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Home My WebLink AboutZ-17511FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy THIS CERTIFIES that the building ....O.N.E...F.A~I.L..Y..D.~·E..L.L.I.~G. ...................... Location of Property .... 3. 9 9..a.o. 9.~y. ?.9.~.~Y...~9Aq ............ ~. b.sy..~. 6.a.z.o..~ .......... House No. Street Hamlet County Tax Map No. 1000 Section . . .2. I. ....... Block ..... 0. ] ........ Lot ........ .0.5. ...... Subdivision ............................... Filed Map No ......... Lot No .............. REQUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the A~i~tlltcll~g~lf~X~I~i~rXgXR~"tI~IXlt~/~g~,r~lgll'g~~[~x CERTIFICATE OF OCCUPANCY · . . A. p .r.i. 1...2 .3 .... ! .9 .5.7.. pursuant to which II~R~ ..... t.f .Z.I. 7. 5..1.1 ........ dated . ?.o.v..e.m.b.e.r. i .1.~. ,.. J .9.8.8. ...... 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 ......... .... 9.~.~..~..A.~.I.n.'~.. p.Uy.~..[.L~.q..&~p..4 .C.C.~.S.S. 9.~Y..T .O.Ok..S..~.~p.. ........................ The certificate is issued to ,JOHN OSGOOD ..................... ?o¥,'o;, ~i~ :~t~x ..................... of the aforesaid building· Suffolk County Department of Health Approval ....... ~/.A ................................ UNDERWRITERS CERTIFICATE NO ............... .R/.A. ............................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 Location BUILDI[iG DEP~XT~DT T0?~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 300 ROCKY POINT ROAD EAST MARION [numoer ~ s~ree~) Subdivision Map No. Lot(s) Nmme of Owner(s) JOHN OSGOOD Occupancy A-I RESIDENTIAL (type) A~mitted by: JOHN OSGOOD Key available Source of request JOHN OSGOOD (own er- z enanv Accompanied by: SAME Suffolk Co. Tax No. 2~-0~-05 Date ]0/]9/88 D¥~LLI~: Type of construction WOOD FRAME Foundation CEMENT BLOCK Cellar Total rooms, 1st. F1 ONE 2nd. F1-- #stories ONE Crawl space xx 5rd. F1 -- Bathroom(s) ONE Porch, type Breezeway Type Heat ELECTRIC Fireplace(s) Domestic hotwater Other Toilet room(s) Deck, type. Garage 'Warm Air No. ~its PROPANE Patio, typ~__ Utility room Hotwater Airconditionin~ ~ype heater 30 Gallon ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, t~pe const. TOOL SHED Guest, type const. VIOLATIONS: Location Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention & Buildinc Code I Art. I Sec. Description Remarks: GARY4ISH Date of Insp. ~0/]9/88 Time start 2:00 end 2:30 p.m. BLDG. [,6.PT. TOWN O~_?DUT~OLD, CONSENT TO INSPECTION -~0~//~) 0~, , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southo d located ~ /[~F~ . which is sho,~ and designated on the Suffo~ County tax map as District 1000, Section ~ ~ , Block ~ . Lot ~ That the undersigned (has) (haTe) filed, 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g: ~ 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 xvith 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 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. (signature) (print name) (signature) ~ (print name) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~'operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. ~3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- ._.._.._~tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .-~...~..~ .... .~...~..~...~t~.t'.~[J~..~..~. ............. . .~....~.....~...~. ?...~.. House No. Street Hamlet Owner or Owners of Property . .' .-..~...,~..A/'....~.~..~.. ................................... County Tax Map No. 1000 Section . . .~..~ .......... Block .... /. .......... Lot....-~"".. .......... Subdivision ................................. Filed Map No ........... Lot,~ ............. PermitNo ........... Date of Permit .......... Applicant~ ....... ~.~..~.'. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~ .~d. lO.....~... /.~1.¥.~..... Construction on above described building and permit meets all applicable cod, e~.~qd regulations. Applicant ....... ~ ......l~ ~ ....... Rev. 10-10-78 / ,9 V¢,