HomeMy WebLinkAboutZ-22739FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22739 Date NOVEMBER 22~ 1993
THIS CERTIFIES that the building. ONE FAMILY DWR. LLING
Location of Property 255 OSPREY NEST RD. EAST MARIONr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 35 Block 6 Lot 34
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-22739 dated NOVEMBER 22r 1993
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 WITHATTACHED 2 CAR GARAGE *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PI.RASE SEE ATTACFRB INSPECTION REPORT.
Rev. 1/81
GEORGE V. McGOUGH & EILF~ F. McCORMICK
N/A
N/A
~~u~ldin9 Inspector
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPART}~NT
ToWN OF SOU~IOLD
[lOUSING CODE INSPECTION REPORT
255 OSPREY NEST ROAD EAST MARION, N.Y.
(number & street) (municipality
MAP NO. LOT (s)
GEORGE V. McGOUGH & EILEEN F..McCORMICK
OCCUPANCY A-! RES. OI~ER.
(type)
ADMIi-rgD BY:. GEORGE FRIES
KEY AVAILABLE
SOUKC~ OF REQUEST: GEORGE MeGOUGH
(owner-tenaht)
ACCOHPANIED BY: SAME
SUFF. CO. TAX MAP NO. 1000-35v6-34
DATE: NOV. 12, 1993
DWELLING:
T~PE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS:
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOMESTIC HO~ATER
TYPE HEAT OIL
O~IER:
WOOD FRAHE
'CEMENT BLOCK
IST FLR.
2 FULL BATHS .
YES
~ STORIES I- I/2
CELLAR
'3 2ND FLR. 3 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK, TYPE WOOD PATIO, TYPE
FIREPLACE ONE GARAGE 2 CAR
TYPE HEATER ELECTRIC AIRCONDITIONING
WARM AIR HOTWATER
# EXITS 4
CRAWL SPACE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
O~R:
NONE
STORAGE, T~PE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ,iRT. SEC.
REMARKS: BP #4238Z-COZ4441 ADD ~-BP #!7737Z-C0 Z-22738 ADD&ALT
DATE ON INSPECTION NOV. 17, 1993
TIME START 9:30AM ENlJ 10:00 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
· APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted ~,t~ebuilding
inspector with the following: for new building or new use:¢~ ,-~q~
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 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~__A_p~~ ~_ ~?) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
'~nnus~l ~a~al~or top~g~aphi~ features.
2. A properly completed ap~piication and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied,~h~ 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.
Certificate of Occupancy on Pre-existing Build£ojl% $10~.00
Copy of Certificate of Occupfnhy ~ $~00 over 5 years - $10.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO
Date .... J .... '~ ..............
New Construction ........... Old Or Pre-existing Building...~.. ....... ' ....
Location of Property,...~5.~. ..... ~.~e.~. ~... ~.~.~...~C&~ ............ ~qZL t~] .~ .....
House No. Street Hamlet
0o0. ..... ....,. ........ ..............
..... ............ ......................
Permit No ................ Date Of Permit ................ Applicant .............................
IIealth D~pt. Approval .......................... Underwriters Approval .........................
Planning Board Approval ......... ,~. .............
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .............................
I $..C;. TAX MAP 140. DIST. I~II~ SC-CT. ~ BLOCK
CONSI~NT
TO
IN.BPEC'FION
Ox~mer(s) Nar~e(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Tov~n
of Southold located at Z5.5- O~,~z~ KJ"¢¢4 ~
~.?[ ~;f~ . which is sho~ and designated on the Suffolk
County tax map as District 1000. Section03$:~ , Block 0G;~ . Lot ~:~ .
That the undersigned (~ (have) filed, 'or caused to be filed, an applica-
tion in the Southold Totem Building Inspector's Office for the follow.g: __
That the undersigned do(~) 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 ~hereonl 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 To~vn of $outhold.
The undersigned, in consenting to such inspections, do(m~) 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 re~aulations of the Town of Southold.
Z(signatu'r e) / /
(print name)
(signature)
(print name)
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