HomeMy WebLinkAboutZ-23149 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hall
Southold, N.Y.
PRS S%ISTING
CERTIFICATE OF OCCUPANCY
No Z-23149 Date AUGUST 9, 1994
THIS CERTIFIES that the building ONS FAMILY DWELLING
Location of Property 450 YODNGS AVENUE SOUTHOLD, NSW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 1 Lot 5
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-23149 dated AIIGIIST 9, 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 ONS FAMILY DWELLING WITH ACCBSSORY GARAGE *
The certificate is issued to JAMBS A. RENNIFF
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASB SSS ATTACHED INSPECTION REPORT.
uilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
IIOUSING CODE INSPECTION REPORT
LOCATION• 450 YOUNGS AVENUE SOUTHOLD, NEW YORK
number 6 street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES KENNIFF
OCCUPANCY A-1 RES-
type owner-tenant
ADMITTED BY: JAMES KENNIFF ACCOMPANIED BY: JAIiES KENNIFF
REY AVAILABLE SUFF.CO. TAX MAP NO. 16~-
?-~r 0
SOURCE OF REQUEST: JAMES KENNIFF DATE: AUGUST 3, 1994
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # E%ITS 4
FOUNDATION STONE CELLAR PARTIAL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 5 3RD FLR.
BATIIP.OOM (s) 2 TOILET ROOM (s) OME UTILITY ROOM
PORCH TYPE COVERED (BOOTH SIDE) DECK, TYPE PATIO SLATE (NORTH SIDE)
BREEZEWAY FIREPLACE THREE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING
TYPE HEAT LILCO GAS WARM AIR HOTWATER STEAM
OTHER: SHED ATTACHED, ALSO A PANTRY OFF THE KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. I CAR WOOD FRAME STORAGE, TYPE CONST.
SWI?I[SING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
~5. BP #7805 CO Z-6822 (STUDIO-OFFICE ADDITION)
INSPECTED BY DATE OF INSPECTION AUGUST 8, 1994
TIME START 9:30 END 10:10
z
y
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTPIENT
. r_`ti ~ ~ ~ TO[+TN HALL
E 3~ g' 765-1802
1"Ob~J~I ~wi~ _
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typecoriter OP. ink and submitted to the building
inspector with the following: for new building or new use:
i. 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 Chat 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 building $25.00. Businesses $50.00.
~ 2. Certificate of Occupancy on Pre-existing Euildin2 - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $gg15/. 00, Commercial X15.00
Date ~~r~ l.g `f .
New Construction......,,.//. Old Or Pre-existing Building....!........
Location of Property.:T.~~.b ~.,-,r~
House-N"o Street Hamlet
Onwer or Ow+ters of Property.. V~~4%~~L~:u!^. ~ . G`: l .
r
County Tax Map No 1000, Section.... CO. ~.....Block.....~..........Lot....5
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
;tequest for: Temporary Certificate........... Final Certicate...........
cee Submitted: $
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CONSENT
TO
INSPECTION
~~vrl S ~ ~-(,~n/,1/ r the undersigned,
Uwmer(s) Name(s)
do(es) hereby state:
That the undersigned (is) (arm the owner(e~ of the premises in the Town
of Southold located at ~ Q ~bvwct5 ~
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block ( Lot
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspec/tor'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 cf 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.
Dated: C~^~
~ _
! (signature)
(print name)