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Home My WebLink AboutZ-21151r - r 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-21151 Date NOVEMBER 18, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 45605 MAIN ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 75 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 OCCUPANCY NUMBER Z-21151 pursuant to which CERTIFICATE OF dated NOVEMBER 18, 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 ACCESSORY WOOD FRAME SHED The certificate is issued to CAROLINE P. MOONEY (owner) 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. Building Inspector Rev. 1/81 BUILDII.IG DEP RT:•t :iT TO"I OF SOUTHOLD, N. Y. HOUSI::G CODE INSPECTION REPORT Location 45605 MAIN ROAD SOUTHOLD, NEW YORK knumoer (�c street) (i,iunicipality) Subdivision Map No. Lot(s) Name of Owners) CAROLINE P. MOONEY Occupancy A-1 RES. OWNER (type) Owner -tenant Admitted by: MS. MOONEY Accompanied by: SAME Key available Suffolk Co. Tax No. 75-2-13 Source of request CAROLINE P. MOONEY D?'IELLI`IG : Date NOV. 10, 1992 Type of construction WOOD FRAME xstories 1-1/2 Foundation BRICK Cellar FULL Crawl space Total rooms, 1st. Fl 6 2nd. Fl 2 3rd. F1 Bathroom(s) 1 FULL BATH Toilet room(s) Porch, type Deck type Patio, type RAISED PATIO Breezeway Garage Utility room WEST SID]r- "-. Type Heat OIL ?farm Air Hotwater xx Fireplace (s) BLOCKED OVER No . a tits 3 Airconditioning Domestic hotwater YES Type heater OFF BOILER Other WALK IN CLOSET 2ND FLOOR, SUMMER KITCHEN IN REAR ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const. WOOD FRAME SHED VIOLATIONS: CUAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE Remarks: Inspected by: SH Date of Insp. NOV. 13, 1992 Time start 9:20 end 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Iv�'� Q 765-1802 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 ysed in system contains less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences ant 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.' 7( 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $esses Accessory building $25.00, aC2. Certificate of Occupancy on Pre-_exist00� BBildinsses $50,00. 3. Copy of Certificate .of occupancy g - $100.00 4. Updated Certificate of Occupancy - $5.00 over 5 years - $10.00 5. Temporary Certificate of Occupancy $50.00 • P y - Residential $15.00, Commercial $15.00 Date ...�";�. l ... ��,� a Construction... Old Or Pre-existing Building.•• . :ation of .... 5.6 0• Q . ........... Property:. ..........M n [ J....41.QALA House No. 5� c:T�Ft�Lti Street Hamlet 'er or Owners of Property.....ev, �s7U �: , ;✓ L ...�. _ co�F ../• ................. my Tax Map No 1000, Section... � .,,,,Block.... .•,•..•• ...:.......Lot... � 3 division... ....' ••••• ............. .....::....:........Filed Map............Lot.. Iit No................Date' Of Permit.. •.........•...•. ..............Applicant..... lih Dept, Approval......... .• .••��" " ' ..Underwriters Approval... ening Board Approval......... ........... lest fo...., • r: Temporary Certificate.,•... Final Corticate „ Submitted: �... Av. C p 3L 01 APPLICANT C:CNSF: T t TO IiV;;['GCT[ON V:cnerts) Nam(:t,.;) t}r,, unci r :ir r,cd, does) hereby state: That the undersiUncd (is)ovincr(') of tale rcmi�c:; I Southld P is the Toren o located at _) _ Z . Yi `rich is :-hov-n and dcsirn:,tcd on the Sui:o1E; County tax map as District 1000, Section �j L'locic 2 That the undersigned Lot 45 (has) (have) filed, or caused to be filed, a tion in the Southcld To::•n L' n aPPlica- uildiny Insnector's Office for the follo::•inc: That the urders mnedja( � es) hereby give consent to the building Inspectors of the Town of Southold to enter upon she above described r anyand all buildings located thereon, Propert3, including to conduct such inspections as the deem necessar y 'las" y with respect to the aforesaid application, fuer d�n� ;zSPeC,,o-s to determine that said premises comm;; with all of the laws-. or di and regulations of the Town of Southold. ng ccs rules The undersigned, in consentings to such inspections do (es) so ::-i,h the kno::•ledge and understandingthat any tnfor enation obtained in the conduct of such inspections may be used as evidence in subsequent prosec::tions for vio- lations of the laves, ordinances, rules or regulations of the Town of Southold. Dated: (sibnature) (Print name) (si9natuVC) (print naive) he At i suFz v��Q F'e'�R CAPaZ-11VE ,o �V10c��JE AT i�S'o�i7-NoL c? N.Y Gf ,g r" zo, o / 7 -s quo re 4c- r / 40 Z o 13 �' EU LLS TO`,-,[ CF CCUT:iOLD, N. Y. 1 -.GU -,!::C CC --7 I:-IZ?ECTION iTI C,-�T Location1� Subdivision ,Ian CTo. Lots) 1N, -me of Occupancy - hype) Oi-/ner- cenanz) Ad,nitted b LAccompanied by: Key available Suffolk Co. Tacc No. j�i - ,2 Source of request Date /i' j�; D1TEELLT�- TG Type of cons traction/ A ��' �� -i.c -stories Foundation Cellar Crawl space Total rooas,.lst. Fl 2nd. Fl �� 3rd. Fl Bathrooms) Toilet room(s) Porch, type Deck type Patio, type U. Breeze:•:ay GarageUtility rotrm 1 Type Heat Warm. Air Hotwater Fir eplac e (s +.I-�t-�.�rz " N ts- 1. 1 !j '\ ' O . E: 1 �..� Ci.Lr CC:'_d i :.iCn? na Dcmestic hotwater Type eater o tr.er " X_- CI 7 _ 7770 . L 4- ACC-3_`C?Y STRUC'7Tj-RFS Gzrooe, type const. Storage, typeconst. K�� SIri.:�ing pool Guest, type const. Other ,. y10L ATI0i`1S_ CIIAPTER 45--N.Y. STATE UNIFOI:M FIIu: PRUENTION & BUILDING CODE T Remarks. Inzpcctzd by: _Date of Insp. . Tine start e end �Z