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Home My WebLink AboutZ-25917FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25917 Date: 08/25/98 THIS CERTIFIES that the building DWELLING Location of Property 265 OAK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 080 Block 0001 Lot 031 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- 25917 dated AUGUST 25, 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 WITH ACCESSORY GARAGE & WOOD STORAGE SHED The certificate is issued to WILLIAM H & ADELINE E. MILLS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING OD. INSPE,TION REPORT LOCATION: _ 265 OAK DR SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): WILLIAM H & AD R M7 c OCCUPANCY: A-1 RESIDENTIAL WILLIAM H & ADELINE F MILLS ADMITTED BY: WILLIAM H. MILLS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 80.-1-31 SOURCE OF REQUEST: WM, H. MILLS 7/8/98 DATE: 08/25/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 8 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): 1 PORCH TYPE: DECK TYPE: PATIO TYPE: RAISED CONCRETE BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: ELECTRIC WARM AIR: HOTWATER: OTHER: ACCESSORY TR R S: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: WOOD FRAME SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ART ' SEC REMARKS: BP #3122 -CO Z-4962 INSPECTED BY: DATE ON INSPECTION: 07/14/98 GARYIS TIME START: 10:45 AM END: 11:05 AM Form No. 6 TOWN OF SOUTHOLD _ 8 BUILDING DEPARTMENT TOWN HALL @-•-•_._.. -. _.._... 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 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. Fox existing buildings (prior to April 9,_195.7) non -conforming uses, or buildings and e -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. 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 Buildin¢ 100.ft 3. Copy of Certificate of Occupancy .25v,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date........3.h�.�.\�9.�`��C6................. ew Construction........ . Old Or Pre-existing Building.... ...... ovation of Property ....1(, T ............... C� t'::L QAu :........ '4K . 3 ` \\.1;\ House No. Street Hamlet aver or Owners of Property... ?. ..... .. t:\....P� U......M... S .. . . ........ . . . .. . . . ounty Tax Map No 1000, Section .....A......Block......( ........Lot... ................... ubdivision.. ..::�v ..`. .. . .............Filed Map ............ Lot ...................... ermit No................Date Of Permit ................ Applicant ............................. ealth Dept. Approval..........................Underwriters Approval......................... lanningBoard Approval ........................ equest for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $...... Q ................... n� W ......:.. �4...1...................... APPLICANT CONSENT TO INSPECTION the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at t7 `q — which is shown and designated on the Suffolk County tax map as District 1000, Section Block (L Lot Ayi,,�b . That the undersigned Uzae) ( ) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: r R 6 .. �- Uu,KAI WN R(Te. iHiJv Vzy-e-%' L7� 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. Dated: (signature) E1 (print name) —�' (signature) (print name) H 60'4?' 30` E. L OTD 4 r G�AI.A 1 301. 50 , SCALL c 20'= 1" O IRON PIPE OTED NUMBERS 5::01VN REFLR T3 - BLOCK C P DF RE`iDON Su02E'17 ;' FILED IN ; FQLk CnUNiY G-'EiLi:'S 4PFI>E AS ' IqU At3Ek 631 . - ,STs, r Op" �`�• fb . ��, Ota' 5. Al ■ N O N Oo � W RR O o fP A ' . T ,-., t -�• I 7 � ' ~1 >Ji;; i_iJ n rti m Ln FO 4 A VUW rauE cevv. � ? cp GUARAfiras HJDICATED HTREON SHALL :Y ONLY TO INk JL;;Jfq OR witom ME S.. 6 TREEAFkU, A: V O.J NSB o WHALF TO IN iRLF tCAIFANY, gOVERfuA[Ni711 AGENT. LMOMG ENSTifUT1014 LISTED o ` m 1 Prl +� P R:.y• S RV Yf:0V -- • 5 I A'; wuuy.�MamLo AktTpAhwJ oR ADDnwN TG INSURVIV IS 'ACLAtioN ' . T ,-., t -�• I 7 � ' ~1 >Ji;; i_iJ OT SECTION 72" CF NE INE W YORK STATE RDWATEON LAW. rti COPIES Of Tms mjkp THE LA. O SU.:Vkyon 1kJ♦ m NOT iEARl�t1 E-�sOEs:O i:w! SMALL NJT EAl OR E�'a` FO 4 A VUW rauE cevv. - F=" GUARAfiras HJDICATED HTREON SHALL :Y ONLY TO INk JL;;Jfq OR witom ME S.. 6 TREEAFkU, A: V O.J NSB " WHALF TO IN iRLF tCAIFANY, gOVERfuA[Ni711 AGENT. LMOMG ENSTifUT1014 LISTED - HEREON. A. L TO ME ASS!GMti OI THE LENmc rsH 1101OH. GUA:MNEES API NOr TOA utre.. . BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: -;'Z65— d�zj- number & street SUBDIVISION NAME OF OWNER (s) / OCCUPANCY xl� (municipality MAP NO. LOT (s) (type)- (owner -tenant) ADMITTED BY: �, �jj%�s ACCOMPANIED BY:i� KEY AVAILABLE SUFF. CO. TAR MAP NO. ,P� SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION �(}/� �iJiC # STORIES FOUNDATION�p CELLAR 2� CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. �- 3RD FLR. BATHROOM ( s ) �72_ lz:�Ze %l I TOILET ROOM ( s ) �-- UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY �- FIREPLACE —' GARAGE # E%ITS aZ DOMESTIC HOTWATER TYPE HEAT_ G . OTHER: . ACCESSORY STRUCTURES: TYPE HEATER /��' (� AIRCONDITIONING_ WARM AIR HOTWATER — GARAGE, TYPE OF CONST. �G ct% /�-m, STORAGE, TYPE CONST.�f,�,.yc SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START�Q,�f END ��:O