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Home My WebLink AboutZ-22282FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22282 Date APRIL 28, 1993 THIS CERTIFIES that the building. ONE FAMILY DW~.IJ, ING Location of Property 215 PIERCE DRIVE CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 136 Block 1 Lot 11.1 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-22282 dated APRIL 28~ 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 DWw~LINGWITHACCESSORY 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 *PLR~SE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 JOHN & ANN SCHHITZ / Building Inspector LOCATION: BUILDING DEPAR~iENT TOI~I OF SOUT~OLD HOUSING CODE INSPECTION REPORT 215 PIERCE DRIVE CUTCUOGUE, N.Y. ' (n-mber & street) suBDIvISION NANE OF OILIER (s) JOHN & ~ SCHNITZ (municipality LOT (s) OCCUPANCY A- l RES. EXECUTOR JOHN SCHMITZ (type) (o~ner-tenant) tDMItI'~D BY:. JOHN MOORE ACCOlqPANIED BY: sAME KEY AVAILABLE ' SUFF. CO. TAX MAP NO. 136-1-11.1 sOuRcE OF REQUEST: JOHN ROBERT SCHNITZ DATE: APRIL 19, 1993 D¥/ELLING: TYFE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: SA'r~OO~ (s) PORCH TYFE BREEZEblAY DOMESTIC UOTI/ATER TYPE HEAT OIL O~HER: b/OOD FRANE CEI~NT BLOCK ! ST FLR. I FuLL BATH 5 2NI) FLR. TOILET ROOH (s) DECK, TYFE FIREPLACE ORE TYPE HEATER OFF BOILER lEARN AIR ~ STORIES ORE # EXITS ORE CELLAR PARTIAL CRAI~L SPACE 3RDFLR. UTILITY ROOM PATIO, TYPE REAR COVERED GARAGE AIRCONOITIONING HOTHATER ACL-~SSORY STRUCTURES: GARAGE, TYPE OF cONST. S~IMMING POOL OTHER: I CAR WOOD FRANE STOP, AGE, TYPE CONST. · GUEsT, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE DNIFORMFIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BASEMENT STAIRI~AYS SHALL NAVE ILINDP, AILS ON AT LEAST ORE SIDE ~YCRR 9B STAIRS 1242.3 (d) REldARKS: DATE ON INSPECTION TINE START 9:25 APRIL 26~ 1993 END 9:40 CONSENT TO INSPECTION John Robert Schmitz as Execu$or of the Estate , the undersigned, Owner(s) Name(s) of Ann Schmitz do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in,the Town of Southold located at Pierce Dri. ve..~ Cutch. o.gue, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 136 , Block 1 , Lot ll.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion iri'th~ Southold Town tSuxlcling Inspects,. 'o c,c~oo ~o~, *h,~ ~'c~lloxvin~': ~ frame garage and one story frame dwelling 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 tn 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 of Southold. Dated: ^pril ]9, 1993 ~ X~g-~/~-~/ (sign~iure)f' ' ' ,~ ~ohn Robert Schmitz ~ ~ ~ , (print name) ~, ~ .... :,.~ (signature) (print name) FORM NO, 6 TOWN OF SOUTHOLD · Building Department .' Town Hall Southoldo N.Y. 11971 765- re02 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Intact- tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unumal natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-tS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar 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 unu~al natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. gate of an,/ housing code or safety inspection of buildings or premi.:es, or other pertinent informa- Tion required to prepare a certificate. C. Fees: 1. Certiflcate of occupancy $.25~Q0-- ]~LISZNE$S $50.00 2. Certificate of occupancy on pre-existing dwe.lling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years riB.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $"50.00 Date ..APFi!.!.9~.!.9.9.3 ........... NewConstruction ...... Old or Pre-existingBuildinu ..X .......... Vacant Land ............. Location of Propert,/~:~./~..P.~.e?.c.e. .D,r.i.v.e.,..C.u.t.c.h.o.g.u.e.,. ,N.Y ................................... Hou~ No. Street Ham/ut Owner or Owners of Property John and Ann Schmitz C ntyT 1000S tion .].36 I 11.1 gu ax Map No. ec ............. Block.... ........... Lot ................ Subdivision ............................... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ....... ,. Health Dept. Approval ..................... .Applicant .................................. .Labor Dept. Approval Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate ................... Final Certificate ....................... Fee Submitted $....] qq.,0,0,., , ............... Construction on above described building and permit meets all applicable codes and regulations. n,v. 10-10.?0 Applicant. Gary. F~anner. O]$eO,.[$q, ........................... P. O. Box 706 Cutchogue, NY 11935