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HomeMy WebLinkAboutZ-22900FOl~l NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXIBTIN~ C~RTIFICATE OF OC~umANCY No Z-22900 Date MARCH 14~ 1994 THIS CERTIFIES that the buildin~ Location of Property 1150 DEAN DRIV~ House No. County Tax Map No. 1000 Section 116 Block 5 Lot 14 Subdivision Filed Map No. Lot No. FAMILY DN~.r. ZNG =u'~O~UEz N.Y. Street Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to~ APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER S-22900 dated M~RCH 14~ 1994 was issued, and conforms to all of the requirements of the a~licable provisions of the law. The occupancy for which this certificate is issued is O~E FAMILY DW~v-?-IN~ * The certificate is issued to DORIB E. DF~N (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE BEE ATTA~ INBPECTIONI~EPORT. Rev. 1/81 BUILDING DEPARYMENT TOWN OF SOU3~IOLD HOUSING CODE INSPECTION REPORT LOCATION: 1150 DEAM DRIVE (number & street) SUBDIVISION NAHE OF OWNER (s) DORIS E. DEAN OCCUPANCY SINGLE FAMILY (type) ADHI~ iud BY:. DORIS DEAN KEY AVAILABLE ' SOU&d;- OF REQUEST: DORIS E. DEAl/ MAp NO. CUTCHO~IJE, N.Y. (munic/pa/i~y LOT (s) (OWner-tenant) ACCOMPANIED BY: SUFF. CO. TAX HAP NO. {000-116-5-14 DATE: MARCH 7, 1994 DWELLING: lIFE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATURO0~ (s) I FRAME 'CONCRETE BLOCK 5 2ND FLR. TOILET ROOH (s) { STORIES I { EXITS 2 CELLAR NO CRAWL SPACI~ PARTIAL 3RD FLR. PORCH TYPE COVERED CLOSED R~ARDECK' TYPE BREEZEWAY FIREPLACE NOME D0}IESTIC HOII~ATER ]r~. TYPE HEATER ELECTRIC TYI~E LIEAT OILIER: ELECTRIC WAPJ'i AIR UTILITY RO0~ . PATIO, ~E GARAGE AIRCONDITIONING HOII~ATER,_ ~OR INSTAl3:---. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SQI}IMING POOL OILIER: ONE CAR ~OOD FRAI~ STORAGE, T¥~E CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ,m_RT. SEC. REMARKS: BP {596 IZ-CO Z-5624 FOR ACCESSORY GARAGE /JOHN M DATE ON INSPECTION MARCH Il, 1994 TIME START 11:05 AMEN~ 11:25 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 buildings, 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. Submit Planning Board Approval of completed site plan requirements. B. 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 March lq' 199" Date · X New Construction ........ Old Or Pt'c-existing Building .......... Dean Drive Cutchogue, NY Location of Property ...... (.~Q-~ ............................................................. House No. Street Hamlet Doris E Deem .............. of Property ' ' ................... Onwer Owners .... 116 ......... Lot ...................... County Tax Map No 1000, Section ....... Block · Filed Map Lot .............. Subdivision .......... Date Of Permit Applicant Permit No ................................ ' ............................ Underwriters Approval · · Health Dept. Approval .......................... Planning Board Approval ........................ Request for: Temporary Certificate ..... Final Certicate. $ 100 Fee Submitted: ............................. ff 7370 APPLiC T CONSENT TO INSPECTION Doris E Dean ° , the undersigned, '~ Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (no #) Dean Drive Cutchogue, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section ~16 , Block 5 , Lot 14 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in"lha.Southold Town Bullcling lnspe~;~,~,., ottl,o to,, ,~,~ fnllow~_.... One story cottage 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 applicatinn, 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: March '~ 1994 ~-~. j ~ (signature) (print name) (slffnature) (print name)