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HomeMy WebLinkAboutZ-24652 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE E%ISTING CERTIFICATE OF OCCUPANCY No Z-24652 Date SEPTEMBER 23, 1996 THIS CERTIFIES that the building ON8 FAMILY DWELLING Location of Property 1055 OAR DRIVE SOUTHOLD, M.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 37 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-24652 dated SEPTSlIDSR 23, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is OME FAMILY DWELLING WITH ACCESSORY TWO CAR GARAGE The certificate ie issued to GEORGE W. FLSENOR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. M/A PLUMBERS CERTIFICATION DATED N/A *PLEASE 888 ATTACHED INSPBCTIOM R8 Building Inspector Rev. 1/81 _ 1 1 1 1 1 1 .I I I I I C 111': I' A l1 111 Pa 1l' ~fl)4lII (IF SOIII~IIIII.U IIUII!i111R CUpI? I11!il'I(Cflf)FI ItBI'OICI' I.oCnflull: 1055 OAK DRIVE SOUTHOLD, N.Y. (numbc'~ & nfreeC) (niuniclpnlilyj !i11141)IVI!i1011 NAI' 1111. LO'I'(n) - - - - . nntlli ol~ uufnrlt GEORGE W. FLEENOR OCCIII'Allt;y SINGLE FAMILY tlypej ~nuttes fennttCj- SAME nulll rrr.u uY: ED PRESSLER na:ouPnntr.u I1Y: „urr.rtl 'rnx Flnl nc). 100b-$0=i=37" KIiY AVA I LAlll.l? - ' rtlUltcl? (u' IucgUG'IT: PAUL CAMINITI, ATTY un11:: SEPT. 12, 1996 U4lIiLL I IlC : _ . _ _ ~i v iii! iu~ (:ua!rl'uuc r lou WOOD FRAME I !i'folu l?;; 1 I I;x l r, 2 ruuunnrlnll CEMENT BLOCK r,r.l.l.nlt FULL ~ c:unul. srncr. rnrnl. luutu,: I',f v~.u. 7 tnn r•I.u. lun vl.a. nn rnuu(ul (n) ONE fl) I I.IS'f nuuFl Irr I L I rY Iuu1Ft fUlu:u '1'Yrli REAR ENCLOSED llhl'.K, 'fYPli - - - 1'A'I'ft)- - - II III'.I!7.ICWAY f Iltl I'LACft Oj~ GAItACF. ulna?!iflC nufunlPlt YES ryrr nrnrlilt OFF BOILER ntlua>imt'flDlllttc rvrl? ul:n1_-.--__ .QIL.._---- wnnFl A1It uu'funre.tt S% BILCO E%IT _ _ - - _ - - _ - _ Ulllf.ll nCC@!i!IOIIY !iTIIUC'1111tE9: CAl1Al;li, 'fYl'li (11% COFI!il'_ WOOD FRAME 2 CAR gltlltACl?, 'ful'l+. Cllll;f. SUIIRIIIIC 1'1)(11, /;111?!il', 'I'YI'I%. CUN!i'1'- V1QLA11Ullti: CIIAI'fl'.fl $5 11.Y. Fil'AII"s IIPIIIi01tF1 I~IIIP. PIIIEVIiIII'ItNI 6 IIIIILIIIIiC CUllls IU(AI'1011 ULSCIUL'1'lUN _ AICf, !il?C. ur.IlnaK!i: gp #99 5Z-CO Z-9270 (ADDITION) Ill ,rr.c rn.u nY 1 nn'rr t)r I FISI L.t, f 1 oN SEPT 16, 1996 JO M. BOUFIS I'lllr. SfAlt'1' 9:55 AM ---etln 10:20 AM CONSENT To INSPECTION ~ro?t~f f ~EE~/p~, the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the pre~+mises in the Town of Southold located al ~0~~ Q/~E. So~/j~m~Q ~t~hich is shown and designated nn the Su~f7foll: Connty tax map as District 1000, Sectiorr ~Q Block ~ Lot ~ / That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold ToKm I3uildiug Inspector's Office for the following: O~lE -~A'N+.L~( Du~ELLiNG w DeT_ ct~,4,e._~?