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Home My WebLink AboutZ-17467FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-17467 Date OCTOBER 26~ 1988 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 55 Rogers Rd. & 3750 Orchard Rd. Southold, N.Y. House No. Street County Tax Map No. 1000 Section 66 Block 2 Subdivision M/o Bexidon Ests. Filed Map No. 1472 conforms substantially to the Requirements for a Private one-family dwelling built prior to APRIL 9~ 1957 pursuant to which Hamlet Lot 20 Lot No. 1Blk 5 CERTIFICATE OF OCC. #Z-17467 dated OCTOBER 26~ 1988 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 HAROLD B. GOLDSMITH (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 Location Subdivision Name of Owner(s) BUILDING DEPARTP~NT T0%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 55 ROGERS RD. & 3750 ORCHARD RD. (number &streer) M/o Bexidon Ests. Map No. SOUTHOLD, NEW YORK (Municipality) ]472 Lot(s) ] Blk 5 HAROLD B. GOLDSMITH Occupancy R-~ (type) A~mitted by: SELF UNOCCUPIED (owner-tenant) Accompanied by: SAME Key available R. GILLISPIE III 66-02-020 Suffolk Co. Tax No. Source of request IRVING L. PRICE jR]- Date OCT. 22, ]988 D¥~LLIMG: Type of construction Foundation CEMENT BLOCK Total rooms, let. F1 Bathroom(s) Porch, type Breezeway Type Heat OIL FIRED Fireplace(s) Domestic hotwater Other WOOD FRAMED #stories Cellar ~ Crawl space 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garage 2 car 'Warm Air x MO. Exits 2 YES Type heater PULL DOWN STAIRS TO ATTIC Patio, type Utility room Hotwater Airconditioning. ELECTRIC ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Location Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention & Building Code Descriotion NO SMOKE DETECTORS GARAGE SHOULD HAVE A FIRE SEPERATION NO VIOLATIONS OF HOUSING CODE CHAP. 45 [Art. I Sec. Remarks: This pre CO includes Building Permit #2532Z garage addition CO Z-2]07 issued Curtis W. Horton '~±me start 12:00 end 12:45 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted --~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land' uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ ~IF~ /~30, ~ 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. or~ .$ 50.00 Date ...A.u.g.u.s..t..2.2.,...1.9.8.8. ...... Newconstruction ...... Old or Pre-existing Building ..X .......... Vacant Land ............. Location of Property ....5.5...R.o.g.e.r..s..R.o.a..d! ..................... S..o.u.t.h.o..1.d., ............... House No. Street Hamlet Owner or Owners of Property ...G.l.a..d¥.s..L.:..G.o. 1..d.s.m.i..t.h ................................... County Tax Map No. 1000 Section .... .0.6. 6.: .0.0.... Block 02.00 Lot. 020.000 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval .... ..................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $......~J~O..../.0..~...C~.. ............ ,~m d Construction on above ~lescribed building and per eets all applic~e code~Jh regulations. Applicant ...... : I ...................... Irvin ~ L. Price, Jr., Attorney/Agent Rev. 10-10-78