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Home My WebLink AboutZ-19882FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19882 Date MAY it 1991 THIS CERTIFIES that the buildin~ Location of Property 1000 NORTH ROAD House No. County Tax Map No. 1000 Section 34 Subdivision ONE FAMILY DWELLING GRRKNPORTr N.Y. Street Hamlet Block 4 Lot 2 Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCC. #Z-19882 dated MAY it 1991 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 & ACCESSORY WOOD FRAME GARAGE * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. KE¥IN & LORRAINE A. QUILLIN ing Inspector Rev. 1/81 Location BUTt nr-.,n DEP?aqT~.LENT T0'.'~,[ OF SOUTHOLD, N. Y. HOUSIZG CODE IHSPECTION REPORT 1000 NORTH ROAD GREENPORT, N .Y. Subdivision (hUm ocr ~ s=ree~) Nao bio. ~l,iunlczpa±l%y) Ne~me of 0wner(s) KEVIN & LORRAINE A. QUILLIN i Occupancy Ad~, itted by: A-I (type)"' LORRAINE QUILLIN OWNER (own er- c enan~ Accompanied by: SAME Key ~vailable Source of request Suffolk Co. LORRAINE A. QUILLIN T~c No. 34-04-02 Date APRIL 23, 1991 D%FELLING: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 4 Bathroom(s ) 2 FULL Porch, t-Mpe Breezeway. Type Heat LILCO GAS Fireplace(s) ONE Domestic hotwater LILCO GAS Other WOOD FRAME Deck, type. Garage 'Warm Air No. E'<it s 3 Type heater ATTACHED OUTSIDE SHOWER #stories Crawl space Cellar FULL 2nd. F1 3 3rd. F1 Toilet room(s) Patio, Utility room Hotwater xx Airconditioning 1-1/2 type OVERED ACCESSORY STRUCTURES: Garage, type const. WOOD r1~4E Storage, type const. Swimming pool Guest, type const. Other ATTACHED GREENHOUSE TO I liE GARAGE. VIOLATIONS: Lncation .CIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriution Art. I Sec. Remarks: BP #14399 CO Z-19645 Inspected by. G~r~/Fish Date-of Insp. APRIL 25, 1991 · Time start 9:50 end 10:20 Form No. 6 TOWN OF SOUTIIOLD 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 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~15.00, Commercial $15.00 Date ................................ Construction ........... Old Or Pre-exist±rig Building.. ..... ............ .......... House No. Street Inwer or Owners of Property..~iYD.~.~.~[~_~...~.~.~k~lJ&~ ...................... 7ounty Tax Map No 1000, Section .... ~.~. ...... Block ..... ~.~. ....... Lot...~.~ .............. ubdivision .................................... Filed Map ............ Lot ...................... ermit No ................ Date Of Permit ................ Applicant...~ ................ / ealth Dept. Approval...~.~.. ................ Underwriters Approval..~/.~.. ................. lanning Board Approval...~/~ ............... equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted; $../. ~. ~. f.~. ~.. Y APPLICANT ?_ 31991 Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section ,~/' Block 0~/ , Lot ~.~ . That the undersigned (has) (have) filed, or caused to be filed· an applica- tion in the Southcld Town Building Inspector's Office for the following: __ That ihe 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 Sou/hold. (signature) - (print name) (signature) (print name)