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Home My WebLink AboutZ-24110FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24110 Date JANUARY 10, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1227 PINE NECK~O&~ SO~TflOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 05 Lot 36 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--24110 dated JANUARY 10, 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 A "NON--RARIT~RT~'' ONE F&~TT-Y S~%~ONAL DWelLING * The certificate is issued to JOHN L. ~%RRISON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pT~SE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Inspector Rev. 1/81 BUILDING DEPARTHENT TOWN OF SOUTUOLD tlOUSING CODE INSPECTION REPORT I.OCATION: 1227 PIME MECK ROAD (number & street) SUBDIVISION NAHE OF O~NER (s) JOHM L. HARRISON SOUTHOLD, N.Y. (municipality) HAP NO. LOT(s) OCCUPANCY A-I RES. (NON HABITABLE) O~IER (type) (owner-tenant) ADHITTED BY: STAffLEYKARAME~SKI ACCOHPANIED BY: SAHE KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-70-05-36 SOURCE OF REQUEST: RUDOLPH H. BRUER, ~I'T~ DATE: DEC. 28, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: BATHROOH PORCH TYPE BREEZEWAY DOHESTIC UOT~ATER TYPE HEAT NONE OTHER: WOOD FRAI~ { STORIES ONE CEHEMT BLOCK CELLAR MOME CRAWL SPACE IST FLR. 4 2ND FLR. 3RD FLR. Olde TOILET ROOH (s) UTILITY ROOH FROMT& REAR ENCLOSED BECK, TYPE PATIO FIREPLACE GARAGE TYPE HEATER AIRCONDITIONING WARHAIR HOTWATER EXITS T~O ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHHI,'tG POOL OTI1ER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. ACCESSORY STRUCTURE VIOLATIONS: CHAPTER 65 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INTERIOR (A) Structural members shall be protected and maintained to NYCRR CHAPT resist and prevent deterioration. PART ~J2.: (C) Ceilings, walls, floors and stairways shall be maintained in a safe and sound condition. (D) Toilet room, bathroom floors shall be maintained in a wate~ tight condition. PLUMBIMG (I) Potable water from an approved source shall be available' at all times. PART it~. (2) ~ater supply systems shall be maintained to provide at all times a supply of water to plumbing fixtures, etc. (C) Hot water shall be supplied FRIGERATIO! There shall be provided within each dwelling unit approved PART 1243.! type cooking and refrigeration equipment located in a kitchen or kitchenette. ELECTRICAI Electrical fixtures, devices, wiring and systems shall be FART i243.i maintained in safe working condition ~n a manner whic~ Wlli avoid a potential source of ignition or shocK, oeterlorated -- materiat and eouio~,enr shall be r~muv~d aud~"~l~-a~ aa mat ~a TcG~!rat. 2.7(A)(C) (A) REHARKS: (A) "IRIS DI~ELLING IS DECLARED "NON-RABITADLE" INSPECTED BY ~.~//,/~ DATE OF INSPECTION JAN. 4, 1996 · TINE START 9:30 AH END 9:50 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'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 applicant. If a Certificate of Occupancy is denied, the Building Inspecior 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 Building - $100.00 '3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date December 28~ 1995 New'Construction ........... Old Or Pre-existing Building ...... ~ .......... Location of Property......./ .. Pine Neck Road Southold House No. Street Hamlet Onwer or Owners of Property. John L. Harrison County Tax Map No 1000, Section..q~P:p.q ..... Block..q :PP ......... Lot.. :q :P.qq ........... Subdivision ................... ~.~. ........... Filed Map...~ ..... Lot ..... /~. ............ Permit No ................ Date Of Permit .'. .Applicant~Rudoiph H. Bruer Health Dept. ApProval. · .......... Underwriters Approval. '.' ...... Planning. ~oard Approval .................... ,'.... Request for: TemPorary Certificate ........... Final Certicate...~ ....... CONSENT TO INSPECTION John L. Harrison , · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Pine Neck Road~ Southold~ New York · which is show~ and designated on the Suffolk County ~ax map as District 1000, Section 70 , Block 5 , Lot 36 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: pre-existing Certificate of Occupancy for the house and shed 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ~oiph H. Bruer, Attorney for owner (print name) (signature) (print name) CM, '., S84°( SURVEY OF DESCRIBED PROPERTY AND WESTERLY ZS'of LOT 9 IN MAP OF PROPERTY OF J. WELLS PHILLIPS SITUATE SOUTHOLfl, TOWN OF SOUTHOLD SUFFOLK COUNTY, IV. Y. SURVEYED FOR: MARGUERITE FARRELL UDE R. DENNIS UDE F'M~/29F FILED 11/6/1909 rM~ooo- o;,o-o5 SCALE' I"= 4°, AREA = 22,053. F5 S. F or O. 5063 Acres FO. CM. -- FOUND CONCRETE MONUMENT FO. IP = FOUND IRON PIN GUARANTEED TO: MARGUERITE FARRELL UDE R DENNIS UDE FIDELITY NATIONAL TITLE INS, CO, TOWN OF SOUTHOLD IP PINE NECK RD. N/F HARRISON APPROX. DISTANCE TO OAKLAWN Guarantees indicated here on shall nm only to the person for whom the survey is prepared, and on bls behalf to the title ccmpcny, Govermental Agency, lending insfif~tlon, if fisled hereon, and to the csslgnees of the lending institution. Guaronlees are ncr transferable to additional lnsfilutions or subsequent owner~ Unauthorized alteration or addition to this survey is a vlolatlon of Section 7209 of the New York State Education Law. , Copies of thls survey map not beating the [.and Surveyors embossed seat shall not be conslder~d to be a vatld tr~ copy. SURVEYED BY STANLEY J. /SAKSEN, JR PO BOX 294 NEW SUFFOLK, N.Y, 11956 (516] 734-5835 ~5R586