HomeMy WebLinkAboutZ-20219FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20219
Date SEPTEMBER 13~ 1991
THIS CERTIFIES that the building.
Location of Property 70 MECHANIC ST~RRT
House No.
County Tax Map No. 1000 Section 61
Subdivision
ONE FAMILY DWR3,LING
Block 4
Filed Map No.
SOUTHOLD~ N.Y.
Street
Lot 33
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-20219 dated SE~r~MBER 13~ 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 *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PL~SE SEE ATTACB~.n INSPECTION REPORT.
AUDREY REINHARDT
N/A
Rev. 1/81
'~~//B/~~nspector
Location
Subdivision
Name of Owner(s)
?0 EAST MECHAMIC STREET
(n~unber & street)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
SOU'£HOLD, N.Y.
(Municipality)
Map No. Lot(s)
AUDREY REIN]tAR~T
Occupancy A-! RES.
('Gyps)
Admitte~ by: AU~REYREIN]~RDT
O~NER
(owner-~enan~)
Accompanied by: SA~E
Key available
Suffolk Co. Tax No. 61-4-33
Source of request WILLIAM H. PRICE, ATTY
Date SEPT.~4, 1991
D~gEJ,LING:
Type of const~action
Foundation CEMENT BI~)CK & BRICK
Total rooms, 1st. 'Fl 3
Bathroom(s) I ~u~L
Porch, type
Breezeway
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other LARGE CLOSET 2ND FLOOR
WOOD FRAME
#stories
i-1/2
Cellar ~u~L Crawl space
2nd. F1 2 3rd. F1
Toilet room(s)
Deck, 'type Patio, type __
Garage. MORE Utility room
Warm Air Hotwater xx
No. Exits 2 Airconditioning
Type heater OFF THE BOILEE
ACCESSORY STRUCTURES: NON~
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Descriotion Art. Sec.
Remarks:
Inspected by:
FiSH
Date of Insp. SEPT. 12, 199!
Time start 9:30 end 9:50
Form No. 6
TOWN OF SOUTHOLD
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 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 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 - $I0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
1991
Date September 5, ....................
Uew Construction ........... Old Or Pre-existing Building.~ ..............
Location of Property. 70 Mechanic Street, ~outhold, ~ew York
House No. Street Hamlet
Dnwer or Owners of Property. Audrey Reinhardt -
County Tax Map No 1000, Section.. 061 Block. 04 033
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .... .....................
Planning Board Approval ........................
X
{equest for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $..o~Q,Q0 ...................
APPLICANT
CONSENT
TO
INSPECTION
William H. Price, Jr., , , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
attorney for' the
That the undersigned (is) (are) the/owner(s) of the premises in the Town
of Southold located at 70 Mechanic Street, Southold
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 061 · Block04 , Lot 33 .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: ,
pre existing certificate of occupancy for a one and one-half
story frame house
That the undersi~ncd do(es) hereby give consent to file Building Inspectors
of the Town of Southold to enter upon the above described property, including
al~y and all buildings located thereon, to conduct such inspections as they may
deem necessary wi~h respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and reRulations of the Town of Southold.
The undersigned, in consentin~ to such inspections, do(es) so %vith 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.
Dated:
'September 4, ~991
(signature)
William H. Price, Jr.
--(print name)
(signature)
(print name)
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