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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)