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HomeMy WebLinkAboutZ-24465 _ _ _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS EBISTING CERTIFICATE OF OCCOPANCY No Z-24465 Date JUNE 26, 1996 THIS CERTIFIES that the building ORE FAMILY DWELLING Location of Property 1405 OAR DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 8-24465 dated JONS 26, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ONS FAMILY DWELLING WITH ACCESSORY GARAGE The certificate ie issued to EASTERN LONG ISLAND HOSPITAL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHBD INSPECTION REPORT. Building Ins ctor Rev. 1/81 • BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1405 OAR DR. SODTHOLD, N.Y. number d street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) THE EASTERN LONG ISLAND HOSPITAL OCCUPANCY SINGLE FAMILY type owner-tenant) ADMITTED BY: MARGERY WALEER ACCOMPANIED BY: SAlH3 KEY AVAILABLE SDFF.CO. TA% MAP NO. 100 - SOURCE OF REQUEST: PAUL CAMINITI, ATTY DATE: JUNE 10, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EKITS 2 FOUNDATION CBMENT BLOCE CELLAR PART CRAWL SPACE TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) ON6 TOILET ROOM (s) UTILITY ROOH SMALL ATTACHED TO REAR PORCH TYPE FRONT fi REAR COVERED DECK, TYPE PATIO REAR- PORCH BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER ~ TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION d BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION JITNE 14, 1996 OHN M. BO IS TIME START 9:50 AM END 10:15 AM t . Form No. 6 RR TOWN OF SOUTIIOLD i ~ L5 ~ a M ~ n ; BUILDING DEPARTMENT V TOWN. HALL II ~ 765-1802 ` i `~r) ~ ~ I', APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWBLDG DEPT N OF SOUTHOID 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 installaCion from Board of Fire Underwriters. 4. Sworn statemenC from plumber certifying that the solder used in system contains less than 2/10 of lz lead. S. 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.- 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 2. Certificate of Occupancy on Pre-existing Euilding 100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 year ,00 4. Updated Certificate.of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date IYO 4 6 New Construction........... Old Pre-existing ilding „ Location of Property........ ~0 $ 12~U t,,, SO,v TN 0 Ctn... House No. SCreet -.-Hamlet Onwcr or Owners of Property... fA5 Te;i~{ , , ,~m,~rn ~ S~fl-R.~ U /~O S~ . _ , County Tax Map No 1000, Section...~~........Block......~..........Lat.~ Subdivision ....Filed Map............Lot...................... Permit No ................DaCe 0[ Permit................Applicant............................. Health Dept. Approval ..........................U~iderwriters Approval......................... ?lanning Board Approval Request for: Temporary Certificate........... Final Cer ate... - "ee Submitted: $ ~ , ~Q,c. SIS~~ ~ Su C0 ~2 y y(A$ - APPLICANT' . - 1=pt ~'~r - ld:~v - ~ JUP! 0 i~ f ~ CUNSliNT BLDG. DEPT. r TO ,M TOWN OFSOUTHOLD INSP[:;C•CION ~f~57P,P~t/ ~OUQ ~Sf!i4M~a /TpS , the undersigned, Uvmcr(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 /40.5 ©AK 1)I~~V ~ S9 y TJ'f~ L whir_h is sho~tim and designated on the''//Suffolk County tax map as District 1000, Section Block ~ Lot 'tl-•• 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: __Q~rF ~A-n~~t~~wc/~~uc~ r~cC~~~~1q Codc[~~e ¢aTo o~~ -CfJd~,Et~o DoBCGI v4tJ !1 !7e ~ A Cf-~ P'7 ~'fl~ i4q E 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 map 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 knowledge and understanding that any information obtained [n the conduct of such inspections may he used as evidence in subsequent prosect:tions for vio- lations of the laws, ordinances, rules or regulations of Tow f outhold. Dated: ~o ' ~0- 46 'dnature) ~ ~ C print name) pi.G l i~e~' 76 ~~9v /y/A,ec~~,etr ~~~t~ (signature) ~)g ~,ICgj1EC~l0~ (print name) ree : a 98 - ~ 76 0 ,vza°ii'za'E 90.00' ~ E JUN : 019 O Tn~~/~ ()f SQ~jTF~ mm ~Q`, `V nV F•fq M! G,oiw N ;i o6N86D LA p~ s`' o „ ~ LEk.,~ q` I ~ 1 LO-L- O ~I 1 ? 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