~ ew~~~c, ceA?e,~ 'That the undersigned do(es) hereby give consent to the Buildkng Inspectors of the 't'own of Southold to enter upon the above described property, including any and all buildings ]ocatr:d thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to detrrrmine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of 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 Southold. (signature) fi,QyoiN~iN«rl~ ~ ~ /~auL . ~isziwi,yi~i _ (print name) C~~ f%P~ r//~/6 H•!///l~dt6 (signature) 765- /22 ~ (print name) For-n . TO[v'N OF SOi;THOLD BUILDI~iG D_?ART`~E1VT TOWV -YI.L ;55-1ao2 SEP 1 31996 P~ r r ~ r-y, cLC~--.._..._.~--~. APPLICATION FAR ~ERT_~ TI,ATL OP OC~UPA:iCY f3[t'7 A. This application must be filled in by tvpecaritzr OF, ink and submittzd to the building inspector ;with the following: for new building or new use: 1. Final survey of 2roperty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dent. of water supply and sewerage-disposal (S-° form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statzment from plumper certifying that the solder uszd in systzm contains less than 2/10 of 10 lead. 5. Commercial 'ouilding, industrial building, multiple residences and similar buildings and`iastallations, a certificate of Code Compliance from architzct or zngineer responsible for the building. o. Submit Planning Board Approval of comple*_ed site plan requirements. B. For existing buildings (prior to April 9, i95%) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, strzets, building and unusual natural or topographic features. 2. A properly completzd 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. Certificatz of Occupancy - New dwelling 325.00, Additions to dwelling 325.00, Alterations to dwelling X25.00, Swimming 2001 X25.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses 2. Certificate of Occupancy on Pre-existing Buildine - 5100.00 3. Copv of Certificate of Occupancy - .25 Updated Certificate of Occupancy - ~50.u^0 5. Temporary Certificate of Occupancy - ResidentialQ515.00, Commercial 515.00 Date / Y New Construction........... Old Or Pre-existing Building... Location of Property BOSS ©A (~.,p i ~ ~~.v 1 V~®C_t~ . House No. Street Hamlet Onwer or Owners of Property...... G~O'~E ~ ~ r" L~t'f~~.~- . County Tax Man No 1000, Section.... ......B1ock......~.........Lot. 3.~ Subdivision ....................................riled `fap............Lot...................... Permit No ................Date Of Permit................?.ppiicant............................. Health Dept. Approval ..........................Underwriters :approval......................... Piann;ng 3oard ?.pproval Reouest tor: Temporary Certificate........... Final Czrticatz ~ gee Jubmltt2d: C~..c. S/9 S~ ~~~__T..~vT. ~y - _ _ _ _ - - - ~ ~q' 0 i ~~h~ hZ (~a~t v~n i a ~ Q ~ l^ ,0 3? n i 2-J cT N b~ Q ~ ~ 1~\ 0 b v j ~ ~ C M 00.09rk,. or, iio oz ;s- 0 h ~ b L 1. h ~ ~ b ' p h 1• Q~p n ~ Q N o a V ti ° ~ ` a ~ ~ V 4 J ~ N ~ ~ ~ m ~~S ~1 t ~ N , ~ " ii N _ w 0.. Q~ ~~Q ~ ~ ` Z ~ r Z J v o ~ v o v o ~ Q Q~p O ~ I J J J ~ ^ ~ ~ J ~ v } ~ ~ p ~ ~ ~~`o ` ~ h 2' ~ ~ ~ h.~c v, u ~ b ~ ^ 90 ~ ~ oor~q ~a„oz.~iooz~N ~ ~ h Q 'C ~ h ~ ~ e o