HomeMy WebLinkAboutZ-26441FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26441
Date: 05/11/99
THIS CERTIFIES that the building DWELLING
Location of Property 3150 VANSTON RD CUTCHOGUE
(HOUSE NO.) (STREET}
County Tax Map No. 473889 Section 111 Block 0005
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- 26441 dated MAY 11, 1999
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 *
(HAMLET)
Lot 008
The certificate is issued to JOHN J.& MARGARET RASWEILER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
/g Inspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 9150 VANSTON RD CUTCHOGUE
SUBDIVISION: MAP NO.: -- LOT (S) --
NAME OF OWNER (S): JOHN J.& MARGARET RASWEILER
OCCUPANCY: ~-1 RESIDENTIAL JOHN J.& MARGARET RASWEILER
ADMITTED BY: JOHN J. RASWEILER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 111.-05-08
SOURCE OF REQUEST: JOHN J. RASWEILER IV 2/11/99 DATE: 05/11/99
TYPE OF CONSTRUCTION: C~4ENT BLOCK # STORIES: 1.0 # EXITS:
FOUNDATION: C~MENT B~OCK CELLAR: -- CP. AWL SPACE: XX
TOTAL ROOMS: iST FLR.: ._~ 2ND FLR.: ~ 3RD FLR.:
BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): --
PORCH TYPE: DECK TYPE: PATIO TYPE: TWO SLATE PATIOS
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE BEAT: QIL WARM AIR: EOTWATER: XX
OTHER~ GAS FLOOR HEATER (DISCONNECTED). PUMP HOUSE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
WOQD FRAME
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ~ ART.
R]~4ARKS: BP #7848Z-COZ-7092(ADD)-BP #25716Z-CO Z-26440 {ACCY SHED)
INSPECTED BY: ~ DATE ON INSPECTION: 04/19/99
TIME START: 10~O END: 11:05
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
su~, r~:~. ' ~
TOWN pF $OyTHOLD
j
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 ali property lines, streets, building and
unusual natural or topographic features.
2. A properly ~ompleted 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 - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . .~.EZ.~.~..~../~./.Z~?. .................
New Construction ........... Old Or Pre-existing Building .................
Location of Property...'.~J~.~...~.~./~.~.7-Q/~..~.~.~,____ ____--____-- A __~ ..... ~.,~.~.~. ........................
House No. Street Hamlet
Onwer or Owners of Property.. '-3"OH~--~, ~rO~E.~t~"*
cOunty Tax Map No 1000, Section .... //~ ...... Block ..... ~.. ........ Lot ..... ~. ...............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Submitted: ...................
CONSENT
TO
INSPIgCTION
~'~Oh//L) ~/~,t~3kb~"t~ ~ ~ ~C~O~ ~ ~ , ~he undersigned,
do(es) hereby sta~e:
That the undersigned (is) (are) the owner(s) Qf the premises In the To~
, which is shown and designated on tl~e Suffolk
County tax ~nap as District 1000, Section /~__, Block ~ , Lot ~
That the undersigned (has) (have) filed, or caused robe filed, an applica-
tion in the Southold To~ Building Inspector's Office for the folloxving: ~
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iucludlng
any and all buildings located thereon, [o 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 con~enting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct o[
such i.nspectlons may be used as evidence in subsequent prosecutionn for vio-
lations of the laws, ordlnancen, rules or regulation~ of the Town of Southold.
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