HomeMy WebLinkAboutZ-26789FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
pRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26789
Date: 11/18/99
THIS CERTIFIES that the building
Location of Property 70 HUNTINGTON BLVD
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 067 Block 0004
Subdivision Filed Map No. __ Lot No.
DWELLING & ACCESSORY
PECONIC
(HAMLET)
Lot 011
conforms subetantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26789 dated NOVEMBER 18, 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 WITH SECOND FLOOR DECK AND ACCESSORY STO~AGE
SHED.*
The certificate is issued to JOSEPH DINUZZO & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 70 HUNTINGTON BLVD
SUBDIVISION:
~ OF OWNER (S}: JOSEPH DINUZZO & WF.
OCCUPANCY: A-1 RESIDENTIAL
ADMITTED BY: ~m~T gILLISPIE. III
PECONIC
MAP NO.: __ LOT (S) __
JOSEPE DINUZZO & WP.
ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 67.-4-11
SOURCE OF P~QUEST: ROBERT W. GILLIEPIB. III DATE: 11/18/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION:
TOTAL ROOMS:
BATHROOM(E): _..
PORCH TYPE:
BREEZEWAY:
1ET PLR.: 2
FIREPLACE:
DOMESTIC HOTWATER: YES TYPE HEATER: ~
TYPE HEAT: OIL WARM AIR: HOTWATER:
OTHHR: ~TILIq'YROOMATTACHED TO PdKAROF HOUSE
# STORIES: 2.0 # EXITS: ~
CELLAR: ~ CRAWL SPACE: NONE
2ND FLR.: ~ 3RD FLR.: O
TOILET ROOM(S): O,O UTILITY ROOM(S): --
DECK TYPE: SECOND FLOOR DECK PATIO TYPE:
GARAGE:
AIRCONDITIONING:
GArAgE, TYPE OF CONST.:
OTHER:
STOEAGE, TYPE CONST.: WOOD FRAME
GUEST, TYPE CONST.:
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
~ DESCRIPTION ART.
SEC.
R~4ARKS: BP#lE507Z ARD. CO#Z-23354: BP#22033Z INSTAL. CO#Z-23353
DATE ON INSPECTION: 11/15/99
TIME START: 9:45AM END: 10:05AM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 resie~e~'a~.~d ~i~i~r~iir
and installations, a certificate of Code Compliance
responsible for the building.
6.Submit Planning Board Approval of c~mpleted site plan re~ui~em~.
B. For existing buildings (prior to April 9, 1957) non-conforming ~o~f~-~d~s
'.'pre-existing" land uses: ~ ~ ~ ~'. 7:~:',~,'~ ~ ·
· Accurate survey of property showing all property lines, ~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·
C. 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 Dccupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ......... ~ ! .°..~P...~. f . .~..~. ..............
New Construction .......... Old Or Pre-existing Building .............
ocation of Property. i... .....
House No. Street
Hamlet
Onwer or O~ers of Prope=y...~...~.-...,..~.. .......
· ..q 7 .,f-...
County Tax Map No 1000, Section ....... Block ........... Lot ..................
Subdivision .............. ~.~..~(-.~.~ ~..~..g.d.r..Filed Map ............ Lot ............... ....
Permit No ............. ... Date Of Permit ................ Applicant ......................... .
Health Dept. Approval ....................... --- Underwriters Approval .....................
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final Certicate ...........
' Fee Submitted: $.. ~.~. '
...~.. ~.f .............. ~. ,, x,~ . ,
_ .........
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (~the owner(s) of the premises in the Town
of Southoldlocatedat
, which ~s sho~ and designated on the Suffotk
County tax map as District 1000, Section ~, Block O~., Lot [[
That the undersigned (has) (~) filed, 'or caused to be riled, an applica-
tion in the Southold Town Building Inspector's Office for the following:
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 qfl
(signature).