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Home My WebLink AboutZ-26010FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26010 Date: 10/05/98 THIS CERTIFIES that the building DWELLING Location of Property 875 HUMMEL AVE SOUTHOLD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 063 Block 0002 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- 26010 dated OCTOBER 5, 1998 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 ACCESSORY ONE CAR GARAGE * (HAMLET) Lot 024 The certificate is issued to MARIE C HAND of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: $75 HU~94EL AVE SOUTHOLD SUBDIVISION: MAP NO.: -- LOT (S) -- NAME OF OWNER (S): MARIE C HAND OCCUPANCY: ~INGLE FAMILY MARIE C HAND ADMITTED BY: MARIE C. HAND ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: ~.-~-~4 SOURCE OF REQUEST: MARIE C. HAND 9/17/98 DATE: 10/05/98 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: BATHROOM(S): WOOD FPJ~4E CONCRETE BLOCK 1ST FLR.: _~ 2ND FLR.: __~ 1.0 TOILET ROOM(S): PORCH TYPE: COVERED ENCL.FRONT&REAR DECK TYPE: BREEZEWAY: FIREPLACE: NQ DOMESTIC HOTWATER: YES TYPE HEATER: OIL TYPE HEAT: OIL* WARM AIR: HOTWATER: OTHER: * RADIATOR # STORIES: 2.0 # EXITS: CELLAR: 7~ CRAWL SPACE: 25% 3RD FLR.: __~ UTILITY ROOM(S): PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GAP~AGE, TYPE OF CONST.: WOOD FRAME-1 CAR STORAGE, TYPE CONST.: SWI~4ING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: MICHAEL J. VERITY DATE ON INSPECTION: 09/29/98 TIME START: 10:30 AM END: 11:10 AM Form No. 0 TOWN OF SOUTHOLD , APPLICATION FOR CERTIFICATE OF OCCUI This application must be filled in by typewriter OR ink an inspector with the following: for new building or new use- 1. Final survey of property with accurate location of ali buildings, property lit streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 foe 3. Approval of electrical installation from Board of Fire Underwritersl 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and sfumilar bull 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 '!pre-existing" land uses: , I. 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 applic; 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, Sw~mming pool $25.00, Accessory building $25.0( .Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Build/nm - $i00.00 Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ...... ................. New Construction ........... ~7~ 3~ ~, ~, ~,~/Old Or ,P/re-existing Butldutn~j .~~.." '''' ;]' ~i~ ~//~~. ~ ~''' ~ House No. Street H~m~ et _..._.--------~ Subdivision .................................... Filed Map.. '. ...... .~..Lot ''---' ' Permit No...]...~ ........ Date, O~.fermit......------~ ......... Applicant....~ ...... ~....~:~..'.'. .... P nning Board Approval .......... ~:~,.g.:.. ..... Certificate ........... Final Certicate..~. Request for: Tempora~ ~ ..... F,e S,,hmitted: ................... .: ................ APPLICANT SURVEY $OUTHOLD TOWN 0 SUFF, COl' SCALE, C, HAND CONSENT TO INSPECTION Owner(s) do(es) hereby state: the undersigned, of Southold located at That the undersigned (is) (are) ~e owner(s) of the premises in the Town · which is shown and deslgnated on the Suffolk County tax map as District 1000, Section ~, Block ~ , Lot ~ That the undersigned (has) (have) filed, ~or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following:.__ 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 tn the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) (print name)