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HomeMy WebLinkAboutZ-23036FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23036 Date JUNE 13, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 405 PIERCE DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 136 Block 1 Lot 7.1 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-23036 dated JUNE 13, 1994 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 & ACCESSORY STORAGE SHED The certificate is issued to EDWARD & JOAN HINDERMANN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPEI Rev. 1/81 BUILDING DEPARTMENT \ _ TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 405 PIERCE DRIVE CUTCHOGUE, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) EDWARD & JOAN HINDERMANN OCCUPANCY SINGLE FAMILY DWELLING type owner -tenant) ADMITTED BY: ED. HINDERMANN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-136-1-1.1 SOURCE OF REQUEST: EDWARD A JOAN HINDERMANN DATE- APRIL 11, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 # E%ITS 3 FOUNDATION CEMENT BLOCK CELLAR 3/4 CRAWL SPACE PARTIAL TOTAL ROOMS: IST FLR. 4 2ND FLR. I 3RD FLR. BATHROOM (s) TWO TOILET ROOM (s) ONE UTILITY ROOM NO PORCH TYPE FRONT COVERED SCREENED DECK, TYPE REAR RAISED PATIO BRICK FRONT BREEZEWAY NONE FIREPLACE NONE GARAGE 2 CAR DOMESTIC HOTWATER YES TYPE HEATER OIL FIRED AIRCONDITIONING CENTRAL TYPE HEAT OIL WARM AIR YES HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. WOOD TOOL SHED SWIMMING POOL ,.GUEST, TYPE CONST. O *NOTE: SET BACKS AS SHOWN ON PLOT PLAN PER B.P. #9175Z, APRIL 8, 1977 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE REMARKS: BP #9175Z- CO Z-23035 (ADDITION -GARAGE 6 DECK) INSPECTED BY M. BOUFIS ART. SEC. DATE OF INSPECTION APRIL 14, 1994 TIME START 9:45 END 10:05 RR Form No. 6 a qa-- R Icily i TOWN OF SOUTHOLD a l BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. TOWN Of SOUTHOLD PLICATION FOR CERTIFICATE 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 1% 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. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy.- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .../.� ........................... New Construction.......'..`.. Old Or Pre-existing Building.... ...... y/ Location of Property...T6............................+�C� r�.�!...... House No. Street Hamlet Onwer or Owners ofPropertyGQ.C.{e�.�.. 4/YQc�� ....................... County Tax Map No 1000, Section..(A .......Block.. ..........Lot.. Q.7: J ............. Subdivisio-E:i �- Vz 1,� � , , , , , , , , , , , ,Filed Map ............ Lot. . 1. ....�,��."�7 Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval ....... ��� ............Underwriters Approval.4vtA .................. Planning Board Approval..... &r/t/............. / Request for: Temporary Certificate........... Fin Certicate �!....... p o..+ Fee Submitted: $.�G ................... ... ..........e: . . "`....... . lm U) ��303G APPLICANT a I 1 of er(s) Names do(es) hereby state: CONSENT TO INSPECTION the undersigned, That the undersigned ( (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax• map as District 1000, Section /,3� Block 0 Lot 0 7_/. That the undersigns(has) have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for 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 with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prose utionp for vio- lations of the laws, ordinances, rules or regulations of tb e To«in bf Southold. / I / � Dated: / sianatxre (print name) 047 LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT number & street ��cipftity OCCUPANCY,� / W S / -e MAP NO. LOT(s) / A- /(£ype) .. ,q� (owner -tenant)) -* ADMITTED BY: �r� i1Tl� i2 /YI/�/y ACCOMPANIED BY: Sl�1i► KEY AVAILABLE SUFF . CO. TAX MAP NO._ /b 0 0 / - 7s SOURCE OF REQUEST:4'fyic-'/4e-d -ot.fo"4w DATE: DWELLING: TYPE OF CONSTRUCTION # STORIES E%ITS FOUNDATION CELLAR 3 CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. 3 BATHROOM (s) / &j TOILET ROOM (s) e*6 - UTILITY ROOM PORCH TYPE C.d .5� DECK, TYPE ATIO ��L / �/z07✓�" BREEZEWAY / FIREPLACE GARAGE /Z - DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT 9 1 / WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST..GUEST, TYPE TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. I REMARKS: INSPECTED B' �I DATE OF INSPECTION' � J 1J TIME START / ENDS Qb � b S