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Home My WebLink AboutZ-23788FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. P~ EXISTING CERTIFICATE OF OCcupANCY No Z-23788 Date JULY 21~ 1995 THIS CERTIFIES that the buildin~ Location of Property 47100 MAIN House No. County Tax Map No. 1000 Section 69 Subdivision ONE FAMILY DWELLING Street Block 6 Filed Map No. SOu'ruOLD, N.Y. Lot 11 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z23788 dated dU~Y 21, 1995 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 DW~T~.ING * The certificate is issued to JAMES A. MITu~r3, III & SUSAN MIT~K~L (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.R%SE SEE ATTAu~D INSPECTION REPORT. Rev. 1/81 I,OCAT I ON: SUI!,I) I VI S I ON NAHE OF OWNER (si BU I I..DI NG DE PARTMENT TOWH OF SOUTIIOLD IIOUS1NG CODE INSPECTION REPORT 47 I00 I~IN ROAD SOUTHOLD, NEW YORK (number & street) (municipality) flAP NO. I.OT(s) JAHES A. & SUSAN HITCHELL OCCUPANCY A- I RES. OWI~R (type) (owner-tenant) AI)HITTEI} BY: SUSAN HITCHELL ACCOHPAN1ED BY: SUSAN HITCH.ELL KEY AVAIl,ABLE SUFF.CO. TAX HAP NO. IOOG-6-~-6-11 SOURCE OF REQ.I. JEST: JAHES A . MITCHELL DATE: JuliO, 1995 DWELLING: TYPE OF CONSTRDCTION FOUNDATION BRICK TOTAL ROOHS: IST FLR. BATIlROOH (si ONE WOOD FRAME CELLAR 6 2ND FLR. 4 TOIl,ET EOOH (si PORCII TYPE COVERED FRONT & SIDE BREEZEWAY 1)OHESTIC IlOTWATER YES TYPE IIEAT OIL OTIlER: PANTRY OFF KITCHEN F 1 RI:. P LACE TYPE IIEATE R WARH AIR PARTIAL STORIES 2 ! EXITS 3 CRA~L S~ACE PARTIAL 3~) FLR. ONE U'FII.ITY ROOH DECK, TYPE PATIO 2 CLOSED UP~ GARAGE LILCO AIRCONDITIONING IIO'134ATER XX ACCESSORY STRDCTURES: NONE GARAGE, TYPE OF CONST. SWIHH ING POOL OTIIE R: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CI1APTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: I N,(;I' gCTEI) BY DATE OF INSPECTION JULY 13, 1995 TIME START 9:40 END I0:00 'pARCEL - pARCEl- ZI- I ~ Strohson chor~eS REVISIONS YOUNG ,B. YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW ALDEN W. YOUNG L Li: U". DE;'L TOV:;i': OF SOUTF~-OLD _~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION EOR 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 t% 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. Submit Planning Board Approval of completed site plan requirements. 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 Pre-existin~ Buildin~ - $100.O0 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15.00., Commercial $I5.00 s e ...~..~.~..i..[..".~. ................ New Construction Old Or Pre ex' -'n~ ' ......... 7. - lstl ~ Building]. ~ ............. Location of Property ~l~. .~..~...~. ............... ...... ............. . · _k,~Street ~ H~,let Onwer or Owners of Property .... .~....~...--~.~..~....~..~..~..~.~-.~ County Tax Map No 1000, Section~ .... .~.? ...... B.lock. i Subdivision .................................... Filed biap ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ' ~2 . .... ......... /~ Ovmer(s) do(es)~ther eby state: CO: INS P EiC'FiON Name(s) ~,~ · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~7/~ ~ '~. County tax map as District 1000, Section ¢~ , Block ¢ , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tow-n ]Building Inspector's Office for the following: on the Suffolk That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described pr. operty, including any and all buildings located thereon, to conduct such inspections as they may deem necessary xvith 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 fl~spections, 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. A. 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