HomeMy WebLinkAboutZ-21121 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-21121 Date OCTOBER 30, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1865 YOUNGS AVENUE SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 60 Block 1 Lot 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-21121 dated OCTOBER 30, 1992
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 2 CAR GARAGE & 2 WOOD
FRAME ACCESSORY SHEDS.
The certificate is issued to ESTATE OF JOHN KAELIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
wilding Inspector
Rev. 1/81
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F-:GL' I::C CCt'. Iii:~?~CTIO:! i~ C3T
Lo c ~ t i o n 1865 YOUNGS AVENUE SOUTHOLD, NBW YORK
Subdivision P•1a~ Mo• Lot(s)
N<=.~le oZ Otlner~$,~ ESTATE OF JOHN RAELIN •
Occupancy A-1 RES.
Adzitted by: MRS. JOAN McNULTY /1000r:ipSllcd by: SAMB
Key available Suffollc Co. Ta:c DIo. 60-1-3
Source of request JOAN McNULTY Date OCT. 27, 1992
Type of cons traction WOOD FRAME !stories 2
Foundation BRICK Ce11ar 1~2 Cra:•~l space 1/2
Total. roo:.ls , .1st. Fl 4 2nd. Fl 3rd. Fl '
Bat::roorr(s) ONE Toilet roon(s) ONE
Porch, type Deck, type °atio, type
Breeze::ay Garage Utility rotor
Type Heat ~ 'rlarm. Air Ho ~:•rat~r STEAM
Fireplace(s) ONE A1o. E::its 2 A.irconditicnirg
Dc~estic hot•::ater YES Tyke heater
Otr AT' PANTRY OFF KITCHEN, SIDE ENTRY "
ACC=JSC=Y S^~ ~TC"_'U.~~'S
Gzrco°, type const. 2 CAR WOOD Ftar3~e, type co; st. 2 WOUD FRAME
S:•:i,:
~i no pool Cues type const.
~t:~er .
V?OLbTIOi`!S: ,CISAPTGR 45--N,Y. S'1'A'1'E UNIFOI:I~f PIIU: PkLL•'VENTION 6 ISUILDLNG CODE
~~c^tion I DP°_crirtion _ I Art_.-( Sec
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Re~;ar.:s:
In:,pccted by: '',~•'---=y~----Daic of Insp. OCTOBER 29, 1992
J. FISH • Tine start 9:00 end 9:20
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
_ - 765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
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.
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.
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 Euilding - $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 $15.00
Date 't:-.......-.'..1992
Construction.........../Old Or Pre-existing Building.....~X.......:..
tion of Property:... S ~OUkf_ S..: ~ ? ~ •h.`~ .....Southold _ . • . ~ . • _ : , .
House No. Stree/t Hamlet
or Owners of Property....•i-14.~ ~ ?::-.:1:~~C~~,l:i-~2 ..~$;Tr,c. ! 2 :
:y Tax Map No 1000,. Section...~~Q'.Q~..Block.....~`.,~/U'A...Lot....~~.3;d~.
.vision...... ....................Filed Map...l~/~`'/•-..Lot..
t No.. ,/.~!J.'(......Date f Permit....:Y.!'......Applicant.... ,/.ll../~
h Dept. Ap/proval.....'[~~~ ...............Underwriters Approval. /ll~~
irig Board Approval.
st for: Temporary Certificate........... Final Certicate...Y......
lbmitted: 100.00
. APPLICANT
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xerle: 40 Guawrr~+lsd ~fo #~e owrtdrrs,
Area = 22, SS3 sq. ffi ~ ~ 1 fn 6!o(ae Abs~frnct Gorb. , ~o
~ a = mottcx+tettt ~ ta~K i'Qti - Midcoaat Mor-F~ Cons. Gard {o
o ~ (bilbe _ ' o~n~q~ nor{ 1,, Saeurify Tif/e t Guarearrk~ Co.,
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