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Home My WebLink AboutZ-23179FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING u~KTIFICATE OF O~UumANCY NO Z--23179 Date AUGUST 23, 1994 THIS CERTIFIES that the building OWE FAMILY DWELLING Location of Property. 4910 PEQUASH A~F~u~ UuTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 3 Lot 27 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-23179 dated AUGUST 23~ 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 WITH ACCESSORY GARAGE * The certificate is issued to MARGARET REARDON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PI~SE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 Buildi~ng I~ LOCATION: 4910 PEQUtSH AVg. (number & street) SUBDIVISION NAHE OF OWNER (s) MARGARET REAP, DON BUILDING DEPARTHENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT CUTCIIO~DE, I~W YORK (municipality) HAP NO. LOT(s) OCCUPANCY SINGLE FAMILY libELLING (type) ADHI'rr~D BY: MARGARET REAP, DON KEY AVAILABLE SOURCE OF REQUEST: HARGARETREARDON (o~ner-tenant) ACCOHPANIEfi BY: SANE SIIFF.CO. TAX HAP NO. I000-]10-3-27 DATE: AUG. l~ 1994 DNELLING: TYPE OF CONSTRDCTION FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. 4 BATHROOM (s) ONE SIDE ENCLOSED PORCH TYPE BREEZEWAY NO DOMESTIC HOTWATER YES TYFE HEAT LILC0 GAS OTmiR: OUTSIDE SHOWER STALL WOOD FRANE ~ STORIES CELLAR PARTIAL CRAWL SPACE YES 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOM NO BECK, TYPE NO PATIO FIREPLACE NO GARAGE TYPE HEATER ELECTRIC AIRCONDITIONING WAPd~AIR YES HOTWATER I [ EXITS 2 NO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~IMMING POOL OT[iER: WOOD - 1/12 CAR STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION AUGUST 22, 1994 TIME START 10:10 END 10:30 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~ I1ALL 765-1802 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 installatiou 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, 1937) non-conforming uses, or buildings and l.~re-existing" land uses: 1. Accu.rate s~ of property showing all property lines, streets, building and ~us~al natural ~r topographic features. 2. A properly cpmpleted ap~plicati_____on and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall stage 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. C~ Certificate of Occupancy on Pre-e~x%.st~ing Buildinz - $100.0~0 3. Copy of Certificate of Occupancy - $20.00 4. Updated C"ertificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date ...~.~/O~ ~. .......................... New Construction ....... Old Or Pre-existing Building .......... _._. ..... :o ation of roperty..9. . O ..... .......... .... House No. Street Hamlet County Tax Map No 1000, Section.../~0 ......... 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 ........... Fee Submitted: $../.0.~. ~ O~ 0 U.- .Z CONSENT TO INSPECTION Ovmer (s) Name(s) do(es) hereby state: 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 // O , Block cb , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m 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 6f 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. · fl ~signatur e~" (print name) (signature) (print name)