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HomeMy WebLinkAboutZ-26368FORM 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-26368 Date APRIL 12, 1999 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3535 ~n&R R~H RD. SOuT~OLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 93 Block 1 Lot 6.3 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-26368 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE & STORAGE SHEDS* The certificate is issued to EUGENE HEACOCK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-063456 - MARCH 11, 1999 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTA~D INSPECTION REPORT. Rev. 1/81 ~' Building~nspector BUILDING DKPAR1}iENT TOI~I OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 3535 CEDAR BEACH RI). (number & street) SUBDIVISION NAME OF ONNER (S) EUGENE IIEACOCK SOuTuOLD· .(municipality HAP NO, LOT (s) OCCUPANCY SI~GI~ FA~L¥ (type) ADHIYfED BY: JOBN ROM~NELLI. KEY AVAILABLE SOURCE OF REQUEST: (owner-tenant) ACCOHPANiED BY: SANE SUFF. CO. TAX HAP NO. 1000-93-1-6.3 PAUL CAMINITI, Al-f! DATE: .12/8/98 DIqELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CONCRETE TOTAL ROOHS: IST FLR. BATBROOM (s) 2 PORCH TYPE FRONT & NEAR BREEZEWAY DOflESTIC HOT~ATER XX TYPE HEAT OIL OTRER: 5 2ND FLR. 4 TOILET ROOH (s) DECK, TYPE F I REPLACE TYPE HEATER IqARM AIR · # STORIES 2 ~ EXITS 4 CELLAR Pu~.L CRAI~L SPACE 3RD FLR. ONE . UTILITY ROOH PATIO· TYPE 2 GARAGE AIRCONDITIONING HOT$/ATER XX OIL ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~IING POOL OTHER: I FLA~POT~ I CAR WOOD STORAGE· TYPE CONST. · GUEST, TYPE CONST. 2 SNEDS WOOD VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIP~ PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. R~S: N. BOUFIS INSPECTED BY: DATE ON INSPECTION HARCH 15, 1999 Tmg START 10:00 AH END ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN tlALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A0 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 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. 11. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ond "pre-existing" land uses: 1. 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 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 Buildtn~ - $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 I,ocatton of Property ..... }louse No. Stre~ Hamlet Onwer or Owners of Property. ..~x...~.~t~ ~- /~/~r'~i/ C~' ~ County 'l'nx Map No 1000, Section .............. Bloek...~ ............ Lot .... ' .................. Su%division .................................... Filed Map ............ Lo t ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Ilealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ CONSENT TO iNSPECTI~N the undersigned, Owner(s) Name(s) do(es) hereby state: of Sou[hold located at That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section_~, Block / , Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applies- rio? in the Southold Town BuildingzL~pector's Offi~ce for. the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Sou[hold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspecHons as they may deem necessary with respect to the aforesaid application, including inspections to de[ermine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Sou[hold. 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~Tow~outhold. (print ~Fe)