HomeMy WebLinkAboutZ-20800FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20800 Date JUNE 18~ 1992
THIS CERTIFIES that the buildin~
Location of Property 33650 COUNTY RO~D #48
House No. Street
County Tax Map No. 1000 Section 74 Block 3
Subdivision Filed Map No.
ONE FAMILY DWELLING
PECONIC~ N.Y.
Lot 12
Lot No.
Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20800 dated JUNE 18~ 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 GARAGE & STORAGE g~w.n *
The certificate is issued to ROBERT & MARY LANDERA
(owner)
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DAT~o N/A
*PLEASE SEE ATTACB-~.B INSPECTION REPORT.
/ Bu~dir/g i~s~ector
Rev. 1/81
Location
BUiLDIi[G DEP:LqTi.~NT ..
T0','~$! OF SOUTIiOLD, N. Y.
HOUSING CODE INSPECTION REPORT
33650 COUNTY ROAD ~48 PECONIC, NEW YORK
(nu/r~Der ~ s~ree~)
Subdivision
N~me of Owner(s)
Occupancy ONE FAMILY
~type)
~qap No.
ROBERT & MARY LANDERA
([.[unzcipa± Zty )
Lot( )
OWNER
own er- ~ enanz )
A~mitted by:
Key available
Source of request
MALINAUSKAS Accompanied by: SAME
ROBERT LANDK F~
Suf£olk Co. Tax No. 74-3-12
PA~L J. CAMINITI, A']~I'Y Date JUNE 4, ]992
D~.~LLi~G ·
Type of construction
Foundation BRICK
Total' rooms, 1st. F1
Bathroom( s ) 2
Porch, t~-pe OPEN CONCRETE
Breezeway. - -
Type Heat OIL
Fireplace(s) - -
Domestic hotwater
Other
F~4E
Deck, type
Garage - -
'Warm Air - -
No. ~its 3
#stories PA~T 2
Cellar 10Z Crawl space 90Z
2nd. F1 4 3rd. F1
Toilet room(s)
Patio, typeCONC~ETE
Utility room - -
Hotwater xx
Airconditionin~ - -
~ype heater OFF FURNACE
ACCESSORY STRUCTURES:
Garage, type const. FP. AME
Swim,ming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description --I-B~rt-. [ Sec.
Remarks-
Inspected by
Date of Insp.
· Time start 9:25 end 9:45
JUN - 4 1992
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN t~LL
765-1802
- APPLICATION FOR.CERTIFICATE OF OCCUPANCY
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 limes,
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 contntns
less than 2/10 of 1% lead. ' · ,-
5. Commercial building, indus.trial 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.
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 signe~ by the applicant.
If ~ Certificate o£ 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~O0.
2. Certificate of Occupancy on Pre-existing Building
3. Copy of Certificate of Occupancy - $5.00 over 5 years -~.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction .... ~ ..... Old Or Pre-existin~ Building..X. ·
House No. Street Hamlet
·
Onwer or Owners of Property ........ y ..................................
County Tax Map No 1000, Section. · · ,~, Z~, .. . . .Block .... ............0~ Lot..~, 1. ,~. ............. ..
Subdi~ision
Filed Map Lot ·
Permit No ................ Date Of Permit ................ Applicant .............................
llealth Dept Approval Underwriters Approval
Planning Board Approval ........................
Request for:
Fee Submitted:
oo
Temporary Certificate. i. .. Final Certi~ ..
AREA -- ~620 sq ft.
CERTIFIED TO:
ALICE MALINAUSKA$
PECONIC ABSTRACT, INC.
F 686 - 05~I
SUR VE Y FOR
A l ICE MA l INA USKA S
A T PECONIC
TOWN OF SOUTHOID
SUFFOLK COUNTY, N Y.
7000-74-03-12
Scale: 1" = 30'
May 29, 1992
Prepored in occordonce with the minimum
s/ondords for t/lie surveys os estobiished
by the L.I.A.L.S. and opproved ond odopted
for such use by The New York store Land
Title Association.
' 92-12'5