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Home My WebLink AboutZ-22011 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22011 Date DECEMBER 8, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 800 OAK DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 2 Lot 10 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-22011 dated DECEMBER 8, 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 WOOD FRAME GARAGE * The certificate is issued to KATHERINE KLAUM (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. Building Inspector Rev. 1/81 - BUILDI::C DE?^,P.T:•L,iT TO:~lT•I OF SOUTHOLD, N. Y. HOUSIT;G CODF, ITIS? CTIOi~1 REPORT Location 800 OAK DRIVE SOUTHOLD, NEW YORK ~nunoer 6c streeti) ~i~iunicipalizy~ Subdivision F~Iap Dfo. Lot(s) Na.-~ e o f Oem e r (s) KAT®:RIxE Occupancy A-1 RES. OWNER (type o~•~ner-zenanti) Ad.:~itted by: ARTHUR SZAUM Accompanied by: SAME Key available Suffolk Co. Tax T1o. $~-2-14 Source Of request KATHERINE LORETTA KLAUM Date NOV. 23, 1992 D'~IELLrrG- • Type of construction WOOD FRAME HOUSE stories 1 STORY Foundation CONCRETE Cellar FUEL Crawl space Total rooms, 1st. Fl 6 2nd. Fl 3rd. Fl Bathroom(s) 1 FIILL BATH Toilet room(s) Porch, type Deck, type Patio, type CELT Breeze:•iay Garage Utility room Tyne Heat oIL ~ alarm Air ffi Hotwater Fireplace(s) ONE No. E::its 2 Airconditioning Domestic hotwater ~=S Type heater oIL Other BALCONY LIVING ROOM AREA ACCESSOR'I STRUCTURES: Garage, type const. 2 CAR WOOD FRAMEStorage, type coast. S~•~isming pool Guest, type coast. Other VIOLATIONS: _CIIAPTER 45-N.Y. STATE UNIFORM FIRE P12EVENTION ~ BUILDING CODE Location Description Art.) Sec. l 1 . - - - - Remar'.ts : BP #2l 128-Z C -220 FOR BATHROOM Inspected by: Date of Insp. Nov. 30, 1992 . ISH Tlme start 4:25 end 9:45 =~~r` ~ '1V' Form No. 6 (C. N~~ ~ ~ Imo} TOWN OF SOUTHOLD 7x BUILDING DEPARTMENT TOWN HALL w , ~ ~=T.~..,„.~., t 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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. Accur~te~urvey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed_annlication and a _c o_nsen_t_to_inspec_t 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-ex_i_stin_g Euilding__-_.$10.0..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 - Resident'.i``al $15.00, Commercial $15.00 Date . lviU ?&h~.t,t.Z~1.1 t ~ ~ . New Construction........... Old Or Pre-existing Building.. ~ Location of Property....gOO Q F4~..~) 2t Y. ,C.........~1.d S! Ckf4~t . House Noy / Street// Hamlet Onwer or Owners of Property..ia.19.~hpp~L/~:yA.4..4~.~1`{~f}'.L\4.I~.~!!!'~ County Tax Map No 1000, Section....o.~.......B1ock.... ~'.'........Lot..~.S~ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........Underwriters Approval......................... Planning Board Approval ~ r ' ~G~~. Request for: Temporary Certificate........... Final Certicate.....;.:.... ? l Fee Submitted: $ / j-? ~-~,~ti .fin , rl APPLICANT CC, CU~SI'„:T TO Ii\~PECTiON KA lHcJtJA/f ~ iA• f~G /9 cJ M f`i~~ ;in~lr~r :irnr.d, Uu'nerls) Namc:~:;) do(es) hereby state: • That the undersi~ncd (is) (arc} the owner(::) of the pretniscr: in the To.•rn of Southold located at $Oo DA K DR ~ rs ~ ~t y: ~ ~v.,n which is :;ho;:•n and cicsirn:~tcd on the Sui:oh ~ . County tax map as District 1000, Section ~0 , L'loclc Z Lot 22: 23~ arYZX That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld To~cn L'uilding Inspector's Office for the follo;:•ir.g: - C~Rrt kc aTF as (~ccvvn>ucy That the undersigned doles} hereby give consent to the wilding Inspectors • r of the To~vn of Southold to enter upon the above described property, including an~: and aII buildings located thereon, to conduct such inspections as they :nay deem necessary with respect to the aforesaid application, inc?::di.-:g insp~caa-s to determine that said premises com~l;• with all of the la;c•s: or dinaaces, ,riles • ar.d regulations of the Town cf Southold. The undersigned, in consentinS to such inspections, do(es) so ;;-ith the bane:rledge and und~crstandinl; that any infor :nation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- Iatians of the lays, ordinances, rules or regulations of the To;vn of Southold. • ~~~~naturc) b ~ s / (print nainc) • (si~natuc•c) (print name) '.W.i.+..., p ;l rr uu ~ } F ~ ~M r ~ 7. , n z i ~U ~ xap~ 0 + w ~ s+~~. vm ~hJS ( V ~lr, V T Z ~ L) 1 ~ Ch10°~) v A ~ . hrr ~ Z N -,'a~Tw x~ at a~,~'rK. c c ^i`t i S c~ 3 Q. r ~ i 3L 0 X ~ r 5tc~ Q ~ u 1 f ~ ~F to 1~ _ 9~' s I ` fi.j 5 r ~ tT. ~ ~ - Y ~.~y~,w.tiyr~~ _ ,max rl~1M'~~~T~ ' ~ ' ~~ri t f u ~ ~ ~ ' , t< ~ I ~ i ~ i z it ? >r w ~ ~ ~i f 1 ~~~}~4 ii ~ e~~ ~'w 31~F ~~d`,' y€ 4 , ~ i/, wt 3 ~y,•r ice' rr ~ x.~ ,jee v~p ! 1 : 4 } +~]I~' ~ }y ~s1v F ~ "2' r ~ t < ~ i ~ je ~yT. 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