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Home My WebLink AboutZ-20916FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20916 Date AUGUST 6¢ 1992 THIS CERTIFIES that the building Location of Property 802 MAIN ROAD House No. County Tax Map No. 1000 Section 127 Subdivision ONE FAMILY DWR. LLING LAUREL ~ N.Y. Street Block 2 Filed Map No. Lot Lot No. Hamlet 6.1 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20916 dated AUGUST 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 UNHEATeD ONE FAMILY DWR. TJ.ING WITEACCESSORYWOOD FRAME GARAGE * The certificate is issued to of the aforesaid building. CARMINE RUFRANO (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *pLF3%SE SEE ATTAC~.D INSPECTION REPORT. Rev. 1/81 BUILDI.'UC DEP:¼RTNENT T0'.',%! OF SOUTHOLD, N. Y. HOUSING CODE N'iSPECTION REPORT Location 802 ~AIN ROAD (nuamoer e streeT) Subdivision N~me of 0wner(s ) CAR~IR~ RUFA~O LAUREL, N.Y. ~[ap No. [Nunzcipaii~y ) Occupancy A~mitted by: Key available Source of request A-I Residential (type) JOHN LL'HRS ( owner- 5 enanv ) Accompanied by: SAME Suffolk Co. Tax No. 127-2-6.l JOHN LUHRS Date NOV. 20,1991 D%rELL IN~G: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 Bathroom(s) 01~ Porch, ti-pe Breezeway_ Type Heat Firep!ace(s) Domestic hotwater Other BRICK Deck, Garage 'Warm Air No. ~its Cellar NO 2nd. F1 Toilet room(s) type Patio, type_ Utility room Hotwater 2 Airconditioning ~ype heater ~stories Ol~ Crawl space 3rd. F1 ACCesSORY STRUCTURES: Garage, type const. WOOD FRAME Swim. ming pool Other Storage, type const. Guest, type const. VIOLATIONS: Location .CHAPTER 45--N.Y. STATE ~NIFO~M FIRE PREVENTION & BUILDING CODE DescriPtion Art. t Sec. Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 t~ ~ ....................... .~ ~'"~ ~ 5LDG. ~PLICATION ~OR CERTIFICAT~ 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. 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 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. Certificate of Occupancy on Pre-existing Building - $100.00 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 ..'...~....~.~..~...~.~..~r .... ~."~.(~i... Xew Construction ........... Old Or Pre-existing Building. :....~.~).. ~--~__ Location of Property. ~O 2.-- .~..~. z~ /Z~ ~-'~ ~_, ~._.~ House No. Street Hamlet 0.wer o= Owners of Property.../ff.. . . County Tax Map No 1000, Section.../~9 .Block.. ..~ .Lot... Subdivision ............ /~f.~/. ................. Filed Map '"'"-'- .............. Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... /~P_.~g- Fee Submitted: $'''/.~..~.~.fiC ............... ~Z~~ ~-~ ~ .. . . . . ,. . .................... Owner(s) Name(s) do(es) hereby state: CONSENT , TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Tovrn '~ ~'t~- x~_ ~_. ~, which is shown and desi~qated on the Suffolk County tax map as District'100O, Section_! 7_ ct t31ock 2~ Lot That the undersigned (has)~) filed· or caused to be filed, an applica- tion in the Southcld Tox~m Building Inspector.s Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto enter upon the above described property, including an3' 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 ail of the laws; ordinances, rules and re,~ulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so x~Sth 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 o£ the Town o£Southold. Isi .a ure) (print na~ne) (signature) (print nan]e)