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Home My WebLink AboutZ-22508FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22508 Date AUGUST 6r 1993 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 33855 MAIN ROAD CUTCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 1 Lot 11.7 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-22508 dated AUGUST 6~ 1993 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 ONE CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.RASE SEE ATTACH~.m INSPECTION REPORT. Rev. 1/81 DONALD P. & BARBARA ROBINSON N/A N/A ~'ildig'g Inspector LOCATION: suBDIvISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 33855 MAIN ROAD CUTCHOGUE, NEW YORK (number & street) (municipality MAP NO. LOT (s) DONALD & BARBARA ROBINSON OCCUPANCY A-I RES. OWNER. (type) (owner-tenant) ADMI'YI'ED BY: DONALD & BARBARA ROBINSON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-97-1-11.7 ~OURCE OF REQUEST: PAUL A. CAMINITI DATE: JULY 28, 1993 DWELLING: T~E OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. 5 BATHROOM (s) ONE FULL BATH- PORCH TYPE SIDE PORCH COVERED BREEZEWAY DOMESTIC HO~ATER YES TYPE HEAT LILCO 2ND FLR. TOILET ROOM (s) DECK· TYPE FIREPLACE ONE TYPE HEATER ELECTRIC WARM AIR XX OTHER: RI~AK gmTKI WA~ tmumoRY ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF cONST. SWIMMING POOL OTHER: ~ STORIES ONE ~ EXITS THF~E CELLAR FULL CRAWL SPACE - - 3RD FLR. - - UTILITY ROOM PATIO· TYPE GARAGE AIRCONDITIONING HOTWATER I CAR WOOD FRAME STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START I0:00 AUGUST 4, 1993 ENI~ 10:15 JUL 2 ~ 19e3 "I"OWN OF $O'LIT~O ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A~P~ZCATION ~0~ C~RTI~ICAT~ OF OCCUPA~C~ <*>/ 7P¥- b~ ? ,~ This appiication'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 limes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fnrm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contm~s less than 2/10 of 1% lead. " 5. Commercial building, industrial building, multiple residences and similar bu~_ldings 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: i. 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 o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................................. Construction .... ~ ..... Old Or Pre-existin~ Building. ~''"~L ' New Location of Property.. House No. Street Hamlet 000. .... ..... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Realth Dept Approval Underwriters Approval . . ......" Planning Board Approval ........................ CONSENT TO INSPECTION (Owner(s) Name(a) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk That the undersigned (has) (lmve) filed, or caused to be filed, an applica- tion in the Southold Town 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 ali 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 fl~spections, do(es) so with the knowledge and understanding that any bfformation obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re~gations of~,~fT~thold. (print name) (signature) (print name) / ¢ U 0 U ~u uz C~ 0 ~D 0 u_ 0 Z 3: 0