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~' ..... .,~]~.,~,~'' '.'"