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().
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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_: