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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. 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