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Home My WebLink AboutZ-23581 R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS E%ISTING CERTIFICATE OF OCCOPANCY No E-23581 Date MARCH 30, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 170 LADRffi. AVSNDE SODTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 3 Lot 4 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-23581 dated MARCH 30, 1995 was issued, and conforms to all of the requirements of the applicable proviaione of the law. The occupancy for which this certificate is issued ie ONE FAMILY DWELLING The certificate is issued to RODERICR W. FOSTER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MARCH 20, 1995 PLUMBERS CERTIFICATION DATED N/A *PLEASE SHE ATTACHBD INSPECTION REPORT. ~ , % Buildin inspe or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 170 LAUREL AVENUE SOUTHOLD, NEW YORK ' number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) RODERICK FOSTER OCCUPANCY SINGLE FAMILY type owner-tenant ADMITTED BY: CATHERINE FOSTER ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TAX MAP NO. 10 - - SOURCE OF REQUEST: RODERICR FOSTER DATE: NOV. 3, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 ~ E%ITS 4 FOUNDATION CEMENT BLOCK CELLAR PST CRAWL SPACE - - TOTAL ROOMS: 1ST FLR. 3 2ND FLR. 2 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) 1 UTILITY ROOM LARGE REAR PORCH TYPE REAR COVERED SCREENED DECK, TYPE PATIO BREEZEWAY FIREPLACE NO GARAGE 1 CAR DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES OTHER: LARGE PANTRY - 2ND FLOOR FOYER NOTE: WOOD STOVE HAS BEEN REMOVED. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWI?4fING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIPORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC. s REMARKS: BP /22630-Z - CO Z-23581 (AGCY SHED) IIaS°BCTED BY DATE OF INSPECTION NOVEMBER 9, 1994 O I TIME START END Form No. 6 t'f ~ tr, TOWN OF SOUTHOLD t BUILDING DEPARTPIENT stn ~ 4 TOSJN }TALL ! 765-1802 BLDG.DEPf. ....TOWN 0~ F SOUTHOLC APPLICATION FOP. CERTIFICAT); OF OCCUPANCY A. This application must be filled in by typecariter OP, 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 likes, streets, and unusual natural or topographic features. 2. Final Approval from Health Aept, of water supply and sewerage-disposal (S-4 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. ' b. 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 o~roperty 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. Zf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefoz 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. Certificate of Occupancy on Pre-ex;sr;ng Euldine_- $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residents//al $15.gG0L~,-Commercial $15.00 Date „!~/„3~.~1/.L New Construction..... Old Or Pre-existin Buildin Location of Property..i..r~. ~:~uRC.L„ AVC~.......~QU''nDL~,,,,,,,,,,,,,,,,,,,,,,, House No. p S.t~reet ~-y/j Hamlet Onwer or Owners of Property... ~~Dt!~r~ ~L"• • w.'....~~.j~~..'.4i~ County Tax Map No 1000, Section....~~ .....Block......`:!........Lot....... .1 Subdivision ....................................Filed Map............Lot...................... ?ermit No ................Date Of Permit................Applicant............................. tealth Dept. Approval ..........................Underwriters Approval........ Tanning Board Approval request for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $ C~~e.e_, N 9a 4 4 " ~.~~e:z; c~e.!`~ . ~ .~.~LL -a~7 c3n~cc~~23ss~ APPLICANT, - " - - - _ - - - - - _ . 7 `fp ~ ~ ~ o d ~ ; ~ i 4~ % .1~. ~'OLIWOD^ I~A~ O~ ~2~~cr~TY NOV - 4 ~ ~ ~ SU<<VEYEV ''02 1 ~ TOWN OF SOUTHOLD 1 ~ / - - - _ N•59~24 E. ~°eQn,'a unat FeNCe r) ~ \i / c j ~ `'-~'r_ 92.96 % / L ~ ~ ? ! i L O I 8,2 AT - ~ ~ ~ z m ` ~ ~ sHfp ~ ~ TOWN OF SGUTi-iQI.L__~_N.Y ~ _n~ ~ W y W a a z , _ ~ ,li q _ /y \ r, LY !E1 E"uti c.ir ry'u7e iv ~y.~J.~ 1 ~ ~ 777 ~ ~ t r ~ ~ to E~,r .'r Gi - ~ ar b ~ h QV~ SU DB~~+--I I W / ~ W ~ ~ PLAV YA~ , ` p ' R' - - - - pv~ I 12 ± N - G \ 1 ~.522iw. ~ 128.06 ~ S~At_E ~~20 ~ i~~ ~t"~F NO ' - KE~IL t sTOC~cAOe E~c~s ~ - _ ~~~a~`~ c r.~~~ r;~ I k2ur<OWSt[1 A2EA°0,219 AC. - ~ - , / NAvY I O MONUMENT - - I ~ ~ _ ~ ~r NP lS lu"2 ~ , EA j 1n AS ~ iJfl V EY'cL l.I~V 2,199q ;JFF ~C.TAV MAr ~AiA~ 1000-56 ~-4 UC.I.ANU ="U2VEYO~L`."- ~~i~EENFOfcT NY. I _ _ _ _ _ - _ _ _ . _ _ -------~J - _ _ _ - - e ¦r CONSENT •P0 BLDG DEPT. TOWN OF SOUTHO~ r INSP>;GTION 'lp~~r{L' ~o~fe~ the undersigned, Ovmer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold/~l~o-/cated at 17 a rr A(,t l2E Z AV J~~~Tt--}17LD, N y 1 ~ whir_h is sh/own and designated on the Suffolk County tax map as District 1000, Section 5~ Block L~ Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: re C D. That the undersigned 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 la«•s, 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 he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regnzl/ations off th~~e~~Ty,~own of Southold. Dated: ~ t~ / C2~z~,r~"""'"' (signature) ~io~eri~~ L~. ~p:~~e~ (print name) (si~+nature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCH 23,1995 gpplN.ation No. on file 07002795/95 N 346359 THIS CEFTTtFIES THAT only the electriead equipment as described below and introduced by [he applicant mined on the obooe applicotion number in the promises of RODRICK FOSTER, 1701I~ LAUREL AV~~Eyy., SOUTHmmOLD, N. Y. in theJollowinp loco[ion• L'J Basement LJ Ist Fl. CJ Ynd F1. C'~/OUT .Section Bloek Lot was exomined on MA~tCH 20 ,1995 and found to be in compliance with the National Electrical Code. RXTUR! RXTURES RANGES COOKING DECKS OVENS DISH WASNlRS EXXAUST FANS OUTLETS ACBS SYYITCNES INCANDEECENT FLUOIIESCENi OTMEM AMT. K. W. NAT. R. W. AMi. R.W. AMT. K. W. AMi. M. P. - 2 DRYERS RIRNACE MOTORS WTUR! APNIANCE RlOERS SKOM REC1i TIME CLOCKS E!U UNIi NEATERS MULTI-0UiIET DUAMERS AMi. K. W. Oil M. I. GAS M. I. AMT. NO. A. W. G. AMT. AMP. NAT. AMTS. TRANS. NAT. N. P. ~ t ~T AMi. WA115 SlRVICE OISCONIelCT NO.Of S E R V 1 C E AMi. AMP. TnY p RR 1.I TN 1/3W S/JW x/IW PER/COND. Of CC.COND. NO. OF N4LEG ~~H'~ NO.OE NEUTRALS OE NEUiKAI OTNER APPARATUS: DEFECTS REMOVED LETTER OF 11/18/94-1 G.F. C. I:-1 fit„( ROSLAK ELECTRIC LIC.#3677-E P.O.BOX 164 CUTCHOGUE, NY, 11935 OBOAI MANAOM 11 ~ Psr This certificate must not be ahered in any manner; return to the office of the bard if incorrect. InspsNOrsmay be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TMIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.