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HomeMy WebLinkAboutZ-27878 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- 27878 Date: 08/20 O1 THIS CSRTIFIHS that the building DWELLING Location of Property 670 HOLDEN AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 0005 Lot 020 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 CBRTIFZCATE OF OCCUPANCY NUMBER Z- 27678 dated AUGUST 20, 2001 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 is issued to ANDREW C FOHRKOLB (OWNER) of the aforesaid building. SOFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDMBERS CERTIFICATION DATBD N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aut rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 670 HOLDEN AVE CUTCHOGUE SIIBDMSION: NAP NO.: I.O'P (S) NAMH OP 0{DIBIt (S): ANDREW C FOHRKOLB OCCUPANCY: SINGLE PAMILY ANDREW C POHRKOLB ADMITTHD HY: ANDREW FOHRKOLB ACCONPANIHD HY: SAME RHY AVAILAHLH: SUFF. CO. TAZ NAP NO.: 110.-5-20 SOURCH OP RHQIIBST: ANDREW POHRKOLB 2/23/01 DATH: OB 20 O1 DWELLING: TYPE OF CONSTRIICTION: WOOD PRAME M STORIBS: 1.0 I) SPITS: 4 FOUNDATION: CEMENT BLOCK CBt.LAR: PART CRANL SPACH: PART TOTAi. ROOMS: 1Sl FLR.: 60 2ND FLA.: 0 3RD FLA.: 0 HATHROON (S): 1.0 TOILET ROOM(S): 0.0 DTILITY ROOM(S): PORCH TYPH: DHCH 17PH: AEAA PATIO TYPH: BRBHZHNAY: PIAHPLACS: ONE GARAGH: DOlHiSPIC HOTNATHR: YES TYPH HHATHR: NAT.GAS AIRCOIIDITIONIMG: CENTRAL TYPH HBAT: NAT. GAS HARM AIR: HOTiATHR: XX OTHHR: ACCESSORY STRUCTURES: GARAGH, TYPE OP CONST.: STORAGH, TYPH COHST.: SNLMING POOL- GOgSI, TYPH CONST.• OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. SEC RHMARRS: BP #27567-Z- COZ-27877 (PORCH ENCL. CENTRAL AIR, & DECK ADD) IHSPHCT® HY: ~ DATE ON INSPECTION: 03 08 O1 GAR FI TIMB START: 10:30 @ID: 11:30 _ _ _ Form No. 6 `t ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL. ~ 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 1~ 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. Subeiit 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 y;operty 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 - .2549 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~Z/~-~..C~~ New Construction....../..... Old Or Pre-existaing Building.l.~...........11 Location of Property.K'.ZR...H~~~EN..1.CV~'.........CVT~~.~.C?YE House N/o~. 1-Street 2 Hamlet Onwer or Owners of Property./?N1~.R~W..C,....r~~~.`W~-Gl County Tax Map No 1000, Section... l.~ ~.l....Block.....~ ........Lot... Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant................... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final ticate.~~ Fee Submitted: $...~d~ n~~~ 6,~.c,. 6 000 3 /V...................... . 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