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HomeMy WebLinkAboutZ-21107 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No 2-21107 Date OCTOBER 23, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1395 FLEETWOOD ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 4 Lot 31 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-21107 dated OCTOBER 23, 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 1 CAR WOOD FRAME GARAGE The certificate is issued to GEORGE KIEFER (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 ilding Inspector Rev. 1/81 i.....i:_ :1T TO:..[ Cc ,,C'JT:iOL:), if. Y. FGt; I::G CCU: Iii,,?~CTIO:J iZ C:tT . Location 1395 FLEETWOOD ROAD CUTCHOGDE, N.Y. ~r.u.-.our ,x .:~reec) lulu:::c:.~:alcf) Subdivision ~•tao CIo. Lot(s) vc..~e of O~,ner(S_) GEORGE RIEFER • A-1 Res. OWNER Occupancy Adaitted bv: GEORGE RIEFER Accompanied by: SAME Key available Suffolk Co. Ta:;. ~Jo. 137-04-31 Source of request GEORGE RIEFER Dato OCT. 20, 1992 D~;~T I,Tp?G: Type of construction WOOD FRAlIE ,-;`stories OI'H' Foundation CB1~NT BLOCK Ce11ar 1~2 Cra~:~l space 1~2 Total. rooms , .1st. Fl 4 2nd. Fl 3rd. Fl Bat:~room(s) ONE FDLL BATH . Toilei roorl(s ) Porcz, t'y~pe SCREENED IN Deck, type Patio, type Breeze~•:ay Garaoa Utility ro~crm Type Heat LILCO GAS ''rlarm.Air Hot:•:ater ~ F=replace(s) oNE DIo. E::its 2 A.irco::diticning Dcmestic hot:•~ater YES Type he=.zer LILCO GAS Other - - Gzrao°, ty_ e const. 1 CAR WOOD FRAM Storage, type coast. Sl•Ii;. Zi no pool Gues i, type coast. Other SET OF STAIRS TO BEACH, SHED DOWN BY WATER V!OL.4TIOP?S: •CISAPTER 45--N.Y. ST.1'rE UNIPOI:i•I ['Ilili PIt1iVENTION ~ ISUILDING CODE ~nC.^_tipn ~ DP°cri~tion ~ Art.,. Sec. STAIRS TO `STAIRWAYS SHALL HAVE HANDRAILS ON AT LEAST 19 (B)I NYCRR • ATTIC I ONE SIDE242.3 (d) • ' Remar':s: In:,pccted by; " _Datc of Insp. OCT. 22, 1992 J. FISH • Tine start 10:00 end 10:20 • • • Tnwnr nF cnTiT~,~, n n n Form No. 6 ~.h~`~ ' - TOWN OF SOUTIIOLD ~ . BUILDING DEPARTMENT TOWN HALL ' 765-1802 ~ n APPLICATION FOR.CERTIFICATE OF OCCUPANCY J~*~-! • 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 installat9-ores, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site glare requirements. i~.' For existing buildings (prior to April_9_, 1_9.57) non-conforming uses, or buildings and "pre-existing" and uses: 1. •Accurate surve 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. - ' Certificate of Occupancy on Pre-existin Euilding - $100.00 _ • 3. Copy of Certificate.of Occupancy - $5.00 over 5 years - .00~ • G, Updated Certificate of Occupancy - $50.00 ' 5. Temporary Certificate of Occupancy - Residential $15.00ff, Co/m~~/jmercial $15.00 . Date ........~fll~G(C.L ew Construction..... q(~ 1d 0 Pre-ex/isting Building.. cation of Property: j~,/~.,.'r...~:Se:eT:`~.°::t':'.... f.111.........~-.~~ ~:4~~ ~ House No. Street Hamlet~• wer or Owners of Property... co.11vC-.....! ~ unty Tax Map No 1000, Section....~~.j .,,..B1ock..................Lot. ~ . bdivision .....................:..........'....Filed Map............Lot.................... . rmit No ........:.......Date Of Permit................Applicant....... _ 1 r / / filth Dept. Approval ..Underwriters Approval.!. yS ~:.'„l°,.,,,;',f};13,1 inning Board Approval........ • Guest for: Temporary Certificate........... Final Certicate........... Submitted: COO. O~ - • . ~s©a~- Lo aJIo7 CO\`SI:i1T TO INSPECTION ~ ~ ~ ~ic'~E;~' the undersigned, Uwner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the ovmer(s) of the premises in the Tovm of Southold located at T~~~i uJ~~L r _ ~v ~ L / ~ C^- tivhicu is shown and desi~gateu on the Suffolti County tax map as District 1000, Section J 3 _7 Blocic ~ Lot 31 , That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the follovring: 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 corrnJy with all of ti1E laws, ordinances, rules • and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do{es) so ~~Zth 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. ~ ~ f ~~J©t Dated: ~ t ~ is na re) ~~~=e~L,~ ~ is iC f ~ i~~ (print name) (s 1~*natUi'C (print name) N I _ ~ I I + 1 b~ ~ . . ~ r S r F. a r-" - ~ i b~ 6"9,f~E y, ~ p ' i - i O !.!0 2 2 L.07 ~ sag ~s~.r~ 3 • ~ r- J. Bi ' 06' W - 2 79. ~~s. ' j; .n,. ~1 I ~ IJ Woo//ey - . _ W ~ - ~ ~ SUED/V/S /ON FOR _ _ _ _ _.~~F'THUR^ ~ BOOK AT FL EE T.S NE CK - _ `-U-TC-HQGUE___ \ ~ -w M. Y. - Sea/e so'=/" Nov.//(///Z~Z~,/9,pZ Gr a enPort, N. Y. COPj~ • 1.