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HomeMy WebLinkAboutZ-23712 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EBISTING CERTIFICATE OF OCCUPANCY No Z-23712 Date JUNE 16, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1615 FLEETWOOD ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 4 Lot 35 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 OCCUPANCX NUMBER Z-23712 dated JUNE 16, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is ONE FAMILY DWELLING WITH ACCESSORY TWO CAR GARAGE The certificate is issued to WILLIAM & AVA KENNEDY (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. lding Inspector Rev. 1/81 BUILDING DEPARTMENT ' TOWN OP SOUTIIOLD IIOUSING CODE INSPECTION REPORT • LOCATION: 1615 FLEETWOOD ROAD CUTCHOGUE, N.Y. number b street municipali[y SUBDIVISION HAP NO. LOT(s) NAME OF OWNER (s) WILLIAM KENNEDY ~ WIFE OCCUPANCY A-1 RES. OWNER type owner-tenant ADMITTED BY• WILLIAM KENNEDY ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TAX MAP NO. 100 - - - SOURCE OF REQUEST: PAUL CAMINITI, ATTY DA'pE;JUNE 6, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # E%ITS 3 FOUNDATION CEMENT BLOCK CELLAR CRAWL SPACE % TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH TYPE ENCLOSED PORCH DECK, TYPE REAR WOOD• PATIO WOOD (FRONT S SIDE) BREEZEWAY FIREPLACE ON6 GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT ELECTRIC WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CpNST. WOOD FRAME-2 CAR STORAGE, TYPE CONST. WITH AT SWII~iMING POOL GUEST, TYPE CONST. OTHER: DOCK ON THE WATER VIOLATIONS: CEIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC. t REMARKS; BP #10840 CO Z-10107 (DECK ADD) BP #11488-CO Z-10889 (ADD) INSPECTED BY DATE OF INSPECTION Ji7NE 6, 1995 GARY FISH TIME START 9:30 END 9:50 Dunn blu. TOIdN OF SOII'I'N01,0 BUILDING 1)liPnR'l'lII:PIT TO[dPJ IIA1.1, 7G5-1602 APPLLCA'CION 1'OR CCRTIPICA"l'I: Ol' OCCUPANCY A. This application must be Eil.led in by typewriter OR ink and submitted to the buiiding inspector with the fol.locaing: for new building or new use: 1. Final survey of property with acr_urate location of all buildings, property .lines, streets, and unusua.L natural or topographic Ieatures. 2. Final Approval from i[ealth llept'. of water supply aad sewerage-disposal(S-9 Eorm). 3. Approval of electricarl installation from Board of Fire Underwriters. 4: Sworn statement from plumber certifying Chat the solder used in system contains less than 2/10 of 1% lead. 5. Commercial buildin~, 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' Co inspect signed by the applicant. IE a Certificate of Occupancy is denied, the liuildi.ng Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $7.5.00, Additions to dwelli.n,r, $25.00, Alterations to dwelling $25.00, Swimming pool. $25.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses $50.00. , 2. Certificate of Occupancy on Yre-existing P,uildine - 100.0 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cormnercial SI5.00 Dace ......(O. " .~°.:.9~~ New Construction........... OldffOr Pre-existing Buildin//g~~ _ / Location of Property..... I~' . , .[4~ ('CC~7~_C(/Q© ~...`-p9~~.......~U ~C6t O~VE . House No. ~ S,(t~reet Hamlet Onwer or Owners r,f Property....w.//"~l...J1*lP..!!.U~„`~~~~r.~~.i~ County Tax lfap No 1000, Section... ~ ~......llluck.....~.........LoC.~.~~ Subdivision ....................................Piled Map............Lot........,............. 2errniC No ................Date OC Permit................Applic:rnt..........................,.. llealth Dept. Approval ..........................Underwriters Approval.. 'lanning Board Approval tequest foe: Temporary Certificate........... Final Certicat ' 'ce Submitted: 5 CO? r ~ INSPL;CTION ~j ~ d/~l/P D the undersigned, Oamer(s) Name(s) do(es) hereby state: That the undersigned (is) (ar/e) th~e%owner(s) of the p~r~eQmises in the Town of Southold located at ~ Ip ~y ~ `~e~~~ 0 A L.Q.~,CP.~aG'/U CC which is shown and designated on the Suffolk ~ County tax map as District 000, Section ~ j 7 , Block Lot ~J That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southc d Town Building Inspector's Office for the following: ~e~~~r~ a UP ~e d T~'~~., a ~9,c°~ P ~uea ~ p~Tv , weo~ Aa~~~ d u~ao~ 7'f~l~ue ,3r~f~ o~ d«cG, 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 aIl•of the laws, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the kno~sledge 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 T of Southold. Dated: "gyp 1 ' _ signature) ~ (print name) 7~ ~ ~ ~ / (signature) (print name) ~ R tai 3~. taa. W ~ a 4 h W O g f: Y. ~ W W~~~ ui a. b~~~ 0 a o w Y~'aQa p~ k~~ylik pq K Q=o~o ~w EAST GREE a.~~3~3 w~ i '.rR y'' V ice. v 2 v r" ./ul'Mr^ SA ~ i..W Y •/yy ~ . . M ~'/.fir rr .r u.ir M a ..r j.... N.Y F Y s ~ ~ f ~`e w f .'ti ~ i a _rn_ J'N ` Y °o ¢ w e R > ~ , z a. ~ O m g ~ ~ ~ ~ r • o y `o r- ~ 3 W '.ice' ri C 2 ~x w .1'q, .t~ R ¦r ~ vi ~'Ls : ! O . ~ N.4.02 4Q . O * 25.00 .~Z : ~ 'd~M N v ~ w'~4y ~ ~ 3• v{ • 1 ~ 280.0$ 4f N. 5° 3 40 50.00 ~ FLEETW000 .Mi ROAD