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Home My WebLink AboutZ-24312FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~TIFICATE OF No Z-24312 Date APRIL 29, 1996 THIS CERTIFIES that the buildin~ ONE F~MILY D~3.ING Location of Property 1255 WEST COVE ROAD uu~HOGUE, NEW YORE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 3 Lot 13 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-24312 dated APRIL 29, 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 OME FAMILY DWELLING WITH ACCES~ORY ONE CAR GARAGE WITH ATTACHED SHOP & NON-HABITABLE STO~A~E ROOM WITH FIREPLACE. * The certificate is issued to SA~A TREFMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PT.2~SE SEE ATTA~jHKIJ INSPECTION REPORT. --yt~ inspector Rev. 1/81 I.OC^'r ION: HAHF. OF OT~NEI((~) SARA OCCiJP^I,h;¥ A-I ^I)H[TTI~,I) BY .' STAlqT~IgY KARA_NET6SKI O~I~R A(iCOHI)AN I l.r,I) II¥ .' ~ ~()u~(:E OF liEqU~S'r: A~E NIL~R DA'rE: ~CR 18, 1995 'I'YPE OF CONSTRUCTION ~D F~ ~ IYI'ORIE80~ Iq)IINIIATIOH C~ CEI.I.AR PARTI~ CRAWL SI'ACE TOTAl. I{OOHS= 15T Fi,l{. 7 ~NU FI.Il. ] 31111 FI,R. I1k'I'IIROOH (~) ~ F~L P~ TOll.IV[ ROOH (n) UTli. ITY I{OOH ~ I'OItCII TYPE ENCLOSED POR~, FRO~ III[CK, TYPE PATIO I)IIEEZI[~AY F i RI~PI.ACI[ ...... ~ ............. (;AIIAGI~ I)OHEIVI'IC IIO'IMATI[R ~S TYPI[ III[ATEI{ E~CTRIC AIRCOHI)IT1ONIH(I 'l'Y ['1[ IIEAT OIL ~AI{H A i R ~ OTIII[ I{ = ACCESSOliY S'['IIUCTUI{I[S: UARAGE, TYPE OF C(}NR'r. ~ CAE ~D F~ ~ A~AC~D SBO~ & ~O~-~[T~ ACCESSORY STO~ S~D VJ. OI,AT[OHS: CIIAI'TF.R /15 N.Y. STA'I'Ir. UNII;'OIIH I;II{IC I'lllr. Vlr~H'l'lON & IIIIII.DING COl)I.; LOCATION ' I)E$CRII'T1UI{ AR'[. SEC. lUUqA.~s: BP #22976-Z - CO Z-26,183 (Addition) GMIY/~. ]}~J:SR TllqE ,q'['AI{T 9:/~0 All I~HI) 10:15 Ail / Form No. 6 TOWN OF SOUTtIOLD 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 contairs 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. 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-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 ............................... New Construction ........... Old Or Pre-existing Building. yes .1.2,5.5, .~.~%t~, ~o.v~e iR.o.a.d., Cutc.~. e, NY Location of Property.. House No. Street Hamlet Onwer or Owners of Property. ~tA~ pl..M~. ~p~ ~j~..x~..~. ~. ~ ............................. County Tax Map No 1000, Section..%%% .......... Block..~ ............. Lot.13 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ 100.~? .~.,...-~CN~,.{.,~."~,~31"~ APPLICANT CONSENT TO INSPECTION A~m~ M~I l~r': !~r~rl-n~ Owner(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 1255 West Cove Road, Cutchogue · which is shoxwn and designated on the Suffolk County tax map as District 1000, Section 111 , Block 3 , Lot 13 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Pre-C/O , 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 ail-of the laws, ordinances, rules and regulations of the Town cf 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: 3/18/95 ~u$/~ ~ (signature) Aimee Miller (print name) (siffnature) (print name) 402' NOR THW~Sr · COVE :.LOOp RD) /6ol5 ' '$0RV£')¢. FOR MARION MC, ALL A T PECONIC REVISED SU$OtVI$ION P