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Home My WebLink AboutZ-14763FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... 214763........ Date ....... August .5 ................ 1986. THIS CERTIFIES that the building .... One. family, dwelling .................... Location of Property....945. PegRash,Avenue Cutchogue Nouse No. Street Hamlet County Tax Map No. 1000 Section , 103 ......Block ..........Lot .23 .............. Subdivision ...............................Filed Map No. .... .Lot No. .... ...... . Requirements for a private one—family dwelling built prior to conforms substantially to the$�Ipdk4l�ItKX�iXI?�KttTQt}ixt$if��a Aril 23 1957. pursuantRFd�hli�hl�r1��W PAN. CY 2.4763......... dated ...August 5 19 .86, 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 with accessory 2 car garage. ................................................... The certificate is issued to ..WILSON F. REYNOLDS, JR. ..................................................... (owner, kffW2gSI HVX of the aforesaid building. Suffolk County Department of Health Approval ......N/A ................................ UNDERWRITERS CERTIFICATE NO..............N/A ................................ SEE ATTACHED INSPECTION REPORT ..e "4 Building Inspector Rev. 1/81 BUILDING DEPARTPIENT T0,• 1,T OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 905 PEQUASH AVENUE CUTCHOGUE (number & street) (Municipality Subdivision Map No. Lot(s) Name of Owner(s) WILSON F. REYNOLDS, JR. Occupancy R-1 OWNER type owner Admitted by: MR. REYNOLDS Accompanied by: SAME Key available Source of request DWELLING: Suffolk Co. Tax No. 103-7-23 WILSON REYNOLDS Date JULY 91 1986 Type of construction WOOD FRAMED #stories 2 Foundation awe cament Monk Cellarfull Crawl space Total rooms, lst. F1 3 2nd. F1 3 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type screened Deck, type Patio, type_ Breezeway Garage Utility room Type Heat oil fired Warm Air xx Hotwater Fireplace(s) No. Exits 3 Airconditioning Domestic hotwater yes Type heater gas Other full attic ACCESSORY STRUCTURES: Garage, type const.2 car wood Storage, type const. Swimming pool Guest, type const._ Other VIOLATIONS: Housing Code, Chapter 45 N.Y. Staa Location Description No rail open side cellar steps form Fire Prevention Art. I Sec. CH 44 Remarks: This dwellinqhas 3 smoke detectors. Inspected by: Date of Insp. 8/4/86 Curtis W. Horton -Time start12:45 end 1:15__ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions (71CH.tnOS act Nnnui .i.�30 '901e 9%1 7 Z W Ir - CL 63da A. This application must be filled in typewriter OR ink, and submitted w s� to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and sifnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date ... July..9,.1.986......... New Building ............. Old or Pre-existing Building ..... X ..... Vacant Land ............. Location of Property ..905 ....... Pequash. Avenue .... ...............Cutctwgue. . House No. Street Hamlet Owner or Owners of Property ..WA -i 941...$eY.rwlas. s.dT............................... . County Tax Map No. 1000 Section ...x.03......... Block .....7.......... Lot.. 2.3 ........... Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .......................... Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate .... !!� ............. . Fee Submitted $ .0 7 .l:rdU ............... . Construction on above described building an permimeets all applic ble cod sand iaatiion�s. Applicant ..... ......-.......... ... s �j...... ......... . R". 10-10-78 F 1/ CONSENT TO INSPECTION Wilson F. Reynolds, Jr. • the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (app the owner( of the premises in the Town of Southold located at 905 Pequash Avenue] Cutchogue, NY 11935 which is shown and designated on the Suffolk County tax map as District 1000, Section 103 Block _7, Lot 23 That the undersigned (has) MQ9 filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy 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 regulations of the Town o outhold. r Dated: July 9, 1986 , F.,�— (signature) Wilson F. Reynolds, Jr. (print name) (signature) int name Location Subdivision Name of C Occupancy Admitted Key avail Source of BUILDING DEP.4RTTEENT TMN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Map No. Lot(s) DWELLING: Type of const `uction #st'ories_� Foundation C4/1lar/.,,= Crawl space Total rooms, lst. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heaarm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater Type heater •=� Other ", _ 1 ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other M VIOLATIONS• Ho Code, Chapter 4,15'N.Y. St t Uniform FPrevention Housing o e, ap er & BuildingoCoire de Location Description Art j Sec. Remarks: Inspected by: Date of Insp. Time start/1