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Home My WebLink AboutZ-24489 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PR8 ESISTIMG CERTIFICATE OF OCCUPAMCY No 8-24489 Date JULY 11, 1996 THIS CERTIFIES that the building ORS FAMILY DWSLLIRG Location of Property 350 LAKESIDE DRIVE SODTHOLD, M.Y. House No. Street Hamlet County Tax Map No. 1000 Section 90 Block 3 Lot 16 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 Z-24489 dated JULY 11, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is ONS FAMILY Di1SLLIMG The certificate is issued to ARMA M. ECO (owner) of the aforeeaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL M/A UNDERWRITERS CERTIFICATE NO. M/A PLUMBERS CERTIFICATION DATED M/A ~PLSASS SSS ATTACHED INSPECTION REPORT. Building spector Rev. 1/81 ' I11111.UINC DlihAlt'I'Hlitl'I' - 'fUWN OI? SOIt'1'110Lll 11t)11S1NG CODIt T)ISl'EC'1'LpN Itl?hOITI' LOCA'T'ION: 350 LAKESIDE DRIVE SOITfHOLD, N.Y. number b nCreeCj------- --Zni~iniclpaliCyj-- -J-J--- S1111U1VLSlON lIAP NO. LO'I'(s) NAFIG Ol ONNI? it (s) ANNA M. ECO OCCIIPANt:Y SINGLE- FAMILY P Q j ou n e r- C e n n n~ AUMf'1"I'IiU llY: CAROLINE D. BARTOLA _ ACCONPANl1?1) nY: SAME KIiY AVAl1.All1,l's -~~-~-----^I1F1~,('.O. `fAX F1Al' NO- 1000-~~-~-I~- SOUf1CL OI% IN~.t1Uli S'I': - PAUL_.CAMINITI __ATTY OA'fl?: 6/14/96 'I'YI'B OP CONS'fRIICT'IOFI CEMENT BLOCK ~ STOCGO ,1 S'I'OItiGS 1 / IiXI.'I'S 2 _ POIINOA'1'[(1N CEMENT BLOCK --------^CL').1.AIt-_-PART CRANK S1'ACG~ 'ro'rnl. Itoulls: IS'r ht.a.- 4 "LNI)-ht.n. ~)ttn hilt - - If A'l'IIROON (e) ONE _ '1'U 11.1;'1' itOON (n) U'1' LLl'I'Y ROOF1 LAUNDRY ROOM 1'OltCll 'I'Yl'li SCREENED REAR-FRONT CQVERED DECK, 'i'Yl'B PATIO nltEEZliwnY hl.l(EPLACL' _ O~ cntancr_-- UOFUiST'TC Il0'('WA'fl?It ~----fYl'E IIEA'1'Elt ELECTRIC AIItCONI)i'f1.ONtNC - 'rYhlt nEn'r ELECTRIC-BASEBOARD wnRFl nut NO'rNn'rrR O'rN li It ACCES5pIlY S'I'RUC1"IIINi3: CAIIAOI?, '1'YPIi Oh CONS'I'- 2 CA_R GARAGE WITH 5'fOItACIt, '1'YPIt CONS'l'. ROOM ABOVE.- ~ --81N'sS'1', TYI'I~. CONS'I'. - VI-OLA'f10NS: C11A1''1'tilt /i5 N.Y. S'I'A"Ch. IINLIiO1tF1 1?Iltli l'RI%VIiN"PION 6 ItI1LLU[NC COUIi I,OCA'fION --ULSCItlY'L'LON - - AR'f. 51:C.- ItEFtARKS: BP 050 CO Z-5357 (Accq Garage) BP /6599 - CO Z-5376- (Acct' Shed) - BP 794 CO Z-24490 ADD), BP 0194752-CO Z-24491 (Renovation Dwelling) INSI'EC'I'ED DYv- I~ UA'fE Oh INSI'IiC'1'ION J1TNE 21, 1996 ~~-~p~ 'I'IFlli Sl'AICI• 9:45 KNI) 10:20 Form No. 6 -.5~~=_~_ TOWN OF SOUTHOLD ' BUILDING DEPARTMENT 14~ TOWN HALL °j 765-1802 BLDG. DEP7. ~ TOWN OFSOUTHOLD~,. 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. 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 0. 2. Certificate of Occupancy on Pre-existing Building 3. Copy of Certificate of Occupancy - .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~O r Q ~ New Construction........... Old Or Pre-existing Building......... Location of Property.....'3 SQ...CIaf~~S.i.~.~.....~/L ~~ti/ /7d~ U~............ . . House No. n Street Hamlet Onwer or Owners of Property......./'? N ~//11~....~.:...~ ~ ® County Tax Map No 1000, Section...../.h!......Block...,..l...........Lot....l ~ R Subdivision .........................`.........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: $..lQ ~ q 1LC ° S 1 S' ~ AP NT CONSENT To INSPECTION f~ ~ ~ ~ ~ , ~ ~ a the undersigned, U::mer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the pyre^mise~s/i~n the Town of Southold located at 3.5~ fit= 51 D~ ~Q _ ~ imJ t ~ which is sho:vn and designated on the Sluffolk County tax map as District 1000, Section 9~ Block 3 Lot ~ ,b 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~t7 F ~i~-w~ ~ C~ 1~ u-~.~~1 N~ 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 tivith 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 in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or reb lations of% e Tow Southold. ff Dated: S ~g 9p ( 'ynature) (print name) ~~f~j~L/ ,z~ ~~'e~yo~r/ (signature) (print name) S J ~~S y p ~ b v ~ ~i ~ 0 ~ z s ~ ~~s,n ~ ~ s ~n ~ ~ ' ~ ~ Tt F ~ ~ 7. 0 ~ ~ aoa~~ 1 ~ u q C? d ~7 ~ 1 1~ ~ W 4 ~ sN ~ v s~~ y t'~ r a~ N Q y ~ ~ g a ~ 1 ppd :4c~ ~ Q• ~~1 s ~ Y ~ X4 . X~ .ati cy ~ f 71.1 C7r1 '3 O1,{9EQv_S ti k £y'LV ~ i D~ 22 yS ~ ~ O ri- ~ O y ~q i > > __r_~- v 11 ~ o t9' r ~ Z Q 4 1 .-~J 1 V ~ a 4}, ~ ~ N i9 ~ 4 o~ ~ Ql 4 i~ d • rr,,,os og ca ~ 11 ~ ~ ~ a-o 1.~ z ~ ? i Q. O~ ~ Q_t 1 s 1 ~ _ OC` - .