HomeMy WebLinkAboutZ-19746 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-19746 DATE: February 21, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 235 OAKLAWN AVENUE SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 3 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19746 dated FEBRUARY 21, 1991
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 ACCESSORY COAL BIN fi PLAYHOUSE
The certificate is issued to LINDA FISCHETTI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDI~:G DEP^,RT?IE.iT
T0:(PS OF SOUTHOLD, N. Y.
HOUSIidG CODE IiiSPECTION REPORT
Location 235 OARLAiiN AVENDE SODTHOLD, NEFT YORK
~numoer do street) f~iunicipality)
Subdivision Map No. Lot(s)
Name of 0~•~ner(s) LINDA FISCHETTI
Occupancy
type owner-tenant)
Ad,•aitted by; vlcxoRlA RANAGAN Accompanied by: SAME
Key available Suffolk Co. Ta:c No. 61-3-3
Source of request LINDA FISCNETTi~ ~ Date FEB. 6, 1991
D;~fELLI`tG
Type of construction WOOD FRAME stories 2
Foundation CONCRETE Cellar P~T~' Crawl space P~T~'
Total rooms, 1st. Fl 4 2nd. F1 3 3rd. F1
Bathroom(s) 2 FUtL Toilet room(s)
Porch, type COVERED Deck, type Patio, type
Breezeway Garage Utility room •
Type Heat OIL +1arm Air Hotwater
Fireplace(s) NDNE No. E:cits 2 Airconditiening
Domestic hotwater YES Type heater ELECTRIC
Other LAQNDRY ROOM, PANTRY
ACCESSORY STF.UCTURES:
Garage, type const. Storage, type const.
S~•~i.. ing pool Guest, type const.
Other COAT. BIN s PLAYHOUSE AS SHOiiN ON SDRVEY
VIOLATIGNS: .CHAPTER 45-N.Y. STAPE DNIFORM FIRE PREVENTION 6 BDILDING CODE -
Lncation Description ~Art.~ Sec. -
Remar'.cs
Inspected by: ~i, Date of Insp. FEB. B, 1991
GA s. FISH ~ Time start 9:30 end 10:00
r~ ~ V
~ Form No. 6
+U V TOWN OF SOUTHOLD
f ets ~ BUILDING DEPARTMENT
fLV TOWN HALL
765-1802
BLDG. DEFT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1. 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 install.stions, a certificate of Coc~.e Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
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.
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 build' iness 00.
2., Certificate of Occupancy o - 'sting Byil_din~ $1Q~.A0
3. Copy of Certificate of Occupancy - $5. over years - .00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $1//5//. 00, Commercial $15.00
Date !Z/6!,q/ .
:ew Construction........... Old Or Pre-existing Building. uo's,
.ucation of Property.. ~3s., O9kI~7....~.. SOU c~/C?J . j~/.~
House No. I Street Hamlet
lnwer or Owners of Property... L ~,~ayy~CC....~SG l!P ~
:ounty Tax Map No 1000, Section..Lt.Y.l.....,Block......~........Lot......3
',ubdivision ....................................Filed Map............Lot......................
'ermit No ................Date Of Permit................Applicant.............................
;ealth Dept. Approval ..........................Underwriters Approval...
Tanning Board Approval
'.equest for: Temporary Certificate........... Final Certicate...~
'ee Submitted: / ~ 0 ~ / ,
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CONSENT
TO
/ INSPECTION
L n-, fee SG~'I ~ , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigne (is) (are) the w e/' (s) of the~/premises in the Town
of Southold located at 2 3 s ~~9'~%~-, /d'~-f
which is shown and designated on the Suffolk
County tax map as District 1000, Section ~G~ Block 3 Lot 3
That the undersigne (has (have) filed, or caused to be filed, an applica-
tion in the South/cld Tow/n~ JL'uilding~+Inspector's Office for the following:
That the undersigne 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 lcayws, ordinances, rules or regulations of the Town of Southold.
Dated: ~ i~
(signature)
~ih ~5~~77
_ Q` (print name)
7~ '~u~ta~-~- c~iw~~' / (signature)
(print name)