HomeMy WebLinkAboutZ-27509FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27509
Date: 01/09/01
T~IS C~TIFIES that the building DWELLING
Location of Property 1930 BRAY AVE LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Taxx Map No. 473889 Section 126 Block 0007 Lot 021
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 IFt~4BER Z- 27509 dated JANUARY 9, 2001
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 GAPJkGE & ACCESSORY SHED *
T~e certificate is issued to EDWARD A HANUS, JR.
(OWNER)
of the aforesaid building.
SUFFOLK COU1F~Y DEPARTMENT OF ~RALTE;kPPROV]kL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
1930 BRAy AVE LAUREL
JR.
N;~E OF O~ {S): EDW~LRD A HA/~US
OCuuPANCY: A-1 RESIDENTIAL
A~MI'i-~'~ BY: EDWARD HANUS
NO.: __ LOT (S)
EDWARD A HA_NUS JR.
ACCOMPANIED BY: SAME
KEY A%-AILABLE: __ ~UWF. CO. TAX MAP NO.: 126.-7-21
SOD-RCE OF P, EQUEST: EDWARD A. HANUS, JR. 1/8/01 DATE: 01/09/01
DWELLING:
· ~YPE OF CONS~UCTION: WOOD FRAME # STORIES: 1.0 # ~U&ITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
· ~)TAL ROO~S: 1ST FI*R.: 6 2ND FLR.: --0 3RD FIdH.: 0
BA-r~OOM (S): 1.0 ~3ILET ROOM (S): 0.0 UTILITY RO(O (S):
DOMESTIC HOT~WA~: YES T"fPE H~2tr~: ELECTRIC AIRCO~DITIONING:
T~fPE EF~qT: GAS ~ AIR: H~'l'~d(: XX
ACCESSORY STRUCTURES:
GAR~E, TYPE OF CONST.:
SWI~ING POOL:
OTHER:
STORAGE. TYPE CONST.: SMALL CEMENT BLOCK SHED
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP#26186Z-COZ-27474- (FOUNDATION)
DATE ON INSPECTION: 01/09/00
TIldE STANT: 9:45 AM END: 10:00 AM
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPANCY
· '~-~hi's~A~ptJ. c~ion must be filled in by typewriter OR ink and submitted to the buildir
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of ali buildings, property lined
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.
5. Commercial building, industrial building, multiple residences and similar buildj
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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses or buildings
'*'pre-existing" land uses: '
1. Accurate suz-vey 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 applicar.
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.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - . .25¢.
4. Updated Certificate of Occupancy - ~50~00
5. Temporary Certificate of Occupancy - Residential $15.101 Commercial $15.O0
....... .... .................
New Construction ........... Old Or Pre-existing Building..~.~ ............
Location of Property .... [.~.-~..~. ..... ..~.. f.?~.
House No. Street Hamlet
Onwer or O~ers of Property...~ ~..°2~.?.?>...~/~...,....)f~..?.~ .~.~<. ~.-~.. 2 ...................
County Za~ M~p ~o lO00, Section../.?-..~..*.~.?...Bloc~....~.?.:?...~ .... Lot....~..~..,...9..~.~..
Subdivision*~.~:.~.~..~.A.q~**~.~..~.<!,.****O...Filed ~p. ~qo ) .not. ~-~ ~ ~?~
~-% ~ ~ ..........................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept Approval
' ' ......................... Underwriters Approval ....................
Planning Board Approval
Reqnest for: Temporary Certificate ........... Final Certicate..~.....
Submitted: ................
APPLICANT
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