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Home My WebLink AboutZ-23681 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS S%ISTING CERTIFICATE OF OCCUPANCY No Z-23681 Date JUNE 5, 1995 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 630 NSW SUFFOLK AVENUE COTCHOGtIS, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 6 Lot 5 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-23681 dated JUNE 5, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued ie ONS FAMILY DWELLING WITH ACCESSORY GARAGE 6 3TORAGE SEED The certificate ie issued to DORVILLS F. i ALICE FINRLB (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLSASS SSS ATTACBSD IASPECTION REPORT. ding nspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD IIOUSING CODE INSPECTION REPORT LOCATION: 630 NEW SUFFOLK AVE. CUTCHOGITE, N.Y. ' number 6 street municipality SUBDIVISION HAP N0. LOT(s) NAME OF OWNER (s) DORVILI.E 6 ALICE FINKLE OCCUPANCY A-1 Res. OWNER type owner-tenant ADMITTED BY: MR. FINREL ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TAX MAP NO. 100 - - - SOURCE OF REQUEST: DORVILLE FINRLE DATE: MAY 15, 1995 DWELLING: TYPE OF CONSTRUCTION MOOD FRAME # STORIES 2 # E%ITS 3 FOUNDATION CONCRHTE BLOCK CELLAR FB'I' CRAWL SPACE TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM PORCH TYPE OPEN FRONT DECK, TYPE WOUD ~ PATIO BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER LILCO AIRCONDITIONING TYPE HEAT OIL WARM AIR ~ HOTWATER OTHER: PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1-I/2 CAR WOOD FBAMB STORAGE, TYPE CONST, WOOD FRAME METAL SIDING METAL S SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP #22799-Z CO Z-23680 INSPECTED BY - ~u ~ DATE OF INSPECTION MAY 18, 1995 TIME START 9:40 gNp 10:15 Form No. 6 TOIJN OF SOUTIIOLD BUILDING DCPpRTPIGNT _ TOWN IIr1LL 765-1802 APPLICATION FOK CERTIFICATE OF OCCUPANCX A. This application muse 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 properly with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of ioater supply and sewerage-disposal(S-4 Eorm}, 3. Approval of electrical installation from Board of Fire Underwriters. 4: Sworn statement from plumber certifying that the solder used in system con[aii•s less than 2/10 of 17, lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,1\a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (PrlOr to April 9> 1457) 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 [o 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. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - $20.OU 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~1~... ~S 1l. . idew Construction......//..... 0 ~j~Or~Pr existing Buildy~t~.g.-.,.f. v ~ Location of Propertyll~~ ..L" ~J.S ~~C~L~~ . t/~G~.~. -,j GJ .C...~~ House No. Street Hamlet / , / / Lim Onwer or Owners .,f Property..~<.~~~..9'...~.~~ Y( h!4-~'f/ `~~a~~~ -~09,~ County Tax Map No 10 c ion.......... ?..Block ................Lot...................... Subdivision ....................................Filed M:tp............Lot...................... Permit No ................Date Of Permit................Applic:ant............................. kiealth Dep[. Approval ..........................Underwriters Approval.. ?fanning Board Approval 3equcst for; Temporary Certificate........... Final Certica[e....~... ?ee Submitted: $,,,I;!;;,,,,,,,,,,,,,,,,,,,,, . . 6~.~,u y 9,56 ^ n . , 1 B~cpe , N. 80'd6'A4`E. 403.27 ~ ~ 2%~ ' = sad ~ a O s, .ra r. ~ rhea o [Y ll} ~ ~~T House ~ J ~ , ' f~repace f ~ 4t• Q , i ?j~ ~ driveway ~ ~ 'd ~ ''~n ' s • ~ ~ N V' i ~ ~ I °m ~ /o _ ~ ~ 3 s i h vi 4t Z o ~f~.,« f.,,« j ~Z 8~ ~asckob . N {!/IAP OF SAND Scala-.50f+.= iirt. • S~r~vEYED Fog DORY{L.LE ~AL(CE F{NKLE wtoNUtnONt i ar CUTGNOGt)E 'fawr.+ OF SouTriptO,N.Y. ~7tXLYAt{tc~ed +-o +i'ie =~a.urit•~y'f i-t-le UnC~ Gvoravr+y Ga. 4?~d +Nc 5ov~~ctd scsvirt<,~. ' P.aN k _ as sa~rve~ed Auxsvsf t t, t9la4 L~7 r: i ez.~ ~i~ j !..(GC:'atscd Lci~sd Surveuc~s 'Gree~~;.~r+, NcwYrk C O' 1 L~ INSPEC'T'ION Ap, p~ 6~~~ ,~~y~~~~ the undersigned, Ovmer( ) Namc s) do(es) hereby state: That the undersigned (is) (are) the owne s) of the premises in the Town of Southold located at ~~^G~~~l.~~ which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot 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: 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 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 regulations the Town of ou old. Dated: i/~ l~' ~9gs~ (si~na ure) (print name) (A~~ o ~Gys~~ (si~naturc) sprint name)