HomeMy WebLinkAboutZ-22030 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No 2-22030 Date DECEMBER 15, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1825 BAYVIEW ROAD SOUTHOLD, NEW YORR
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block S Lot 54
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-22030 dated DECEMBER 15, 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the Iaw. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY GARAGE
The certificate is issued to MICHAEL fi DARi.FUx FLORA
(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.
c
Dam// `
Buil ig Inspector
Rev. 1/81
BUII,JI::G DFP.^tr.T:•L`iT
TO`:~;d OF SOUTriOLD, N. Y.
fiOUSIi:G CODE IiJS? CTI0~1 REPORT
Location 1825 BAYVIEW RD. SOUTHOLD, NEW YORK
lnunocr c< street) lidunicipality)
Subdivision 1•tap P1o. Lot(s)
N a.:l e o f 0~~, n e r (s) MICHAEL b DARLENE FLORA
Occupancy ONE FAMILY VACANT
(type) o~•rner- ~enan~)
Admitted by: TOM McCARTHY Accompanied by: SAME
Key available Suffolk Co. Tax No. 70-8-54
Source of request OWNERS AGENT, TOM•McCARTHY Date MAY 20, 1992
D'~TELLIPIG • '
Type of construction FRAME stories 1
Foundation Cffi+II:NT BLOCK Cellar PARTIAI. Crawl space PARTIAL
Total rooms, 1st. Fl 5 2nd. F1 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type_
Breeze~•ray Garages Utility room •
Type Heat OIL •',Qa~ Air ~ .Hotorater
Fireplace(s) No. E::its 2 Airconditioning
Domestic hotwater ~ Type heater PROPANE
Other
ACCESSORY STRUCTUP.E'S
Garage, type const. FRAMB Storage, type const.
Stri^~ning pool Guest, type const.
Other
VIOLATIOPIS : .CDAPTER 45-N.Y. STATE UNIFORM TIRE PIU;VENTION ~ BIIILDING CODE
Location ~ Descrintion Art.` Sec.
- I - ~ •
• Remar'.{s
Inspected by ~ Date of Insp. MAY 22, 1992
TH S F SHE Time start 10:05 end 10:25
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' " ` ` TOWN HALL ~ U~
765-1802
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 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 $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. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential/$15.00, ColQmmeorcial $15.00
Date v~..~~) ! ,I,I~ . . .
New Construction...........pOld Or PArne/-~exisQting Buildinng.n.~!1......... ,~,~I_ n
Location of Property......~0~5....ltII7:~.94~U~:ew.lC~:~J......... ~~ITN~Y
House No. Street Hamlet
Onwer or Owners of Property.... ~L'CI~"~7~NE.. ~1.~~. .~L~~:~ .
County Tax Map No 1000, Section...(. 0.......Block.... ~ .........Lot... S/
.
Subdivision ....................................Filed Map............Lot......................
Permit No .Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.X.......
Fee Submitted: $ ~ G E?:.P.G
APPLI
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