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Home My WebLink AboutZ-19297 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19297 Date AUGUST 16, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2974 LIGHTHOUSE ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 3 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19297 dated AUGUST 16, 1990 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 ACCESSORY WOOD FRAME SHED The certificate is issued to WILLIAM H. & CHARLOTTE R. DROEGER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD - PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD - PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD - PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDI'e:G DEP~,RT:•IE:iT TO'.li~i OF SOUTHOLD, N. Y. HOUSITdG CODE IiTSPECTION REPORT Location 2974 LIGHTHOUSE ROAD SOUTHOLD, NEW YORK (numoer & street) (T~iunicipality) Subdivision Fiap No. Lot(s) Name of Oe~ner(s) WILLIAM 6 CHARLOTTE DROEGER OCCllpariC'j R-40 (A-1) OWNER (type ovm er-tenant) Admitted by: PAT PATTERSON Accompanied by: SAME Key available Suffolk Co. Ta:c T1o. 50-3- t z SOllrCe Of regLl@St PAUL A. CAMIN~TI Date JULY 20,.1990 D?~fELLIATG Type of construction wooD FRAME #stories 2 Foundation CONCRETE Cellar Crawl space PART & sLAB Total rooms, lst. F1 z 2nd. Fl 4 3rd. F1 Bathroom(s) 2 FIILL Toilet room(s) Porch, type - - Deck, type - - Patio, typerear brick Breezeway - - Garage - - Utility room off kitchen Type Heat LILCO-GAS rk ELEG~arm Air g Hotwater Fireplace(s) OxE No. E:cits 3 Airconditioning - Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. WAD FRAME SHED Svli.~uning pool Guest, type const. Other VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BIIILDING CODE Location Descrirtion ~Art.~ Sec. 1 B.P. 95459-Z - CO Z-4469 for Addition 6 Alteration. Remar.{s Inspected by: Date of Insp. AIIGIIST 1990 Gar ish • Time Stdrt 9:30 am end 9:55 am _ _ ~(J Form No. 6 D V TOWN OF SOUTHOLD ~r 3 ~ ~~yy~ BUILDING DEPARTMENT .~u6 i~aJ ~i, TOWN HALL 765-1802 B1-D0 ~F'"~' TOWN OF S'?~'",....., ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY 1. 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 1Z 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. 3. For existing buildings (prior to April 9, 1957) non-conforming use=, ^r b~ildiBg~ and "pr?-existi:e" 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 525.00. 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. !ipdatcd Certificate of uccupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..3V1Y..ZR..~99.Q :;~w Construction..... Old Or Pre-existing Building ~J~- X Location of Property~~~-'.'°.~.LIght,House.ROadt.SOUthold . . . House No. Street Hamlet ')nuer or Owners of Property WILLIAM,H:. DROEGER AND CHARLOTTE R. DROEGER,,. his wife,.. . Ce~nty Ta:; flap No ivvv, Sec~ion......+`~ ......Tslock...3............Lot....? Subdivision ....................................Filed Map............Lot...................... _ Permit No ................Date Of Permit................Applicant........ ftealth Dept, Approval ..........................Underwriters Approval.................. ' clanning Board Approval bequest for; Temporary Certificate........... Final Certic e....... Fee Submitted: ' ~.ee. 4 o a 9.3 . P L A . C $~CANT c~~;ya97 _ - _ x i D M~~~- COA'SENT To JU. 3 1 1990 INSPECTION TUWN OF SUU7HG~.n.- ~dILLIAM H. DROEGER AND CHARLOT~PE R. DROEGER, the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigne~d7(is) (are) the owner(s) of the premises in the Town of Southold located at Light House Road, Southold which is shown and designated on the Suffolk County tax map as District 1000, Section 50 Block 3 Lot 12 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: pre existing 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 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 cf Southold. The undersigned, in consenting to such inspections, do(es) so with the kno~c•ledge and understanding that any information obtained in the conduct of such inspections may he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of th own of Southold. Dated: July 20, 1990 _ (sign e) UL A. CAMINITI, AS ATTORNEY (print name) PLEASE CONACT PAT PATTERSON, AT BURT LEWIS REAL ESTATE FOR ACCESS (signature) 765-5810 NAS ,fir- (print name) 1 ' 'r . .ul . ~ F 7yJ 1 o ca to ;"~'wl~i r .~4r`.~* , _~.`t~' r y/ , y ~ , Z s ~ ~ a ~ oN ~ ~ ~ _ ~ r.. ' ~ t ~ s~,~ ~...r --~1,, s~, ~ ~ ~ ~ - GI PE ,~t~,~ ~ ~ ~ t~r FF t ~ x N _ t ~ r~_ t ~ r ~ ~ , \ i - L ~1./...J. INurah~dMMSMIMw ~ ~ ~ S ~ r ~ eoMw wrr/iki MaMOYt~ `A` G~ - ' OApMdM~w~w?~~~ItMYIMIM ~ - ~ - i' "~'-..sue °«~+~`"~~~~.L ~+'~*~'7raie_,(~;LTH ~/!.NC Tr LE ~~rNe~i.e ~~it "r ~ j c~G ~A!;::!' t. '.#_`-tAM1;~.~~, ~_*~j~.Rf~ _agVtfJ6` , ~?t,'~. •r~wM~uw. 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