The URL can be used to link to this page

Home My WebLink AboutZ-16668FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy N°''Z"I'6'6'6'8' ......... Date February 25, 1988 THIS CERTIFIES that tbe building One family dwelling. Location of Property 195 LESLIE ROAD CUTCHOGUE ~Y~S~ ~01 ....................... ~'t/e~i .......... ~amlet County Tax Map No. 1000 Section 97 .Block 4 15 ................. · ........Lot .... . .... . ...... . Subdivision ............................... Filed Map No ......... Lot No .............. REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLING BUILT PRIOR conforms substantially to the i~l~l~lj~l~otvXfogx~iltl~l~0~tlX~KgO]tO~r~~~X April 23, 1957 CERTIFICATE OF OCCUPANCY ..................... pnrsuant to which BgiYo~[~l~]~ No. Z 16668 dated February 25, 1988 ............................ 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 attached garage and accessory storage build±rig. The certificate is issued to THOMAS G. LAMBERT AND DEBE T. LAMBERT ..................... io¥~'~;, ~iff~k Y~ ~ ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N / A PLUMBERS CERTIFICATION DATED: N/A SEE ATTACHED INSPECTION REPORT Building Inspector Rev. 1/81 Location Subdivision Nmme of Owner(s) 195 LESLIE ROAD ~num0er & streeT) BUILDING DEPARTmeNT T0';~t OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT CUTCHOGUE (Municipality) Map No. Lot(s). THOMAS & DEBE LAMBERT Occupancy One family dwellin~ (type) A~mitted by: Henrietta Chituk Key available Source of request owner (owner-K~) Accompanied by: Henrietta Chituk Suffolk CO. Tax No. CARDINALE & CARDINALE Date 97-4-15 2/24/88 ~'~LL!~IG: Type of construction Foundation BLOCK Total rooms, 1st. FI WOOD FRAME Cellar FULL 2nd. F1 Bathroom(s) 1 Porch, tMpe Breezewa~ Type Heat OIL Fireplace(s) NO Domestic hotwater Other Toilet room(s) Deck, type Garage ATTACHED 'Warm Air xx No. F~its 2 #stories Crawl space 3rd. F1 Patio, type__ Utility room Hotwater Airconditioning. NO .Type heat'er ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. 12 X'18 Guest, type const. VIOLATI0~IS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention . ....... Location ~ Descrigtion I Art. J Sec. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 ..~Certifjcateofoccupancy New Dwelling $25.00, Accessory ,$ 0.00 Business $50.00 ~,ertiticate of occupancy on pre-existing dwe lng $ 5 0 0 0 Copy ofcertificate of occupancy $ 5 00, over ~ years $]0 4.Vacant Land C.O. $ 20.00 ' .00 /~Updated C.O. $ 50.00 Date ...... ~C..~..~.. ............. NewCons tpuction ...... Old or Pre-existing Building .......... Vacant Land ............. Location of Property ...' /,.~.',...~,~ _ Co 'c/~u~ House No. ' ........................................... Street Ham/et Owner or Owners of Property . ..~.. ?.~.%q% ...~..:...L_..~..~..~.T.....~..~...~..?~..T,..~.../+~..~.~.~..7- ..... County Tax Map No. 1000 Section ....ct1. ~ .~..o ..... Block .... ~..o.~. ..... Lot.../'..~ .o. 0. o. ..... · Subdivision N/6~ ................................. Filed Map No...g/.~. .... Lot No ..... ./d/,~ ..... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval .......... '/J/. ~ ......... Labor Dept. Approval /~// '4z ' Underwriters Approval ........................ Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 779 Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 CONSENT TO INSPECTION do(es) hereby state: · the undersigned, of Southotd located at Thai the undersigned (is) (are) the owner(s) of the premises in the Town ~-% _ , which is sho~vn 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 Inspector'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 lhe 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. z ' (signature) (print name) ! t / !