HomeMy WebLinkAboutZ-25887FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25887
Date: 08/13/98
THIS CERTIFIES that the building DWELLING
Location of Property PVT RD OFF E END RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 005 Block 0001
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- 25887 dated AUGUST 13, 1998
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 *
FISHERS ISLAND
(HAMLET)
Lot 008
The certificate is issued to MASSACO, INC.
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
'~u~ldi~gInspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: PVT RD OFF E END RD
SUBDIVISION:
NAME OF OWNER (S): MASSACO. INC.
OCCUPANCY: RESIDENTIAL
ADMITTED BY:
KEY AVAILABLE: YES__ SUFF. CO. TAX MAP NO.: $.-1-8
SOLrRCE OF REQUEST: ELIZABETH C. NOYES - 4/25/98
FISHERS ISLAND
MAP NO.: __ LOT (S) __
MASSACO. INC.
ACCOMPANIED BY:
DATE: 0S/13/98
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: POURED CONCP~ETE
TOTAL ROOMS: 1ST FLR.: 10
BATHROOM(S): S.0
PORCH TYPE: GLASS ENCLOSED
BREEZEWAY: YES
DOMESTIC HOTWATER: YES
TYPE HEAT: ~ WARM AIR:
OTHER:
2ND FLR.: 11
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
TYPE HEATER: QIL
BOTWATER:
~ STORIES: ~.O # EXITS: 5
CELLAR: $0% CRAWL SPACE: 50%
3RD FLR.: __~
UTILITY ROOM(S): __
PATIO TYPE:
GARAGE: UNDER 2ND FLR.MAIN HOUSE
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
DATE ON INSPECTION: 05/19/95
TIME START: END:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
'~/~-'~ p~ - ~[q~ APPLICATION FOR CE:TIFICATE OF OCCUPAN~'~-~%: .....
A. This application' must be filled in by typewriter OR ink and ~fibmitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all
streets, and unusual natural or topographic features.
.,,ridings, prbperty lines,
2. Final Approval from Health Dept. of water supply and sew
3. Approval of electrical installation from Board of Fire U~~
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% 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
" re
p -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 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 $50.00.
q' Pre-existing Building - $100.00
Certificate
of
Occupancy
on
· Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15·00
Date .......... ~'.~.. ..........................
New Construction ..... ~ ..... Old O~ Pre-existing Building...~. ............
House No Street
Subd~¢~ston .................................... F~led Hap ............ Lot ......................
Permit ~o ................ Dare 0f PemSt ................ Applicant .............................
Healrh Depr. Approval .......................... ~nderwr~rers Approval .........................
~lannSng Board Approval ........................
for: .Temporary Cerr~fScate ........... F~nal Cerr~cato..~ ......
~equese
CONSENT
TO
INSPECT
~ ~ ~ ~ ·
/~T'~. ~).~/a~the unders,gned, do(es)hereby
state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold located at .~ ~".5; ~-&~ ~]~3} )~(/~ ~I
, which~ shown and de]~gnated on the Su~lk County tax
map as District 1000, SectionL?7~.~?~c~ , Block ~ , Lot ~.
That the undersigned (has) (have) filed, or caused to be filed, an application 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 the laws, ordinances, roles and regulations of the Town of 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 violations of the laws, ordinances, roles or
regulations oft~Town of Southold
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