 5 Deck, Garage ,~.S torl~s ONE Cellar FULL Crawl space 2nd. Fl__ .Std. Fl. Toilet room(s) i-fpq Utility ' Warm Air Ho ~.; A.ircond~ ~S T~ e h ~_ 2_. E~CTRIC AC .... Ca_ STRUC~L~EE. Garage, type const. 2 CAP. Storage, type Const. Swir.~ing pool Guest, type const. Other. VT~T 8'PT 'J . ,_- ....... O: ,S. Lncetion .CIIAPTER 45--N.Y. STA'fE UNIFOI~I FIIU! PKEVENTION & BUILDING CODE D . .c~ lo.,!on I Art,. [ Sec ~ · · e , ~. BP ~3289Z for accy garage g BP ~3288Z ......... %mnclose4 Pat ~o1 BP ~4/~4Z-~O Z;3682 Accy Bldg., since removed. ., - Inspected by: -~f' ~ . ' .D-a. te of Insp. Jan. 8, 1993 ~qa~J. "Fish -- · Time start 9:30 end 9:45 FORM NO, 6 TOWN OF $OUTHOLD · Building Deportment Town Hall Southoldo N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,,, ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal)· :3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. ' B..For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features· 2.Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings. 3. Date of an,/ housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $25200 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5,'00. over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ "50. 00 Date ...S.ep,t.e.m,b.e.r. 10, 1.9,9,2 NewCons t, ruct, ion ...... Old or Pre-existing Building .X Vacant Land Location of Property . .],8~7.5, .Ht~t~'.~ .P.~tA,..$.o.u.tAo.].d.,..N.Y ............................. Hou=a No. Srr~ur Hamlet Owner or Owners of Property Oosephi ne DeMari a county Tax Map No. mOO Section ..?. ........... mock. ? ............. Lo,.. ?.0 .......... . . Subdivision .............................. Permit No ........... Date of Permit ....... Health Dept Approval / U nderwriters Approval ..................... Request for Temporary Certificate ............ Fee Submitted $ 100.00. · .Filed Map No ........... Lot No .............. · .Applicant .................................. · .Labor Dept. Approval ........................ · .Planning Board Approval ...................... ........ Final Certificate ....................... Construction on above described building and permit meets all applicable codes and regulations. 10-10.78 Applicant. .. . Office of ~ar~ F]anne~ O]sen, Esq. Main RS., P. O. Box 706 Cutchogue, NY 11935 CONSENT TO INSPECTION Josephine DeMaria Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at_ ]875 Hiawatha's Path, S0uthold, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 78 , Block 3 , Lot 60 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th,~ Southold Town k~ullcling Inspect,...~ o.r£~o ~o.~ ,~ ~nllnwin~: one family/ dwelling 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: September 10, 1992 (signature) 2osephine De Maria (print name) (signature) '~ (print name) '170040 TITLE NO. (~L ~'OO~ LAND N/F ST, pATRICK'S ROMAN cATHOLIC CHURCH FoRMERLY GORDON ~ r d F-'-'--'~, /,~o'-. ~Es. '~ ' ' · - ACTUAL -~-.-----'"~'-'~'-- L~.~z~'r '"" "' "'-~'~'~' ..... 4~./ ~ -- X,,, 5~ 2/0.00' HIA WA THA 8 PA  Barrett, Bonacci, Hyman & Van Weele, RC. 175A Commerce Drive, Hauppause, NY 117~ TEL. 5161435-1111 516/435-1022 FAX MAP OF: DESCRIBED PROPERTY SITUATED A~ LAUGHING WATER, NEAR SOUTHOLD FI~EO: 00. SUFFOLK NO. OERTIFIED TO: RAY.ND N. MITCHEL GLOBE ABSTRACT~~ DATE DEC. 16, 1992 DR. I~JD CH. JB SCALE 1" = 30' DIS~/WARD 1000 SEC. 78 BLK 3 LOT 60