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HomeMy WebLinkAboutZ-20611 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20611 Date MARCH 26, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 520 OAK DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 2 Lot 13 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-20611 dated MARCH 26, 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 ATTACHED CARPORT & ENCLOSED PORCH* The certificate is issued to IRENE & GEORGE MILLER, JR. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. .2// 7:-'1-4 ----- 7 Building Inspector Rev. 1/81 • i BUILDINC D PART :iT TOWN OF SOUTEOLD, N. Y. HOUSIN:G CODE INSPECTION R 2ORT Location 520 OAK DRIVE SOUTHOLD, NEW YORK �numoer 64 screec) (i•iun.c1palicy) Subdivision Map No. Lot(c) Name of Owner(s ) GEORGE MILLER JR. & LILLIAN MILLER Occupancy A-1 RES OWNER (type) (owner- cenan-c) Admitted by: MATTHEW LIONETTI Accompanied by: SAME Keyavailable , Suffolk Co . Tax No. 80-2-13 Source of request GEORGE & LILLIAN MILLER Date MARCH 16, 1992 D1 ELLING: • Type of construction WOOD FRAME on Foundation CEMENT BLOCK Cellar Crawl space XX Total rooms , 1st. Fl 3 2nd. Fl 3rd. Fl Bathroom(s) ONE FULL BATH. Toilet room(s) Porch, type REAR ENCLOSED Deck, type Patio , type_ Breezeway Garage CARPORT Utility room Type Heat PROPANE 'farm Air FLOOR HEATER HotWater Fireplace(s) NONE No. Exits 2 A.irconditioring . Domestic hotwater YES Type heater GAS Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE• PREVENTION & BUILDING CODE - Lncation Description IArt. I Sec . INSIDE THE TUB AREA CEILINGS, WALLS, FLOORS SHALL BE MAINTAINED IN ICRAFT 1 F A SAFE AND SOUND CONDITION. 1242. 7 (C) . I I I I • • I Remarks: Inspected by: CAoiri Date of Insp. MARCH 25, 1992 J. FISH • Time start 9:30 end 9:50 Form No. 6 ' '_m. • TOWN OF SOUT[IOLD Dr- . pBUILDINGfuin'2 3 X992 DEPARTMENT 4, a TOWN HALL 765-1802 E' TOWN t, r 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 17 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. iN ' 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 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 I're-existing Building - $100.00 3. Copy of Certificate of anc Occu py - $50.0 over 5 years - $10.00 4. Updated Certificate of Occupancy orar - $50.00 S. Temporary y Certificate of Occupancy - Residential $15.00, Commercial $15.00 • Date . . 3/1 ew g Building Construction Old Or Pre-existin Oar Pr1 �,- Location of Property 6-24:› 50c44-40 ' House No. Street Q Hamlet %nwer or Owners of Property �j✓ M 2 1 t it --}-c Zl r, e* L ( ' �� � ; (�r :uunty Tax Map No 1000, Section � Block / ` Lot. . /� :ubdivJ.sion.144?.of yaStuticsThc. • (3 .( 2 iSlack) Filed 1i:ip Lot. ,f3, 1 .1 1 w ermit No Date Of Permit Applicantaa5e�13/!/3r', f I—IL" me Ike calif) Dept. Approval Underwriters Approval I:uming Board Approval • =quest for: Temporary Certificate Final Certicate ce Submitted: $.(170,0` -tk. 9 35a14 CA -..0Cp1i i 30 • I , .,, - - So' ---t 5.6 94 8 .40-E. - 165". 0 1 . 0 i 0 0 ; 0 .., C24 3- .-41 Yi . I,LLau 3G . 02 \ o NI ...• - * , , NI 33 NI P ck_ 0 li F o . t•i. 6 944 6 '4 0" ;Al - 165' 6 #2.-- 04 rs 1 1 i - \ 1 I . NA/AP - i 6VE ./E; F012 t 1 1 1 Ell AT I " t71 E YDO ti 5QE3 " Irovvw (-) •-• <5.0c/7t12 , N. Y. I i i i 1 1 \ 1 1 Scale: : 40 ' 1 ! \ a I , ! c .-r••• Pit.. 6 , 1 ) \ I 1 I \ I Lo f numbers refer to BlockDsurved I yeJune 1, 1971 617 "MOP of Eetidott 5hore.,5 -, filed In .5uffolk, Couffly elerk's VAAJ Tayi... ct SON of/Ice 4,1 trial; no. 63/ . 17-1• - \I A.-‘1.-. .........,.4__Q 0 ! _ LiCertSeat Land SurVeyOre arceriparf, N. Y, loR, i '' MAR 2 3 igq2 . I . . : ::. CONSENT TO INSPECTION leo jC e Hi 11.441 1i L r I f i o...- k t Ile/ . the undersigned, Owner(s) Namc(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 52.0 696 k brl,I ? SOCa c� c+ i_ i I New Yo( ' which is shovm and designated on the Suffolk County tax map as District 1000, Section eb , Block 2.— , Lot /3 , 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: --I-o C .O . r ex,s+, .s 1o. .•e 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 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. Dated: .002-- 2 �� / rt /�� (signat`u^re) ii �2�Ce I-` I' ilr--v- .11— (--)1.-int — (•)i'int naive) - ' r \ Q (signature) �`��` � --- - /I) 1(lM,. p. ( i ✓ (print name) !It1( MAR 2 31992 2 TOWN C.3 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT / Location (.3049i/at ,/ _ I -4...4........„: d number & street Municipa ity Subdivision Map No. Lot(s) Name of Owner(s) 4'1' ' - A-1-6-x, V- 21� .� Occupancy /1 -/ i&a. i.' ' type , owner_ t/� Admitted. by: / 0(2,4 Accompanied by Key available Suffolk Co. Tax No. R —„7-4.f Source of request )4-v% 11-4,46, Date 00?"1-- DWELLING: Type of construction //9r# c� #stories G e_ Foundation Ce..,„ t.....46_,A____ Cellar Crawl space /, '-- Total � Total rooms, 1st. Fl ,5 2nd. Fl 3rd. Fl Bathroom(s) , /9/ Toilet room(s) Porch, type ' , !eck, type Patio, type Breezeway Garage 4. Utility room Type Heat le%p"� Warm Air G;, Hotwater Fireplace(s) 4w. No. Exits Airconditioning Domestic hotwater Type heater Gf O, Other 74. ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter (S Location Descript'on Art. Sec. �� G , - by .ed^c1(d.004.4ri /-Remarks: Inspected by: 28 Date of Insp. j// 74 -. Jay Time start ?'iU e d ,/,0