HomeMy WebLinkAboutZ-26340FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26340
Date: 03/19/99
THIS CERTIFIES that the building DWELLING
Location of Property 440 SUNSET WAY SOUTHOLD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 091 Block 0001
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- 26340 dated MARCH 19, 1999
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 WITH ATTACHED GARAGE *
(HAMLET)
Lot 008
The certificate is issued to JOHN,JOSEPH & ROBERT GOP~MLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTIO~?ORT.
Rev. 1/81
N/A
N/A
N/A
~ui~ctor
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 440 SUNSET WAY SOUTBQLD
SUBDIVISION: MAP
kLAME OF OW~TER (S): JOHN.JOSEPH & ROBERT GOPdV~LEY
-- LOT (S) --
OCCUPANCY: SINGLE FAMILY JOHN.JOSEPH & ROBERT GOP~MLEY
ADMITTED BY: JOSEPH GORMLEY ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 91.-1-8
SOURCE OF REQUEST: JOSEPH GORMLEY 3/14/~ DATE: 03/19/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS:
FOUNDATION: CEMENT BLOCK CELLAR: -- CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: -~l 3RD FLR.: __~
BATHROOM(S): 1.0 TOILET ROOM(S): O,Q UTILITY ROOM(S): --
PORCE TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC EOTWATER: ELECTRIC TYPE HEATER:
TYPE HEAT: ELECTRIC WARM AIR:
OTHER:
DECK TYPE: REAR
HOTWATBR:
PATIO TYPE:
GARAGE: ONE CAR
AIRCONDITIONING:
ACCESSORY STRUCTU~LES:
GAP. AGE, TYpE OF CONST.:
SWIF~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
WOOD
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION { ART.
SEC.
JOHN M. BOUFIS / TIME START: 10:05 AM END: 10:15 AM
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 i% 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.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-existing" land uses:
1. Accurate survey of property showing ali 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.
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-existinR Buildinm - $100.00
· Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...... .~..~../.~..- .fZ .................
New Construction ........... Old Or Pre-existing~uilding ...... ~ .......
Location of Property .... .~.~.~. ........ .~...~.~. ................ ~.~P~.~.~.~..~.~.. ........
House No. j ~ /Street ~--~ Hamlet
County Tax MaP No 1000, Section...'.~.f ....... Block..~../...Lot.~....'./...~....
Subdivision .................................... Filed Map ............ Lot~.., ..................
Permit No ................ Date Of Permit ................ Applicant ....... ] .....................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .......................... ''~,~...~ ~p~~.
% .........