HomeMy WebLinkAboutZ-22397FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATEDPRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22397 Date JUNE 15~ 1993
THIS CERTIFIES that the buildin~
Location of Property 220 PRIVATE ROAD #14
House No. Street
County Tax Map No. 1000 Section 24 Block 2
Subdivision Filed Map No.
ONE FAMILY DWF. LLING
ORIENTr N.Y.
Hamlet
Lot 21
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-22397 dated JUNE 15~ 1993
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 & ACCESSORY
SEASONAL DWR. tJ,ING *
The certificate is issued to
of the aforesaid building.
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAC~K.D INSPECTION REPORT.
NOTE: THIS UPDATES CO Z-10550 DATED 6/30/81 & INCLUDES BP #5784Z &
BP #5785Z VIOLATIONS FOUND ON 6/29/81 INSPECTION HAVE BEEN CORREcTeD
Building Inspector
Rev. 1/81
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPAETMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
220 Private Rd. ~14
(number & street)
GORDON D. MEYER
Orient, N.Y.
(municipality
LOT (s)
OCCUPANCY A- I Res.
(type)
ADMI'i-r~D BY:
KEY AVAILABLE
sOuRcE OF REQUEST:
SUSAN MADIGAN
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX HAP NO; 1000-24-2-21
DATE:
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
BATHROOM (s) I
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER YES
TYPE HEAT ELECTRIC
OTHER: w~'t~ ~UKe4~
FRONT DWELLING
WOOD FRAUD
CEMENT BLOCK
WOOD ROOF OVER
2ND FLR. 3
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER ELECTRIC
WARM AIR BASEBOARD
~ STORIES 2 # EXITS 2
CELLAR ~ULL CRAWL SPAC~
3RDFLR.
I UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
G,ARAGE, TYPE OF CONST.
SRIMMING POOL
OTHER:
2 CAR WOOD
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
VIOLATIONS FOUND ON JUNE 29. 1981 INSPECTION IIAVE
BEEN CORRECTED.
THIS UPDATED PRE CO INCLUDES A CO FOR TWO BUILDING
PERMITS ISSUED APRIL 3, ]9?2-PERMIT NO. 5784Z ANn
PERMIT NO. 5785Z - ADDITION TO LIVING ROOM AND A TWO
CAR GARAGE.
REMARKS: BP ~16957Z-CO Z-19604 ISSUED FOR ALTERATION
INSPECTED BY:
GARY J. FISH
DATE ON INSPECTION JUNE 10, 1993
TIME START END
BUILDING DEPAR~IENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
(n~mber & street)
SUBDIVISION
N~E OF OWI~R (s)
(municipality
LOT (s)
OCCUPAHCY
(type)
(owner-tenant)
ADMITTED BY:.
KEY AVAILABLE '
sOuRcE OF REQUEST:
ACCOHPANIED BY:
SUFF. CO. TAX ~ NO.
DA'i3E;:
DWELLING: REAR D.W~LLING
TYPE OF CONSTRUCTION WOOD FRAI~D
FOUNDATION CEMENT BLOCK
TOTAl., ROOMS: IST FLR. 3
BATHRODH (s) m
PORCH I~EPE
BP. EEZEWAY
DOMESTIC HOTWATER Y~S
TYPE MEAT ELECTRIC H~AT
~ (aA'l'ltiiOOivl UI~L,I)
{ STORIES 2 ~ EXITS 2
CELLAR CRAWL SPACE
2ND FLR. I 3RD FLR.
TOILET ROOM (s) I UTILITY ROOM
DECK, TYPE PATIO· TYPE
FIREPLACE GAP. AGE
l~E REd?CEE ELECTRIC AIRCONDITIONING
WARM AIR HOI~WAI~R
ACCESSORY STRUCTURES:
GARAGE, lIFE OF CONST.
~]I~MING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, I~E CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
VIOLATIONS FOUND ON ~ 29, 198m INSPECTION HAVE R~N
CORRECTED.
REMARKS: THIS DWELLING SHALL BE USED FOR SUIi~ROCCUPANCY oNLy.
INSPECTED BY: DATE ON INSPECTION
TIME START
~ I0, 1993
GARY J. FISH
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
!~. TOWN HALL
JUN '- 765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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 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
'3pre-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 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-existing Building - $100.00
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 - Residential $15.00, Commercial $15.00
New' Construction Old Or Pre exlstlngD~el~'~']~''''~' ['~'~3
Hamlet
House Xo<~ ~ Street '~/ .(.~.~l~..~.
Ll c. ....... z ..........
Onwer or Owners of Property.. .~.~ ..... .
,-%
County Tax Map No i000, Section....~..~ ....... Block .... ~ .......... Lot..~..! .................
Subdivision ..................... ............... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. ApProval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Fij~l~certicate .... .~ .....
Fee Submitted: $ ~'.~.~. ( ~.~.~ ~ ~ ~.~- [0-~. ·~.
9 '/ APPLICA Z ·