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HomeMy WebLinkAboutZ-24330FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE ~ISTING ~ERTIFICAT~ OF No Z-24330 Date MAY 1, 1996 THIS CERTIFIES that the buildin~ OWE FAMILY DWELLING Location of Property 790 NO~'£~ SEA DRIVE SOu'£~OLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 5 Lot 14 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-24330 dated EAY 1, 1996 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 F~MILY SEASONAL DWELLING * The certificate is issued to ROBERT E. G~EEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. %N-375281 - JANUARY 15~ 1996 PLUMBERS CERTIFICATION DATED N/A *PT.~%SE SEE ATTA~u INSPECTION I~PORT. Rev. 1/81 LOCATION: 790 NORTH SEA DRIV~ (number & street) SUBDIVISION NAHE OF OlslNER (s) ROBERTGREEN BUILDING DEPARTHENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SOuTHOLD, N.Y. (municipality) HAP NO. LOT(s) OCCUPANCY A-I Res. Ol~IqgR (type) (o~ner-tenant) ADHITTED BY: CARL AUSTIN ACCOHPANIED BY: SANE KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-54-05-14 SOURCE OF REQUEST: PADL CAHINITI, ATTY DATE: NOV. 13, 1995 DNELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: BATIIROOH (s) PORCH TYPE BREEZEWAY DOHESTIC HOTIgATER TYPE HEAT NONE OTHER: ~IOOD FRAHE CEHENT BLOCK IST FLR. ONE YES CELLAR 2ND FLR. TOILET ROOH (s) BECK, TYPE FIREPLACE NONE TYPE HEATER ELECTRIC ~/ARM AIR J STORIES ONE CRANL SPACE XX 3RD FLR. UTILITY ROOH PATIO GARAGE AIRCONDITIONING HOTNATER EXITS Tb/O ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~IIglING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION AWF. SEC. JAN. 25, 1996 INSPECTED BY BP #23278-Z - CO Z-24329 - (Deck Addition) f lq. BOuFIS / TIHE START 9:30 END 9:50 APPLICATION FOR CERTIFICATE UP OCCU?ANCY TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL 765-!802 A. 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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 "pre-exi~tj_n~' land uses: ['. Accurate survey of property ~b~wing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed ~ppiicat~ and a consent tQ iospec~ signed by the applicant. If a Certificate of Occupaucy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New d~elling $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 2. Certificate of Occupancy on Pre-exist~n~ Buildin~_~O0.~ 3. Copy of Certificate of Occupancy - $20.00 k,~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $[5.00 Date ........ /Ln ~.~ ;.f~ .................... ~ew Construction ........... Old Or Pre-existing Building....~. ........... Location of Property ......... -~.~.~.....~Z~..~...~: .... .~.~.T.~..<9 ..... ~ ......... House No. Street ttamlet Onwer or O~ners of Property. ~C ' 3ubdLvision .................................... Filed Hap ............ Lot ...................... ?erm/t No ................ Date Of Permit ................ AppLicant ............................. Uealth Dept. Approval .......................... Undel-writers Approvul ......................... 'lan. Lng Board Approval ........................ 2equest for: Temporary Certificate ........... Fi.al Cert~ca~e ........... ......................... (gu ~ 6. ~Lt~'¥b ' ' .............. --:":' :-:" '~;~ ~'- ~, ~0 -- -t K:r~.o ....................... L t~ AT ECALE-.50' ~ CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: That the unders~ned (is) (are) the owner(s) of the premises in the Tom of Southoldlocated at 7~0 ~ ~ ~, ~eU~(['~ , which is shoxm and designated on the Suffoik That the undersigned (has) (ha~e) filed, or caused to be filed, an applica- tion in the Southold To~m Building Inspector's Office for the follow.g: That the undersigned do(es) hereby give consent to the 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 information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations/the Tow,n, of Southold. DateS: ti-1%' qF ¢ /' (print name) (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~eee121 .U~AU OF --,'CTR,Cr~. ~-- 85 JOHN STK~. NEW YORK, NEW YORK 10038 ~t, ~Y 15,1996 ~ I~No.o.~lp 1~962996/96 N 375281 THI~ C[~IFIBS THAT R~ ~, 7~ ~ S~ DRY, ~, N.Y. RXTUI~ FIXIUII~S OV~I~ EXHAUST FANS DEFBC'"A~ P.,~OVED AS PER 12-~6-95-1 PAUL R. BURNS P.O.BOX 1~61 SOUTHOLD, NY, 11971-O932 LIC.#3897-B This cedificato must not be altered in any manner; return to the office of the Bogrd if incorrKt COPY FOR BUILDING DEPARTMENT. THIS COPY OP CERTIFICATE Mus'r NOTBE ALTERED IN ANY MANNER.