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HomeMy WebLinkAboutZ-24015FORM NO. 4 TOWN OF SOUTHOLD SUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~ERTIFI~ATE OF O~-NJPANCY No ~-24015 Date NOVEMBER 3, 1995 THIS CERTIFIES that the buildin~ Location of Property 800 BIK)WN STREET House No. County Tax Map No. 1000 Section 48 Subdivision ONE FAMILY D~.T.ING GREENPORT~ N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet 45 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24015 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 ONE FAMILY DWELLING * The certificate is issued to ANTHONY DINIZIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAuMKt] INSPECTION REPORT. lrding Inspector Rev. 1/81 1.OC^T ! ()~ .. HAl' Il(). I.¢)'1'( s ) I)(:(:III'A Nt:Y$IN(ILE FAI{ILY AI)HITTI`Il} IIY: TOI~IY DIHIZIO KEY AYA I I.AIILE SOIII~CE OF ItEq}ll.:S'r: AIqlHONY DINIZIO ACCOHI'ANIEI} BY: SAH~ .qlIFF.CO. TAX HAl' It(). 1000-48-3-45 I)ATE: NOV. 2~ 1995 I)~El,l.I NC: 'rYH! 0F CONSTRIJCTION FOIINI)AT 1 ON TOTAl, ROOHS: liATIIROOH la) I'OR(:II TYPF. IIIII~EZE~AY DOHIL~'I' I (l I IO'I'~A'I'E It 'I'Y Hi IIEAT OIL O'['lll`iR: ~/OOD FRAI~ ! STORIES I ~ EXITS 2 CI~.I.I.AR FULL CllA~I. SI;ACE PARTIAL I ST FI.R. /~ 2ill) FI.R. Olql~ TO 11.ET ROOH ( s ) REAR ENCLOSED HEATED F I RI':I)I.ACE XX 'rY H`i IIEATF. I/ t~Alitl Alit 3RI) FI,R. IIECK, TYPE L.P. GAS UTILITY ROOH · PATIO GARA(|E A [ RCONI} l'l'lOH ][O'IMATER ACCI£SSOllY STRIJCTURES: (;AIIA(iE, 'I'YPI`I OF CONST. STORA(iE, TYPE COItST. Si,Hl'ltllNO I'OO1. , GIJEST, TYPE (:OtIST. OTIIER: ~~-~.--~~~~~~~~ VIOI.ATIONS: CIIAI'TER l;5 N.Y. S'I'ATI': IINIFORH PIRE PREVI':NTION & IIIIII.I)ING COl)Ii lX)CAT10N DESCRIPTION ART. SEC. BLDG. DEPT. TOWN OF $OUTHOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 bull. dings, 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. Snbmit 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-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 $15.00 Date ...Oc~...20,. 1995 ....................... New Constrnction ........... Old Or'Pre-existing Bn~lding... ~.~.-.epgi~3:htlg...Bldg. Locati.on of Property...(~OO..B.I~.Q.~..~.T~..~.~.~ ......................... ~]~]~t~O~?. ............... House No. Street Hamlet Onwer or Owners of Property .... gNWJ~QNY. ~...DIgIT. ID ......................................... County Tax Map No 1000, Section ...... .4.~. ..... Block ..... 3 .......... Lot...~5 ................. Subdivision .... .~g$N~.Q~T. hlYINh .PARK ...... riled Map ............ Lot ..... 3.7. .............. Permit No ................ Date Of Permit ................ Applicant ............................. tlealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicste ........... Fee Snbmi tted: $ ............................. ..... .............. ~'~ ~'0 ~ ~q 0 15 A~I, ICANT O CO~ iNSPECTiON ttNTMON¥ p. DINIZT0 Ox:mcr(s) Name(s) do(es) hereby state: . the undersigned, That the undersigned (is) (are} the owner(s) of the premises in the Town BROWN of Southold located at 800 .~ STREET, GREENPORT, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 48 , Block 3 , Lot 45 · That the undersigned (has) (imve) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: CERTIFICATE OF OCCUPANCY That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described pr. operty, iucluding 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 MI.of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such h~spections, do(es) so with the knowledge and understanding timt 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. Date0.. //- - ?,¥ '(sineCure) S ' ANTHONY P. DINIZIO (print name) (signature) (print name) I~QT,ES_: