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Home My WebLink AboutZ-23747FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING cErTIFICATE OF OCuumANCY No Z-23747 Date JUNE 29, 1995 THIS CERTIFIES that the building Location of Property 1025 PINE NECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block 5 Subdivision Filed Map No. ONE FAMILY DNELLING SOu'rHOLD, N.Y. Hamlet Lot 34 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-23747 dated duNE 29, 1995 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 DW~?J,ING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pT~E SEE ATTAc.~ED INEPECTIONREPORT. JOHN & CAT~U~RINE HARRISON N/A N/A N/A Rev. 1/81 Building Inspector LOCATION: 1025 PII~ NECK ROAD (number & street) SUBDIVISION FlAP NO. NAHE OF OWNER (s) CA'I'HIIRINE & JOHN H~ISON BUll. DING DEPARTHENT TOWN OF SOUTIIOLD DOUSING CODE INSPECTION REPORT SOUTHOLD, N.Y. (municipality) LOT ( s ) OCCUPANCY SINGLE FAMILY (type) (owner-tenant) ADHITTEI) BY: NARION KING ACCOHPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-70-5-34 SOURCE OF REQUEST: JOHN & CATHERINE HARRISION DATE: JIINE2I, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: BATDROOH (s) PORCll TYPE BREEZEWAY UOHESTIC IIOTWATER YES TYPE llEAT OIL OTIIER: WOOD FRAME CEHEIiT BLOCK CELLAR IST FLR. 5 2ND FLR. ONE TOILET ROOH (s) FRONT COVERED-REAR SCREENED DECK, TYPE FIREPLACE ONE TYPE llEATER OFF BOILER WAI~I AIR ! STORIES ] ! EXITS PART. CRAWL S~ACE 3RD FLR. UTILITY ROOH LAUNDRY ROOH PATIO GARAGE AIRCONqgITIONING UOTWATER YES ACCESSORY STRUC'IqJRES: GARAGE, TYPE OF CONST. SWI/4HING POOL OTHER: 2 CAR WITH COVERED STORAGE, TYPE CONST. PORCH. GUEST TYPE CONST. VIOLATIONS: CI1APTER 45 N.Y. STATE UNIFORH FIRE PRETENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: INSPECTED BY DATE OF INSPECTION JHN~ 28, 1995 TIME START 9:!5 END 9:30 765- 1802 API'L[CATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR inl< and submitted to the building inspector with the fol.[owing: for new buiJdinE or new use: 1. Filial survey of Property with accurate location of all buildinEs, property lines, s~[eets, and unusual natural or topoEraphic 2. Final Approval from Ile~]lth Dept. of water Supply and Sewerage-disposal(S_9 form). 3. Approval of electric;~[ installation from Board of Fire Underwriters. 4.' Swore statement fr°mlplumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and ~nstallations,~a certificate of Code Compliance from architect or engineer respo,sible for th~ building. ~-"x 6. Submit Planning Board Approval of completed site plan requirements. ( B. 'lF~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ .... .'pre-existing land uses: ' 1. Accurate survey of property showing all property lines, streets, building and nnusual natural or topographic features. 2. A properly completed application and a consent to inspect, signed by the applicant. If a Certificate of Occnpancy is de~ied, 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 Buildin~ - ~[~0 3. Copy of Certificate of Occupancy - $20.00 · 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $[5.00., Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. House No, ' ......... ' ....... ~ ~ ~ ~ Street , Hamlet <Subdivision ....' ............ ~ ........... ................................ Filed Hap ............ Lot ....... - Permit No ................ Date Of Permit ................ Applicant. - Health Dept. Approval. ......................... Uuderwriters Approval ......................... :'lanni.g Boa~d Approval. %e Submitted: $ ~j ........ 7Y7 ............... ........................ CO: INSPECTION Ovmer(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southotd located at · which is shown and designated on the Suffolk County tax map as District 1000, Section ?0 , Block ~-', Lot..~. ~/~. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tow-n 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 in the conduct of such inspections may be used as evidence in subsequent prosecutions for rio- lations of the laws, ordinances, rules or reg-ulations of the Town of Southold. Dated. ~/2(I/~'" (signature) (print name) (signature) (print name) Z 5.04 o0' ~ T~MBEI~ MAP OF PrZOPErZTY dOl.--tN PLAI.4T EP.. SUF~.VEYED FOP.. L. ¢ CATI---4EI-;~ t N ~ Al-?. 12!~- OO~JT'HO L D TOWN OF GOLJ'T'k,.tOL. D r,4M SUFF. CO.'1-A~ MAP DATA: I000- 0'70- As sur~vevEp -au. N.e_j,. ~,~5 F20 D E [Z~ ~!~_"~..A,_~_T__U',(_ L,P.c', LiC, LAND sLJr&VEYOI'~5 -