HomeMy WebLinkAboutZ-24143FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PI~ EXISTIN~
C~RTIFICATE OF OCCUFANCY
No Z-24143
Date JANUARY 30, 1996
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Property 48125 CO~TY ~D. ~48 SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 2 Lot I!
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-24143 dated JANUARY 30, 1996
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 2 CAR ~awAGE *
The certificate is issued to JOHN MOFFAT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PT.~%SE SEE ATTA~D INSPECTION R~PORT.
N/A
-- ~/i~ding Inspector
Rev. 1/81
LOCATION:
BUILDING DEPARTHENT
TOWN OF SOUTHOLD
IIOUSING CODE INSPECTION REPORT
48125 COUNTY ROAD #48 SOuTHOLD, ~YORK
(number & street) (municipality)
SUBDIVISION
NAHE OF OWNER (s)
JOI~II~OFFAT
NAP NO. LOT(s)
OCCUPANCY A-I RES.
(type)
ADHITTED BY: JOHN I~OFFATT
KEY AVAILABLE
SOURCE OF REQUEST: I~AUREEH WOLFE
OWNER
(owner-tenant)
ACCOHPANIED BY: SA~E
SUFF.CO. TAX HAP NO. 1000-55-02-11
DATE: NOV. 24, 1995
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOHS:
BATHROON (s)
PORCH TYPE
BREEZEWAY
DONESTIC HOTWATER
TYPE HEAT LILCO GAS
OTIIER:
WOOD FRANE
CONCRETE CELt. AR
IST FLR. 4 2ND FLR.
I-I/2 TOILET ROON
FIREPLACE
YES TYPE HEATER
WARHAIR
FuLL
3RD FLR.
BECK, TYPE
~ STORIES
CRAWL SPACE
LILCOGAS
2 ~ EXITS 2
UTILITY ROOH
PATIO BRICK-REAR OF HOUSE
GARAGE
AIRCONDITIONING
UOTWATER XX
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWllqHING POOL
OTHER:
2 CAR WOOD FRAME STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CUAPTER 45 N.Y. STATE UNIFOP, H FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REHARKS: BP ~5106 - CO Z-4093 Accessory
INSPECTED BY
DATE OF INSPECTION JAN. 29~ 1996
TIHE START 9:40 A]~ END 9:55 Al4
TOWN OF SOUTUOLD
BUILD£NG D EF ARTHEblT
TOWN HALL
763-[802
APPLICATION FOlk CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building_
inspector with the following: for .ew building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
Final Approval from Nealth Dept. of water supply and sewerage-disposal(S-9 form).
Approval of electrical instai!~tion from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains
less than 2/i0 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings
and instal!a'tions, 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, i957) non-conforming uses, or buildings~and
"pre-existing" land uses: ~
[. Accurate survey of property showing all property lines, streets, building and 1
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 si~all state the
reasons therefor in writing to the applicant.
C. Fees ,
i. 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-existinm Buildin~ - $[00.00
3. Copy of Certificate of Occupancy - $20.00
d. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $[5.00
..............................
New Construction ........... Old Or P~e-existing Building...~. .............
..................... ..........
~ouse No. Street Hamlet
%ounty Tax Map No iOOO, Sectio, .............. ..5'-~ 1Lluck. . .....l~. , ........ Lot.~.~
~ubdivision .................................... Fiilcd Hap ............ Lot ......................
?ermit No ................ Date Of Permit ................ App[ic:inC .............................
Uea!th Dept, Approval .......................... U-derwriters Approval .........................
'lanning go~rd Approvnl .......
2equest for: Temporary Certificate ........... Fl.:ti Certica~e. /
:JVl ..........................
CQ~
iNSPECTION
Ox;mcr(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at IjI~I~S- ~&~,,F7 ~OOFt~ ~/~-",
, which is she~wn and designated on the Suffolk
Couuty tax map as District 1000, Section &--~, Block Q , Lot
That the undersigned (has) (have) filed, or caused robe filed, an applies-
tion in the Southold Tox~m Building Inspector's Office for the folloxving:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southoldto enter upon the above described pr. operty, iucluding
any aud 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 h~spections, do(es) so x~th the
knowledge and understanding that any h~formation obtained [n the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laxvs, ord[nauces, rules or regulations of the Tmvn of Southotd.
(priut name)
(siffnatt, re)
(print name)