HomeMy WebLinkAboutZ-26372FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCcupANCY
No Z-26372 Date APRIL 12, 1999
THIS CERTIFIES that the building
Location of Property. 3538 CEDAR BEACH RD.
House No. Street
County Tax Map No. 1000 Section 93 Block
Subdivision Filed Map No.
OWE FAMILY DWELLING
SOu'£~OLD, N.Y.
Hamlet
Lot 6.1
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--26372 dated APRIL 12, 1999
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 OWE FAMILY DWELLING *
The certificate is issued to EUGEWE F. ~r~%COCK
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-063457 - MARCH 11, 1999
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAuit~D INSPECTION REPO~
//
Rev. 1/81 ~- Building Ins~tor~
BUILDING DEPARI%iENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3538 CEDAR REACH RD.
(number & street)
SUBDIVISION
NAME OF OI~NER (s) EUGENE HEACOCK
SOUTHOLD. N. Y.
NO.
,(municipality
LOT (s)
OCCUPANCY SINGLE F~LY DWELLING
( type )
ADNli~o BY: JOHN ROMANELLI
KEY AVAILABLE
SOURCE OF REQUEST: PAUL CAMIMITI,
(owner-tenant)
ACCONPANIED BY: SAME
SUFF. CO. TAX NAP NO. 1000-93-l-6.1
ATTORNEY DATE: 12/8/98
DNELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOHS: IST FLR.
BATHROOM (s) ONE
PORCH TYPE
BREEZEWAY
DONESTIC HOTY~ATER XX
TYPE HEAT ELECTRIC
OTHER:
WOOD
CONCRETE & PIERS
ENCLOSED
4 2ND FLR.
TOILET ROON (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WA1OIAIR
· # STORIES I # EXITS 2
CELLAR NONE CRAWL SPACE
3RD FLR.
UTILITY ROOM
PATIO, TYPE
ONE GARAGE
~ECTRIC AIRCOHDITIONING
HOT~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP ! (ADDITION & ALTERATION)
INSPECTED BY:~~
. BOUFIS
DATE ON INSPECTION MARCH 15, 1998
TINE START I0:00 AI~ND 11:30 AM
Form No. 6
TOWN OF SOUTHOI~
BUILDING DEPARTMENT
TOWN tlAi, L
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildi,g
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property liues,
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 tn system contains
less than 2/10 of I% lead.
5. Commercial buildiqg, 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 exiati, g buildings (prior to April 9, 1957) non-conforming uses, or buiIdiugs snd
"pre-existing" land uses:
1. Accurate survey of property allowing all property lines, streets, buiiding and
unusual natural or topographic features. -
2. A properly completed application and a consent to inspect signed by tile applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
~. 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-existin~ Buildin~ - $100.00
3. Copy of Certificate of Occupancy - .25¢
4. Updated Certificate of Occupancy - ~50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ Date ...~.~..'..~.~ ~
New
Const ~uction
l,ocatlon of Property..' .... ~-~ ~- ..... ~'~z~"'~'~'''' ~--~/~
. ~. ~-..--..-~.....-~ ..... -: ....... ~..~ ?.~.~.y.. ~...--~.. ..... ~-...~z~...~. f..~F?~.. .....
House No. S t re_e~ Hamlet
Ouwer or Owners of Property.~..~...~'~.C'~ ~--, ~
ou,ty ', ax Map No 000, Section... ....... ............ ...............
Su~division .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
llealth Dept. Approval .......................... Underwriters Approval .........................
PIanning Board Approval ........................
Fee
Submit
ted: $
.... :....?...
/ - ^ ANT
CONSENT
TO
INS PECTI~)'~N
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
of Southold loeated at
That the undersigned (is) (are) the owner(s) of the premises in the Town
, which is shown and designated on the Suffolk
c ou. ty tax map as District 000, Seotion
Block
,Lot
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building,I~pector's Office fo~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 ~vith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for