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.
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