HomeMy WebLinkAboutZ-25260 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRS E%ISTING
CERTIFICATE OF OCCUPANCY
No Z-25260 Date SEPTEMBER 11, 1997
THIS CERTIFIES that the building ORS FAMILY DWffi.LING
Location of Property 630 TERRY LAMS 3ODTHOLD, MEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 65 Block 1 Lot it
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-25260 dated SEPTEMBER 11, 1997
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 UNHBATED SEASONAL BUILDING*
The certificate ie issued to PETER L. FICINI
(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 ATTACHED INSPBCTION REPORT.
Building Ins etor
Rev. 1/81
BUiLUING UEPAR'1'MEN'f
'TOWN OF SOU'l'HO(.1)
liOUSINC CODE INSPEC'L'ION REPOR'P
LOCA'C10N: 630 TERRY LANE SOUTNOLD, N.Y.
number fi street municipality
SUBDIVISION HAP NO. LOT(s) _
NAME OF OWNER (s) PETER FICINI
OC,CIIYANCY SINGLE FAMILY
type ~ovner-tenant
ADMLT'I'ED BY: PETER FICINI _ ACCOMPANIED BY: SAMB3
KEY AVAILABLE ~ ____SUFF.CO. TAX MAP NO. 1000=65-1-11.
SOl11tCI? OF RN.QUEST: PBTER FICINI DATE: SEPT. 8, 1997_____.
DWEi.LiNC:
TYPE OF CONSTRUCTION WOOll FRAME STORIES__1 / ERI'fS_1
FOIINDATION_ CBMENT BLOCK CELLAR PART CRAWL SPACE
7'0'PAI. ROOMS: 1ST FI.R. S 2NU FI.R. 3RD FI.R.
BA'I'1IR00M (s) ONE TOILET ROOM (s) UTILITY ROOM ATTACHED REAR
l'ORCfI 'I'YYE FRONT DECK, TYPE PATIO RgAR
BREE7.EWAY FIREPLACI? ONE____ GARAGE
DOMESTIC HOTWA'1'ER Rg TYPE t(EA'1'ER LILCO GAS _ AIRCONDITIONING
'l'YYF. IIEA'1' LILCO GAS WARN AIR NO'11IATER ~
O'1'l1ER:
AC('.ESSORY STRUCTl1RES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. WOOD STORAGE SHED
SW]MMING POO1. GUEST, 'l'YYE CONST.
07'l1ER: iD7HP.ATF.D SAASQNAi. RU7i.TTNG - ~ RlY1NC YJ AATN lC KTT('uApl
VIOLA'fI0N5: CIIAY'I'ER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
I:NSYECTED BY_ DATP. OF INSPECTION SEPTHMBER 11, 1997
JOHN M. BOUFIS T):ME START 10:45 END 11:15
_
Form No. 6
TOWN OF SOUTHOLD i"""""RR RR M
BUILDING DEPARTMENT ~ L ~ L5 ~
V__`LK
TOWN HALL
76s-laoz SEP X81991
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ f
~ t~c~Cr ~
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 17, 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 $2s.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 $s0.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25q.
4. Updated Certificate of Occupancy - $s0.00
5. Temporary Certificate of Occupancy - ResidentialGG$15.00, Commercial $15.00
Date ......l~$
New Construction........II... Old Or Pre-existing Building..........
Location of Property....~a~~.....~'~T.'~:~....~' ..............~Ou~~~.:...............
House No. L Street Hamlet
Onwer or Owners of Property...~4."C,Q~....
County Tax Map No 1000, Section...... ~.?~....Block.....,..........Lot..i~
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: $ DO: b 0 , .
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Owner(s) I`lurnr.(n)
du(e:;) hereby slate:
'l'hnl the nndt:r:ail;nurl (ire) (nre) the owner(s) cif Lhe Itrc:mines in the 'I'nwn
of tinulhuld located .rl
v,,~-`„~,~,_ _ • whirls I:; e;huwn and desiF;unlerl un the tiuflnll:
I 'uunly Inx ui;rlr ns I)isl ric(. 11)1111, tir,clinn liluck L,crl.
'l'Irul 1.1«: ur«lertslp;uerl (h«;) (h.rvr.) filr:d, ur caused to he Filed, au nlrltlica--
Ilrui Lr the Soulhuld'I'om•n I;uilrliul; Insheclnr's Uffice: fur Lhe fulluwinl;:
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'I'h.Fl ihr, rnuk:rsiL;nr.d du(r,:;) hw•ehy f~ivr: cunsr.ul. Ln the: ~linildinl, Insltuclur:;
ul' Iln:'I'uwn ol';iuul.huld lu cuter' ul«ni the ;ihuve rlesr.rlherl Irrupur-ly, iucludinl;
nny Hurl nll buildings Iuc;rLr;d Ihr.ruou, lu r.uudncl such inspeclluns ns they uury
rlcx:in neces:,ary wlLlr rmslwol to Ibe afr~re:;;t1r1 ;tlFltficatlun, inchulhtg insiu:cl.inns
lu dulcrmiue lh~tt swirl Irrr.nri:.a::-; r:omlrly wlllr nll ul' the I;aws, urdinnnces, rulr,s
nnrl rel;ul~rLtons r)I' Lhr.'I'uwn r:f `iunlhuld.
The undersigned, In cun:;euLing fu such inslr¢ctions, do(es) so tvil.lr the
leuutn•lerlf!e arul undr:rslundiul; IJwL an,y infurmaliun nbltrined hi the condo cl of
such hi:;l>eclions pray he used n:; evidence in ;nrhseyuenL prosecnlions for vio-
I,rliunr_~ of the laws, rn•dinaucer;, rules or reF;nlafions of Lhe 'Town of uulhold.
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