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Home My WebLink AboutZ-23395FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTINC c~TIFICATE OF OCCUPANCY No Z-23395 Date DECEMBER 8, 1994 THIS CERTIFIES that the building. Location of Property 1230 TRAVLER STREHT House No. Street County Tax Map No. 1000 Section 60 Block 2 Subdivision Filed Map No. ONE FAMILY DWELLING SOUTHOLD, N. Y. Lot Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23395 dated DEceMBER 8, 1994 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 OWE FAMILY DWELLING * The certificate is issued to MARY H. PRINCE ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PT.~ASE SEH ATTAc~D INSPECTION REPORT. Rev. 1/81 LOCATION: 1230 TRAVLER STREET (number & street) SUBDIVISION MAP NO. NAHE OF OWNER (s) MARY E. PRINCE BUILDING DEPARTMENT TOWN OF SOUTIIOLD IlOUSING CODE INSPECTION REPORT SOUTHOLD, NEW YORK (municipality) LOT(s) OCCUPANCY SINGLE FAMILY (type) (owner-tenant~ ADMITTED BY: MARION KING ACCOMPANIE~ BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: ESTATE OF MARY E. PRINCE DATE: NOV. i, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) ONE PORCH TYPE FRONT COVERED BREEZEWAY DOMESTIC HOTWATER YES TY~E HEAT OIL OTHER: BILCO DOOR EXIT WOOD ~ STORIES I-I/22 EXITS CELLAR FULL CRAWL SPACE 2ND FLR. 2 3RD FLR. TOILET ROOM (s) UTILITY ROOM BECK, TYPE PATIO FIREPLACE GARAGE TYPE HEATER OFF BOILER AIRCONDITIONING WARM AIR HOTWATER YES ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTtiliR: STORAGE, TYPE CONST. OLD SHED (BAD SBAPE~z, , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. }~q M. BOUFIS~ / INSPECTED BY DATE OF INSPECTION DEC. 8, 1994 TIME START 9:15 END 9:35 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOI~ 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 lihes, 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 I% 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 surw~y 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 Date ..J. .I ........ ; ...................... New Construction OldO__~rPre-existing Building ~ Location of Prop~i ]~.~ ~...~;~~. ~ ~~] .~..~. · ~/. ~. ~.?.~ ...... ltouse No. - S~reet g~amlet Onwer or Owners of Property. ~t~'~.~ ............................ County Tax Map No 1000, Section...~..%.Block...~-~ .......... Lot ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant .......... · ................... Health Dept. Approval .......................... Underwriters Approval ......................... ['fanning Board Approval ........................ Request for: Temporary Certificate~ .......... Final Certicate..] ........ 'ee Submitted: $/ ...................... // /,t/, . 30' n '-.4. -4 SUFFOLK COUNTY, N Y. 1000 - 61- 02- 01 1000 - 61- 02- 10.2 Scale: 1" = 30' Dec. I, 1994 ?. o. BOX MAIN ROAD SOUTHOLD, N.Y. 11971 AREA = 14,961sqft. 94 - 366 / O~mer~ Name(s) do(cs) hereby state: CONSENT TO INSPECTION , thc undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Tovm of Southold located at , which is shoxm and designated on the Suffolk County tax map as District 1000, Section ~'d; , Block ~ , Lot / . That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Toxvn Building Inspector's Office for the ~ollowing: .~ 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 ~o the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and re.~ulations 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 re~malations of the Toxvn of Southold. (print name) (signature) (print name)