HomeMy WebLinkAboutZ-24748 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE SRISTING
CERTIFICATE OF OCCUPANCY
No Z-24748 Date NOVEMBER 15, 1996
THIS CERTIFIES that the building ONS FAMILY DWELLING
Location of Property 34770 MAIN ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 2 Lot 7
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-24748 dated NOVE!ffiER 15, 1996
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 ONS FAMILY DWELLING WITH ACCESSORY GARAGE *
The certificate is issued to ROBERT A. JOHNSON
(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 INSPECTION REPORT.
/ B ildin Inspector
Rev. 1/81 /
RIIILDING DEPAR'iT11iNT
TOWN OC SOUTiIOLU
lIOUSING COOS ].NSPECTLON REPORT
LOCATION: 34770 MAIN ROAD CUTCflOGUE, N.Y.
number 14 s(reel:~- municipaliay
SUBD ).V l: S ION _ _MAP NO. L0'f (s)------
NAME OP OWNER (s) ROBERT A. JOHNSON
OCCUPANCY ~A.-1~~~.. OWNER _
CyPej---------- Zowner-CenanCj
ADMIT"fEU BY: BENIGANO DeJESUS ACCOMI'nN)P.D BY: SAME
KRY AVAILABLE SUPf_CO. TAX MAP NO._1000-9L-020.7_
SOURCE OP REQUES'1':___ ROBERT JOHNSON_________-______.___ OATS: OCT._24,_1996_
DWELLING:
'CYPE OF CONSTRUC'PIpN / STORIES- T{,TO_ I ER ITS T{JO
---~TOOD_FRAME---- -
FOUNDATION _CEMENT CELLAR FULL CRAWL SPAT
'COTAL ROOMS: IST PLR. 4 2ND FLR. 4 3RD PLR.
BA'POROOM (s) ONE TOILE'C ROOM (s) UTILITY ROOM
PORCIl TYPE DECK, TYPE PATIO _
BRr•,EZrwnY PIRrr1.ACE _ NpME cnencE
OOMESTIC )IOTWATER YES TYPE OEATER ELECTRIC AIRCONDIT[ONING
TYPF, DRAT _-_OIL _ _ - _ WAR![ AIR - _ _ _ 110'I'WATER STEAM
OTUER:
ACCESSORY STRUCTURES:
GARAGE, 'PYPE OP CONST. WpQD gRp~ STORAGE, TYPE CONS'P.
SWIMMLNG POOL GUBS'P, TYPF. CONST.
o•rnr•.R:
V10LATi0NS: CIIAP'TER /i5 N.Y. S'CATE UN (FORM PIRL•' PREVEN'PiON iS BUILDING CODE
[.OCA'1'LON UESCRII''IION AR"I'. SI~.C.
REMARRS:
INSPECTED BY DATE OF INSPECTION_ OCTOBER 31, 1996
GARY J_ ~I TiMh STAR'C 9:45 END 10:05
' ~ Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION 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 17 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 tuilding $25.00. Businesses $50.00. '
2. Certificate of Occupancy on Pre-existing Building $100.00
3. 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
Date
New Construction........... Old Or Pre-existing Building..... X
34770 Main Road. Cutchogue
Location of Property.....-:.,:~=r•:.-.-::•
House No. Street Hamlet
• Robert A. Johnson
Onwer or Owners of Property
97.00 02.00 007.000
County Tax Map No 1000, Section ..............Block................Lot......................
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval '
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $
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