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.