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Home My WebLink AboutZ-19731FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19731 DATE: February 15~ 1991 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 1400 PRIVATE RD. #18 (HYATT RD.) SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19731 dated FEBRUARY 15~ 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 DWR. I~.ING * The certificate is issued to ESTATE OF DOROTHY REISE ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~~i~dlng Inspector Rev. 1/81 Location 1400 BUILDIi':G DEP.~JIT:'LENT '. TO:'~! OF SOUTHOLD, N. Y. HOUSI~iG CODE IHSPECTION REPORT #1 8 ' Private Road (Hyatt Rd.) ~ntunDe~ ~ s~ree%) Southold, N.Y. (I,iunzclpa±±~y) Subdivision Map No. not(=) Ne~me of Owner(s). ESTATE OF DOROTHY REISE Occupancy Ad,mitred by: A-I (type)-' Mark Fawley ( owner- n enan~) Accompanied by: Same Key ~vailabl e Suffolk Co. Tax No. 5o-1-8 Source of request JOAN FRAWLEY EXE'~U.TRIX OF THE Date ~TAT~ o~ UOKUX~¥ ~ki~ FEB- 12, 1991 DI'FELL ING: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 3 Bathroom(s) 2 FULL BATH Porch, t]rpe FRONT COVERED Breezeway Type Heat PROPANE FLOOR Fir eplac e ( s ) NONE Domestic hotwater Other PANTRY WOOD FRAME #stories Cellar Crawl space 2nd. F1 2 3rd. F1 Toilet room(s). Deck, type Patio, typ~__ Garage Utility room 'Warm Air xx .Hotwater No. ~cits 2 Airconditioning YES ~ype heater PROPANE XX ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Location ~'RONT FORU~ .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion J Art. J Sec. ROOFS SHALL BE MAIN'£AiNZU II~ A WATKRTIGU'£ J~CHAPTJ! CONDITION. F. ISEC. I 1242.5 (D) i Remarks: BP #5691-Z CO Z-19062 Inspected by Gg~v J. Fish- Date of Insp. Feb. 14, 1991 · Time start 9:05 end 9:20 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 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 ..F.~.~.~.~.~..~..~g..~fl .......... Uew Construction ...... Old Or ~re-exis~ing Building .... ~. ......... Location of Property..~[i~..~l~.~.~.~X~.~.~ .... ~.~-~.A..~.~..~.,.~ ...... House No. Street Hamlet 3nwer or Owners 0¢ Property.~.~¢~*¢.~.U*.....~,. .................. ! ....... : ......... County Tax Hap ~o 1000, SectSon.~ ........ Block .... ~ ......... Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. !leaith Dept. Approval .......................... Underwriters Approval .... ..................... ?lanning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... ~ ..... Submitted: $.../.¢.a .................... CONSENT TO INSPECTION Owne'r(s) N~ne(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~ y,A~/'r.~. ~'~a./']~L~.~! ~fO~ . which ~s sho~ and designated on the Suffolk County tax map as District 1000. Section ~ . Block / . Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: __ 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 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 regulj~ions o~ the Town of So~thold. (print name) (signature) (print name) MAP OF Pi;~QPER-r'Y ~ ~,P,b E OE~ FOIX ~,'~u'rHaup 'r°w~z 2E.5 'Z_J_ .f3.' .T_~ DETAIL MAP SCALES AS NOTED _~_ _~.~,_ s_!,! ~ ~_'s,~, ~To 5UFF. CO. TAW MAP DATA~ NOTE: N/F OF '¢4 E. HyAT% WAY ~F~E OVEF~ LAWD 'WAY ~,17 ' / / / / /