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HomeMy WebLinkAboutZ-24468FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OC~umANGY No Z-24468 Date JUNE 28, 1996 THIS CERTIFIES that the building Location of Property 45 OAK RD. House No. County Tax Map No. 1000 Section 110 Block 8 Subdivision Filed Map No. ONE F~MILY DWELLING NEW SUFFOLK, N.Y. Street Hamlet Lot 9 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-24468 dated JUNE 28, 1996 was issued, and conforms to all of the requirer~ents of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING * The certificate is issued to GEORGE-i-r~ ~OLFINOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~E SEE ATTACHED INSPECTION REPORT. N/& N/A N/A Rev. 1/81 IH! I I,l)l NG I)I':P^IUI'PIICHT TOWN OF SOUTIIOI.I) II()IJSING COI)E INSI'I~CTI()N I{EPORT I.OCA'['] ON: 45 OAK ROAD (mJmbe~ & ~treet) SUBI)ZV 1S[OH NAHE OD ONNEI{ (s) HAP HO. GOLFINOS, GEORGETTE Ob~gRS (owne~-te.anL) ACCOHPAN lEI) BY: SA~]~ HAP NO. IO~! 1~8-9 ~I)A'I'K: ~ 19, 1996 DWELl. lNG: TYPE OF COHSTI{UCTION WOOD FRAHg FOiINDAT I ON CELl ,Al{ TOTAl, ROOMS: Is'r Fi,R. 4 2HI) FLI{. 31U) Fl,l(. BATIIEOOH (~) ONE F-ITLL 'rOIIA~T ROOH (s) - - UTI. I,ITY ROOM -- I'ORCII TYPE FRONT ENCLOSED BECK, TYPE - - P&'FIO BRICK BREEZEWAY FIREPLACE GARAGE I)OHESTIC IIOTWATER YES TYPE IIEATER LILCO CAS AIRCONI)ITION[NG TYPE IIEAT LILCO GAS WARH Ail{ IIOTWATER OTIIER: FDI.L STORIES I-!/2 ! I~XI.'I'S CRANI, SPACE ACCESSORY STRUCTURES: (IAI{AGE, TYPE OF CONST. SN]HHING POOl, O'['llE R '. ~OOO FP~ S'I'OI{AGE, TYPE CONST. , C, UI'~ST, TYI'F, CONST. ...................................... = ............ VJO_I._A'rlOHS: CIIAP'rEI{ Il5 N.Y. STATE UNI. I?OI~H FIRF~ I'IH~VI~H'I'iON & IIIIII,I)ING CODI,:, LOCATION DESCRI I'T[ON ART. SEC. REHARKS: BP ~17540-Z-C0 Z-17941 (AL'I'~IC~TIONS) & BP 119321 - CO Z-19422 (ACCY CARAt) I NfiI~EC'I'ED llY I)h'rF. OF ]NSI'ECTION JUNE 25, 1996 TIHE S'rAET I0:00 AM END 10:30 Ali Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 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. 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 - $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 New Construction ........... Old Or Pre-existing Building... ~ .~.~/g.~PFY frame b0use Location of Property 2980 Grathwob] Road, New Suffolk, NY .......................... House No. Street Hamlet Onwer or Owners of Property. Georgette Go]limos County Tax Map No 1000, Section...1.1.~ ........ Block.~ ............. Lot.~ .................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters~al ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ce~at~/~/.~ ....... Fee Submitted: $ .... 1.0.0...0.0.. G~R~. ~ ~ ~. ~ .0[~, £~. ~ '~ ~ O/ .... , .... -...' ......... ,,.:_, ' ~...../ CUTCHOGUE, LI., N.Y.'l'l'9'3~' ..... .,~]~.,~,~'' '.'"