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Home My WebLink AboutZ-22086FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22086 Date JANUARY 7{ 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3290 PINE NECK ROAD SOUTHOLD{ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 12 Lot 3 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-22086 dated JANUARY 7r 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 DW~I.LING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to RICHARD & ANNA PEDDLE (owners) 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 Location BUILDI!':G DEP.~,T:'LE?iT TO'.f,,I OF SOUTHOLD, N. Y. HOUSI~TG CODE INSPECTION REPORT 3290 PI~E ~ECK RD. SOUTHOLD, NEW YORK ~numocr ~ Subdivision Nap bio. [Piunzclpa±~ty; Lot(s) Nmme of Owner(s) RICHARD PEDDLE 'Occupancy A~mitted by: A-{ Res. (type) RICHARD PEDDLE ( own er- ~ enan~ ) Accompanied by: S~4E Key ~vailabl e Suffolk Co. Source of request RICltARD PEDDLE Tax Ho. 1000-70-12-3 Date JAN. 5, 1993 D~LLI~: Type of construction Foundation CEHENTBLOCK Total rooms, 1st. F1 Bathroom(s) 2FULL BATHS Porch, ~ypq Breezewa~ Deck, Garag~ 'Warm Air Type Heat OIL Fireplace(s) ~ sot USABLE No. ~cits 3 Domestic hotwater YES Type heater Other WOOD FRAME #sTories I-1/2 Cellar PARTIAL Crawl spacePARTIAL 6 2nd. F1 2 ~rd. F1 Toilet room(s). ! TOILET ROOM Patio, type Utility room .Hotwater xx Airconditioning_ OFF BOILER ~ITHHOLDING TANK ACCESSORY STRUCTURES: Garage, type const. 2 CAR WOO0 FRAMEStorage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Lncation ! .CHAPTER 45~N.Y. STATE UNIFORM FIRE P1LEVENTION & BUILDING CODE Descriotion {-A~-'t-. ' { Sec. {, Remarks: BP #19788 CO z-20305 BP #2070lZ - CO Z-22085 Inspected by: /,,C~N~]P'J. FISH Time start 1:4.0 end 1993 2:00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'TOWN HALL 765-1802 APPLICATION FORCERTIFICATE 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 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 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. 3. 4. 5. 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 $50.00. Certificate of Occupancy on Pre-ex~sjLi~g Buil~ing~-_~$__10_~.O0 _ Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 .Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building.. . Location of Property..~. ?.~ .... :.~7.~..~.~...~.~. ........................ ~.i .¥.< ~.7.~ ...... House No. Street Hamlet Onwer or Owners of Prop=rtyi ................ ;. ...................... County T~ Map No 1000, Segtion.~~. .... Block..~q~.~ ....... Lot..(~!q~ ........ 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: ,... /~' . .~. ~ ~' ¥5~ ¢ f APPLICANT '. CONSENT TO INSPECTION 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 Southotd located at ~ Tc~ C) [ ~'d -~ 4? c~ ~ ~ ~ ~3 , ~ , which is shox~ and designated on the Suffo~ County tax map as District 1000, Section ~000, Block I~ 0~ Lot 00'~(~d~/~) That the undersigned (has) (have) filed, 'or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following: .,, 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 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)