HomeMy WebLinkAboutZ-22514FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22514
Date AUGUST 10~ 1993
THIS CERTIFIES that the building DWELLING
Location of Propert~ 280 SUNRISE WAY SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 91 Block 1 Lot 13
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-22514 dated AUGUST lOg 1993
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 SEASONAL ONE FAMILY DWELLING WITH ATTACMKI] SRR. D AND
ACCESSORY SHED
The certificate is issued to
of the aforesaid building.
STEPHEN HILLS
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
LOCATION: 280
SUBDIVISION
NfuME OF OWNER (s)
OCCUPANCY
Sunrise Way
(number & street)
BUILDING DEPARTMENT
TOWN OF SOU~IOLD
HOUSING CODE INSPECTION I~PORT
Southold
(municipality
HAP NO. LOT (s)
Stephen Hills
A-I Res.
(type)
(owner-tenant)
ADMI'I~gD BY:. Stephen Hills
KEY AVAILABLE '
SGURCE C~ REQUEST: Stephen g. Hills
ACCOMPANIED BY: Same
SUFF. CO. TAX MAP NO. 91-1-13
DATE: 8/4/93
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS:
BATHROOM (s)
PORCH TYPE Screen
BREEZEWAY - -
DOMESTIC HOTWATER
TYPE HEAT none
OTHER: Loft
'Cement Block Piers
IST FLR. 4
One full Bath
Yes.
# STORIES ! {/9 ~ EXITS ?
CELLAR -- CRAWL SPACE - -
2ND FLR. ]R~ FLR.
TOILET ROOM (s) - - UTILITY ROOM
DECK, TYPE - ~ PATIO, TYPE - -
FIREPLACE one GARAGE - -
TYPE HEATER Prooan~ AIRCONDITIONING
WARM AIR HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF cONST. STORAGE, TYPE CONST. Metal Storage Shed
SWIMMING POOL , GUEST,.TYPE CONST.
OT~R: Attached Shed Like Structure to House Water Supply and Hot Water Heater
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: Seasonal r~wmlIin~
INSPECTED BY: ~/'~~
DATE ON INSPECTION 8/6/93
TIME START 9:30 EN~ 9:50
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FORCERTIFICATE 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 l%.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:
1. Accurate survey~oper~ty showing all property lines, streets, building and
unusual natural or topographic features.
2.. A properly completed application and a consent_t_o~t' signed by the applicant.
If a Certificate~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.
'~J~ Certificate of_O~c__upancy on Pre-existing Building - $100.00
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 $15.00
New Construction ........... Old Or Pre-existing Buildin~ ~" .
Location
of
Property
.... ......... ............ .-$. y./.....
House No. Street Hamlet
Onwer.er 9wncrs of Property..~/~..~-'./~.. ~. ~./~
County Tax Map No 1000, Section ........ .~../~.o..Block ........ ] ....... Lot../~. ...............
Subdivision ............... . ..... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit .............. Applicant .................... .........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ............. ~ ....... ~...
Request for: Tempo. rary Certificate ........... Final Certicate ...........
Fee Submitted: $./.~.~. :~.~. .................. · /-~
· .,-,~ .... ./:..,..---Am,.....~.~. ~-~~ ...
36
CONSENT
TO
INSP~,CTION
_-~Z-Z--~:p~//~/~ /7///.52~ , ~he undersigned,
Ox~uer(~
do(es) hereby state:
That the unders~ued (is) (a~c) ~l~e owne~of the premises in the To~
of Southold located at ~ ~/f~ ~. ~t~z~. ~ ~//~
. which is shoxm and designated on the Suffolk
County tax map as District 1000. Section ~/ , Block f: . Lot /~
That the undersigned (has) ~havc) filed, 'or caused to be filed, an applica-
tion in the Southold Tox~ Building Inspector's Office for the follow.g:
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 thereonl 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.
(s~gn~tur e)
(print name)
(siffnature)
(print name)
IJnaullmtzed altera~n er ~
~ ~tl~ el~'ey is a ~ ~
the !:~r~ ~ whom the S~'~,~v
~eparc:, ;nd on his behall to ~'-~
~mp~; ,, go'/ernn~en~ age~ ~
~icnee~ ol the lend~ ~
Gua~tees are not ~