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Home My WebLink AboutZ-19650FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19650 Date JANUARY 10, 1991 THIS CERTIFIES that the building Location of Property 26760 MAIN ROAD House No. County Tax Map No. 1000 Section 109 Subdivision ONE FAMILY DW~.LLING CUTCHOGUE ~ N.Y. Street Hamlet Block 5 Filed Map No. Lot 2 Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19650 dated JANUARY l0w 1991 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 SHED. The certificate is issued to ANDREW E. MERDO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A ' /// B~uilding Inspector Rev. 1/81 Location BUI~DI.,.G DEP.~qT:.LENT T0:'~[ OF SOUTHOLD, N. Y. HOUSIi;G CODE IHSPECTION REPORT 26760 MAIN ROAD CUTCHOGUE, N.Yo ~nuunoer ~ s~ree~) Subdivision Map No. N~me of Owner(s) ANDREW E. MERDO [l,iunzclpa±l~y) Lot( ) Occupancy A~mitted by: A-I (type) BARBARA RAKOWICZ OWNER ( own er- L enanr ) Accompanied by: SAME Key available Suffolk Co. Tax No. 109-5-2 Source of request GARY OLSEN, ATTY· Date I/3/91 ?FELLING: Type of construction WOOD FRAME Foundation CEMENT BLOCK Total rooms, 1st. Fi 5 Bathroom(s) ONE F~LL Porch, ~fp e SIDE SCREENED Breezeway. Type Heat OIL Fireplace(s) NO Domestic hotwater Other NONE Deck, type Garage · Warm Air No. Fz~its 3 YES #stories ONE Cellar FULL Crawl space 2nd. FI 3rd. Fi Toilet room(s) ONE Patio, type CEMENT, uOVERED IN- REaK O~ n. ODSE. Utility room YES .Hotwater xx Airconditionin~ .Type heater OFF BOILER ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other J Storage, type const.SNED, WOOD FRAME Guest, type const. VIOLATIOMS: Lncation .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriution I Art. I Sec. Remarks: Inspected by: Date. of Insp. Jan. 9, 199! · Time start 9:30 end 9:50 Be Ce FORM NO. 6 'JAN -. 3 TOWN OF SOUTHOLD '. Building Depa.~mant ;d : Town Hall , ~ BLDG. DFPT. ~ Southold, N.Y. 11971 ' TOWN OF $OUTHO~ D 1 765- 1802 APPLICATIONFoR CERTIFICATE OF OCCUPANCY ': Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor wL~,h 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 feature~ ' * · ' '* * 2. Fina approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal]. 3. Approval of electrical inst8 lation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings 8nd 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. · For existing buildings (prior to April 1957i, Non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic features. 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-' lion required to prepare a certificate. .. Fees: ' Certiflcate of occupancy $.25~00 -- BUSINESS $50.00 1~ Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $'5;'00, Over 5 'years $1 . 0 4.Vacant Land C.O. $.'20.00 ..~,.~.~.~ 5. Updated C. O. $" 5 0.0 0 Date .. · .~. ............. NewCon~truction ...... O)d or Pre-existing Building .~ ...... Vacant Land ............. : ........... ' ........ Locat on of Property .... .---. :,...,: ._a. ~...~ .,.-* .... '" .... ":-'--" t~ .... ~ ..... Hamlet House No. r',, ( - _ ,.~rr~u,~ Owner or Owners of Property .... ,'~, ,'~, ,'~, ,~, ','~','~'' · ''''~' · · '//'Y' '~'~! '~' ....................... , CounW Tax Map No. 1000 Section ...... .. Block .............. Lot ............... Subdivision ................................. Filed Map No ........... Lot No .............. ' Applicant Permit No ........... Date of Permit ............................................ Health Dept. Approval ........................ Labor Dept. Approval '. .... g B d~App Underwriters Approval ........................ Plannin oar ro~val . ~ .... x'~ ......... Request for Temporary C~)~ficate .................... ./F,~I Certificate.. ~:~. 5%~ Z3/~A'~' ~ ...... · .. · :.. / / Fee Suomitteo · ....... .~k'~X~ .................. Rev. 10-10-78 CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town , which Is sho%~ and designated ou the Suffolk County, tax map as District 1000, Section ~0~, Block ~ , Lot ~ That the unders~ned (h~s) (h~) filed, 'or caused [o be filed· au applica- tion i~Southold To~ BUllding lnsp~ .~ or~ ~ ,~ fallowed: 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, rules 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature)- (print name) (signature) (print name) /v MA IN I0~. Ol 587 a.O '-~'e~o! over cone LOT 5 SH£D..i ~ TM I000 '10~ 05 ' 02 .5'UIeVE ¥ OF DESCRIBED PROPERTY Guaran~ee~ ~dlc~t~d h~re o~ ~hall run SI TUA TE title c~peny, Govetu:er, h~l Age. y, SUFFOLK SURVEYED FOR TOWN OF SOUTHOLD COUNTY, N.Y. JEANNE' M. MINERVA .qURVFY£D >'/' OECEI~£R I~0 SCALE- I"-' Unaudr~o6zed cdter~:l~'~n or od~!ifl~n to this SURI/EY~_D 8Y