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HomeMy WebLinkAboutZ-28370 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28370 Date: 04/30/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 440 COTTAGE PL SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 062 Block 0003 Lot 016 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- 26370 dated APRIL 30, 2002 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 OPEN PORCH, ENCLOSED PORCH AND WOOD DECK AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to HELEN FINNE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMBNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATBD N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized S nature Rev. 1/81 BUILDING DEPARTMENT TOWN OP SOUTHOLD ' HOUSING CODE INSPECTION REPORT LOCATION: 440 COTTAGE PL SOUTHOLD SOBDMSION: MAP NO.: LOT (S) NAMH OP ONNSR (S): HELEN FINNE OCCUPANCY: SINGLE FAMILY HELEN FINNE ADMITTHD BY: JOE MCCARTHY ACCOMPANIHD HY: SAME RSY AVAILAHLH: SIIPF. CO. TA% MAP NO.: 62.-3-16 SOURCH OP RHOUHST: HELEN FINNE DATH: 04 30 02 DWELLING: TYPE OP CONSTRIICTION: WOOD FRAME # STORMS: 1.5 # ®CITS: 3 POIINDATION: CONCRETE BLOCK & HAICK CaT•rae. CRAML SPACH: 'TOTAL ROOMS: 1ST PLR.: 4 2ND PLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILHT ROOM(S): 0.0 IITILITY ROOM(S): PORCH TYPH: SIDE ENCLOSED DHCR TYPH: REAR PATIO TYPH: FRONT COVERED BRHHZHMAY: PIRHPLACH: GARAGH: DOMESTIC HOTfD~THR: YES TYPB HSATHR: NAT. GAS AIRCONDITIONMG: TYPH HHAT: NAT GAS i'D1RM AIR: HOTYD\THR: STEAM OTHHR' BILCO DOOR ACCESSORY STRUCTURES: GARAGH, TYPH OP CONST.: 2 CAR GARAGE - WOOD STORAGH, TYPH CONST.: SMLpMG POOL: GUHST, TYPH CONST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIPORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ AAT. SEC. RRIIaurS: Bp28249 CO 228323, BP28280 ROOF ALTER COZ28329 INSPHCTHD BY: DATH ON INSPECTION: 04 25 02 JO M HODPIS TD7H START: 9:40AM HND: 10:10AM FormlVo.6 ~ ~ ~ 11j I{ n TOWN OF SOUTHOLD D ~i If ~ BUII,DING DEPARTMENT ttt apR I` 8 TOWN HALL 765-1802 HIDG. D~P7. APPLICATION FOR CERTIFICATE OF OC ~ `r''J ~ l.D This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 eadsting buildings (prior to April 9,1957) non-conforming uses, or bulldings and "pr~eaisting" land uses; i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic ' features. 2. A properly completed application and a consent tb 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 Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~ / o f o d- New Construction: Old or Pre-existing Building: (check one) LocationofProperty: ~O Co~/fG~ Pt~C& Snta 1 ~d-o L.O House No. Street Hamlet Owner or Owners of Property: ~ F 1 itl~tl Suffolk County Tax Map No 1000, Section ~ Block 3 Lot ~ Subdivision ~ Filed Map. - Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate. Final Certificate: ~ (check one) Fee Subixutted: $ bb r C„~ J ~ I~ ~ o ~ h-" ~ ~ ~ ~1 Applicant Signature o Q N O ~ Q ~ N W O 0 p~ ~Q A m a3i N Q It y '1 ~ A ~O Sj~, F` r' 7' ~ ~ ~a ~c1z a ~ o~~ ~ ~ ~ ~ ~ ~ M ~ -cS G,,,'vi ~ a j~. 'r' ~ U 1 S3 7 a ~p ~ ~r..,o~ ~ 1 C,~.s''©~ ~ a r ~ D s oa '~(j ~ W ~ ~ ~ ~d ~ m ~ ~ N ~ ~ ~ ~ y't 1l ~ 11 1~A S~ _ ~ r- r- 4 `t ~v'~~ ( m'. ~ ~ C 1 IU ~ ~ 0 ~ 1~ ~1 ~ ~ 1 ~ p 0 1 ~ ~ ~ 4 ~ C 1 ~ ,n C d la U, 1 N ~ ~ ~~.4 oZ ~ b z ~ ~ i WWI ,~Ge. fad ~