HomeMy WebLinkAboutZ-24087FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCcu~A~N~
No Z-24087
Date DECEMBER 18, 1995
THIS CERTIFIES that the building
Location of Propert~ 2650 PINE NECK ROAD
House No. Street
County Tax Map No. 1000 Section 70 Block 10
Subdivision Filed Map No.
ONE FAMILY DWELLING
SOUT~OLD, N.Y.
Lot 2
Lot No.
Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24087 dated DECEMBER 18, 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 ORE FAMILY DWELLING WITH ATTAc~D GARAGE & ACCESSORY S~D *
The certificate is issued to JAMES
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PF~ASE SEE ATTAc. Ko INSPECTION REPORT.
N/A
N/A
N/A
'-~/'B/ui~l~ding Inspector
Rev. 1/81
1.DCA'I'ION: 2650 PINE NECK ROAD
(miml)e r &
SUIIIIIVI S ION
NAt-Il! OF OUHEI((.~)
lid I LD I tic III::I'AI(*I'HEIiT
l*()~/tl OV $OUTIIOLD
IIOUSItIG COI)E IUSi'EgTION liEPOICI'
SOUTHOLD, NEW YORK
JAMES HAWTHORNE
HAl' Il().
I.OT( .~ )
occul,^Nc¥ A-1 RES.
(} y P. )
AU~IIT'rEI~ II¥: JAMES HAWTHORNE
KEY AVA I I,AItI.E
SOlm(:l~ m? m,.qDF, s'r: JAMES HAWTHORNE
OWNER
ACCOtlI'AN! El) BY: SAME
TAX HAP I~(). 70-1u-uz
DATI'.: 9/8/95
I)l{E 1.1, ! NG:
· l'¥Pl~, oF CO~S'I'.IICTIOU WOOD FRAME
(;oum)A'rm~ CEMEN1r BLOCK CF.l.l.^lt
TOT^i, I{DOHS: I s'r FLIt. 5 2ND FI,I{. ~
BATIII{OOH ts) ONE TOIl.ET ROOH ts)
VORC:U TYPE ENCLOSED
IIREEZEUAY F IREI'I~CE
I)OHES'rlC IIOTUA'rER YES TYPE mcA'rER
'['YI)E ttt~'~ ~C~C ~AR~ AIR
~'rUER:
FULL
31(I) FI.It.
ONE
III':CK, TYPE
ELECTRIC
I $'rOltl[ F.S
CI{AWl. SI;ACE
II'FI l.I'F¥ I(OOH
· PATIO
C^t~aC.l,: 2 CAR
A] .(:o~ii)rr ~ou ( rm
IIO'IIRATER'
I EXITS 3
ACCES$OItY STI{UCTIJItES:
(;Al(AGE, TYPE OF CONST.
SU I I'(['11N(; I'OO1,
OTIIIrAt:
$'I'OI{AGIr-, TYPE C()ItS'F.
, GUEST, TYPE Ct)IISI'.
WOOD FRAME
........................................... ~---ZZZZZZ] .....................................
VIOI,ATIONS: CIIAP'FEIt ~5 N.Y. STA'FE UNIFORH l/litE PItEVEN'I'ION & IIUILI)ING CODE
I.(}CA'I' 10t I)ESCI{1 PTIOI,I ART. SEC.
m,:~l^,r.s.. BP #23108Z-C0 Z-24086 (HEATING SYSTEM)
I ) ATI'.' OF
'l'lt41'.' STAI{T 9:40
SEPT. 14, 1995
Em) 10:05
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-~802
A?PLICATION FOR CERTIFICATE OF OCCUPANCY
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-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 Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees '
i. Certificate of Occupancy - Ne~ 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-existinz Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00
Da e .... ........................
New Construction ~Old Or Pre-exis~ing Buildin~ hz'/ ~ '
House No. Street Hamlet
o,,,~er or ow.ers o~ ~operty..O~..~..~. ~... ~.~..a. ................................
:oun~ ~'~.~ ~ap No i000, ~ctio,,..7.~., ....... ,~.~c,~.../.'~ .......... ~ot....~. ................
Subdivision. -- F:iled Hap .... .'T-: ...... Lot ..... .----. ...............
[~ermit No ................ Date Of Permit ................ Applic;mt .............................
7IealLh Dept. Approval .......................... Underwriters Approval .........................
'fanning Board Approval ........................
:~,eques~' ~or: Temporary Cert£ficate ........... Final. Cerr±c,te .......