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Home My WebLink AboutZ-20571FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20571 Date MARCH 6, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1325 SMITH DRIVE NORTH SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 2.5 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-20571 dated MARCH 6, 1992 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 WILLIAM P. & JEAN N. RILEY (owners) 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. Building Inspector Rev. 1/81 BUILDI::C DEc :;RT:?�:iT TO;4711 OF SOUTEOLD, N. Y. J-,OUSI"G CODE, INSPECTION REPORT Location 1325 SMITH DRIVE NORTH SOUTHOLD, NEW YORK �rumoer 6c szreec) �i-iunicipalizy) Subdivision Man No. Lot(z) Name of Owner(s) WILLIAM P. RILEY & JEAN N. RILEY Occupancy A-1 RES. OWNER (type) owner-Lenanz) Admitted by: DAN SMITH Accompanied by: SAME Key available Source of request M,"ELLI`IG : Suffolk Co. Tax No. 76-2-2.5 JANE NELSON RILEY Date FEB. 19, 1992 Type of construction WOOD FRAM JL Tstories 1-1/2 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. Fl 4 2nd. F1 BALCONY 3rd. Fl Bathroom(s) 1 FULL BATH. Toilet rooms) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL 'alarm Air XX Hotwater Fireplace(s) ONE No. Exits 2 A.irconditioning Domestic ho twater YES Type heater ELECTRIC Other ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE Remarks • BP #3081-Z CO Z-2548 Inspected by: Date of Insp. FEB. 127, 1992 4Y)9F'l S'H Time start 9:25 end 9:45 I DForm No. 6 TOWN OF SOUTHOLD2 4 1992 BUILDING DEPARTMENT rem= TOWN HALL 765-1802 4DG.BLtrt. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. (B, 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, 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. 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 .......,..2_ - �.'. q �.................... . New Construction ........... ��Old Or Pr existing Building. . .. ........... Location of Property.....1t.q .... �..M1/. ..� �1 Q .../.d�� `l ........................... House No.� Street Hamlet Onwer or 9aancrs of Property........Y. ?177\11 rl/ .. [ J ��.�..� .. �� ' ......... CC ............... . County Tax Map No 1000,,ISection ..... f.1 .....Block.... A...../.....Lot .`.+G7 ............... Subdivision.4V.-too Yr_K'!�:fV. .....Filed Map.�.A41-A.Lot.-�� ." }'?....... Permit No ................ Date Of Permit...... .........Applicant... ....................... Health Dept. Approval..........................Underwriters Approval.-.-. .................... Planning Board Approval... ..................... Request for: Temporary CCertificate....... .... Final Certicate........... Fee Submitted: $..... 1.. Ilfm ............. .... ....... . ...... ............... APPLICANT �;. CONSENT TO INSPECTION Owner(&) Name do(es) hereby state: , the undersigned, That the undersigned (is) (are))i the owner(s) of the premises in the Town of Southold located at / ( Q,1 '111,tn -xhich is shovm and desi.agated on the Suffolk County tax map as District l000, Section7�, Block �2, , Lot -2,,E . That the undersigned (has) ) filed, or caused to be filed, an applica- tion in the Southold Toin L'uilding Inspector's Office for the following: C- m r— Al v,c 4 c_P A -N -M 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 lags; 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- lation9 of the laws, ordinances, rules or regulations of the Town of Southold. Dated: C� — I q R i! 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