HomeMy WebLinkAboutZ-19565FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19565 Date DE~ER 61 1990
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 7325 NASSAU POINT ROAD
House No. Street
County Tax Map No. 1000 Section 118 Block 4 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9~ 1957 pursuant to which
CUTC~OGUE~ NEW YORK
Hamlet
CERTIFICATE OF OCC. ~Z-19565 dated DECE~K 61 1990
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 DW~¥W.INGWITH 2 CAR GARAGE UNDE~HO~SEAND
ACCESSORY DECK & STEPS IN REARWITH SMALL STORAGE S~EDATTAC~ED *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
CHA~J~S E. FRASER
N/A
BUILDIHG DEP.~dRT:'LENT
T0:'~! OF SOUTHOLD, N. Y.
HOUSIi~G CODE INSPECTION REPORT
Location
Subdivision
7325NASS~a. U POlliTROAO
Lnumoer ~ s:ree:)
Map No.
~ YORK
(~,lunzczpa±i~y)
Lot(s)__
Nmme of Owner(s)
CHARLES K. FRASER
'Occupancy A-i
(type)
Ad,mitred by: XAxu~N ~IL~SER
Key ~vailable
OWNER
( owner- ~enan=)
Accompanied by: ~
Suffolk Co. Tax No.i18-04-001
Source of request. C~AeLES K. F~ASER "-
D%'~ELLIMG:
Type of construction
Foundation CE~RET
Total rooms, 1st. F1
Bat,broom(s) 4.
Porch,. type REAe ~CLOREO
Breezeway_
Type Heat OIL
Fireplace (s)
Domestic hotwater
Other
Date
DEC. 3, 1990
~OODFRAMI~ #sTories I-i/2
CellarF~LL Crawl space - -
8 2nd. Fl.. 2 3rd. F1 --
Toilet room(s)
Deck, type OS BEAC~ Patio, type - -
Garage.2cAaV~°~ HO~cility room
'Warm Air .Hotwater xx
No. ~¢its 4 Airconditioning
OIL Type heat'er
~CCESSORY STRUCTURES:
Garage, type const._ Storage, type const. :
Swimming pool Guest, type const.
Other ACCESSORY DKCKANDSTK~S~NRKARiiITHS~M, LSTORAGE$1IE~ AT~AcuEO.
VIOLATIONS:
Lncation
.C~RPTER 45--N.¥. STATE ~NIFOEM FIRE PREVENTION & BUILDINC CODE
Descriotion
Sec.
Remarks:..
Inspected
BP ~94/~) Z-692 , BP #.6281 C'O 7.-5571
by: ~-'~4;~/ ~-/~ ' Date of Insp. DEC. 5, 1990
Ca~ ~fsh 'T~me Start 10:15 end 10:45
TOWN OF SOUTHOLD
BUILDING DEPAR~IEHT
· 765-1802
ToWN OF'SOUT~OL .... , APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by type~riter OR ink and submitted to ~he building
inspector with the following: for new building or new use: ~
1. Final survey of property ,ith 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. S,orn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Com~ercial 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.'
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property sho,ing 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.
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-existing Building - $100.00~
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, Co~ercial $15.00
Date ......................
New Construction ........... Old Or Pre-existing Building...~ ...........
Location of Property...~.~.~.$.~.~. ~/tf. ~ .~0, .... ~/f~'2e. ~/¥~.~4. ~..y... J.t ~o~
House No. Street Ha~dt
On.er o, O~ers of Property. C.~e~.~ ..... ~.' ..... ~.~ ................ ~ .........
cou,~ ~= ~p so 1000, s,~,iom .... /l~ ..... slo~ ..... ~.~ ...... ~o~ .... ~.t ...........
Subdivision .................................... Filed Map ............ Lot ......................
Health Dept. Approval .......................... Underwriters Approval .... · .....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.~ .......
Fee Submitted: ~ ....................
O,~ ~O,Sl ................. :~ ...........
APPLICANT
~,'. HOt.ti
,/
BUILDI!,:G DEP.~d{T,'.LENT
TO':~T OF SOUTHOLD, N. Y.
Location
HOUSI~.~G CODE INSPECTION REPORT
Subdivision Map No.
Lot(s)
' Occupancy ~-/
(type)
Key ~vailable Suffolk Co. Tax No.
Source of request ~-F~c~- Date
D~'PELLI~:
Foundation C~ k~/ Cellar
Total rooms, let. F1 d~ 2n~/~l ~ 3rd. F1
Bathroom(s) ~/~z~ Toilet room(s)
Porch, ~yPe~eck' type~¢~.~. Patio,
Breezeway_ GarageY~ ~ ~tility room
Type Heat /~ 'Warm Air .Hotwater
Fireplace(s)~u~ No. ~¢its
Domestic hotwater ~ Type heat'er
Other
(owner-~enan~;
Accompanied by: /~
./J~Crawl space...
Airconditioning~
~CCESSORY STRUCTURES:
Garage, type const.
Swimming pool
¥IOLATIONS:
_Location
Storage, type const.
Guest, type const.
.CHAPTER 45--N.Y. STATE UNIFORM FIIIE PREVENTION & BUILDING CODE
Description I Art. I Sec.
Inspected by: '~_~_~Da. te of InsP.o
· Time start~_~en$
CONSENT
TO
INSPECTION
C~f~.L~__~' ~, F/~lq~ , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of %he premises ~ ~e To~
of Southold located a~ 75 ~.~ ~Ng~ ~'~ ~/ ~~
~ ~ //~ , which is sho,~ and designated on the Suffo~
Counts tax m~p as District 1000, Section /~ . Block d~ . Lot~.
That the unders~ned (h~s) (have) filed, or caused ~o be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the follow,g: .--
That the undersigned do(es) hereby give consent to ~he 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 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 in'formation 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 of the Town of Southold.
(signature)
(print name)
(signature)
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