HomeMy WebLinkAboutZ-23789 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-23789 Date JULY 21, 1995
THIS CERTIFIES that the building ONS FAMILY DWELLING
Location of Property 1280 BAYBERRY ROAD CUTCHOGDS, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Hlock 2 Lot 10
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-23789 dated JOLY 21, 1995
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
The certificate ie issued to ANNE A. & WILLIAM J. PEENING
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLSASE SEE ATTACKED INSPECTION REPORT.
Building inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTIIOLD
110USING CODE INSPECTION REPORT
LOCATION: 1280 BAYBERRY ROAD CUTCHOGUE, NEW YORK
number 6 street municipality
SUBDIVISION HAP NO. LOT(s)
NAME OF OWNER (s) ANNE A. 6 WILLIAM J. FLElIING
OCCUPANCY A-1 RES• OWNER
type owner-tenant
ADMITTEll RY: PETER TOLLNER ACCOMPANIED BY: SAMB
REY AVAILABLE SUFF.CO. TAX MAP NO. l0 - - -
SOURGE OF REgUEST: WILLIAM J. FLEMING DATE: MAY 13, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # ERITS 3
FOUNDATION CONCRETE CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3 3RD FLR.
BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM
PORCU TYPE DECK, TYPE WOOD PATIO
BKEEZEWAY FIREPLACE 2 GARAGE
DOMESTIC IIOTWATER YES TYPE IIP:ATER OIL AIRCONT)ITIONING CENTRAL AIR
TYPE HEAT OIL WARPI AIR ~ IIOTWATER
OTllER: INGROUND SWII~R~IING POOL
ACCESSORY STRIICTURL•'S:
GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. WOOD FRAME SHED (BY WATER)
SWIMMING POOL GUEST, TYPE CONST.
OTUER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFDRM FIRE PREVENTION ~ BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
1.
REMARKS- BP #57042-COZ-4926 (Acct' Garage), BP #6862-COZ6190 (Acct' Bldg.)
BP #89222-COZ-9088(Add. to Dwelling) BP #8923-C0Z10154 (IjG Swi~ning Pool)
INcPR_CTED gy ~ DATC•. OF INSPECTION Feb.•22, 1995
G J Fish T1ME START 9:40 AM g~ 10:10
' tr.~""- ~ •`„'°'"'1 Form No. 6
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TOWN OF SOUTHOLD
~ ~i
~ ~ ~ wry ~ c ~Ll~ BUILDING DEPARTMENT
,iu`,`,l,U V TOWN HALL
l`:: 765-1802
BIGG. DEfT.
TOWN OF SOUTHOLD
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.
S. 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 Boaru 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 Euilding - $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, Commercial $15.00
Date V ~
New Construction........... Old Or Pre-existing Buildin ..i!.......... .
9 /1~ / ' ~r o uc
Location of Property.lav~ ............./l~.~r~./,iYl:~'~..` :4...........:'~~.~ ~
House No. treet Hamlet
Onwer or Owners of Property... !'.rf ~..lJ ~~~~.K~ .Y. Q .`..~C~~ .
County Tax Map No 1000, Section....k` ~ .Block...... .Lot.. ~.1D.~'.....
Subdivision ~ .............................~:'Y^,'l.Filed Map.....f......Lot~....~L..4...........
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.... ?
Fee Submitted: $...~~~..r.....
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