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Home My WebLink AboutZ-17199FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE- CERTIFICATEOF OCCUPANCY No z-17199 Date AUGUST 16, 1988 THIS CERTIFIES that the building ONE FAMILY DWE. LLING Location of Property 290 SMITH DRIVE NORTH House No. Street County Tax Map No. 1000 Section 76 Block 2 subdivisionM/o GOOSE NECK Filed Map No. 1663 conforms substantially the requirements for a private one-family dwelling SOUTHOLD~ N.Y. Hamlet Lot 18 Lot No. 87~88~89 built prior to APRIL 23~ 1957 pursuant to which CERTIFICATE OF OCC. Z-17199 dated AUGUST 16~ 1988 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 JANET HEINSON SCHMITT (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / /~/~uilding Inspector Rev. 1/81 Location Subdivision BUILDIi'IG DEPARTi,~NT TOV~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 290 gm{th Drive North (numoer & streev) SQuthold- New (l iunicipality ) Map No. Lot(s) Nmme of Owner(s) JANET SCHMITT Occupancy ONE FAMILY DWELLING (tYpe) A~mitted by: MRS. SCHMITT (VACANT) (owner-nenanv) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No. 76-2-~8 Source of request OWNER Date D¥~ELLIMG: Type of construction FRAME Foundation Masonery (cement block) Cellar yes Total rooms, 1st. F1 5 2nd. F1 -- Bathroom(s ) 2 Porch, typq Masonery (stoop~Deck, Toilet room(s) type #stories Crawl spacq part 3rd. Fi -- Breezeway. Type Heat OIL Fir eplac e ( s!manufacturedme[ai Domestic hotwater Other Patio, type.__ yes Garage attached Utility room cellar 'Warm Air YES Hotwat er No. F~cits 2 Airconditioning. yes .Type heater oil ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Location Cellar Garage ~'i~inR Room ~arage Housing Code, Chapter 45 N.Y. Stat¢~niform~Fire Prevention . ~ ~±ming Cooe., Descriotion t Art. I Sec. extension required on relief valve down to within ~2" of floor 3/4 hr rated fire separation required between house and garage Manufactured metal fireplace distance from I B t 717.3f backwardscombustibles and installation ' insulation i B "i ]006.2 Cellarway leaks -{ 1242.6 Remarks: TH~fflSHE~ Date of Insp. August 10, 1988 · Time start ]0:35 amend ]1:30 am ? 0 Z CONSENT TO INSPECTION of Southold located at / J ~'a ~'4 r' ~ ~~ . the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (ar-~) the owner(~ of the premises in the Tom . which is sho~ and desiEnated on the Suffo~ County tax map as District 1000. Section y d . Block ~ . Lot ; That the undersigned (has) (ha~'c) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: __ Thai the unders~ned do(es) hereby give consent to ihe Bulldog 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 wi[h respect to the aforesaid application. ~clud~g 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 ~spections. do(es) so ~th the knowledge and understanding lhat any ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions ~or lation~ of the laws. ordinances, rules or re~lations o~ the Toxvn of Southold. / - ~fgnature) (print name) (signature) (print name) FORM NO. 6 TOWN OF SOUTHOLD Building Depa,[ment Town Hall Southold, N.Y. 11971 765- 1802 BLDg. DEPT. ~ TOWN OF $OUTHOL~.,, APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~-operty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ~$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 e.~~ 5.Updat, ed C.O. $ 50.00 Dat /. . NewConstruction ...... OId or Pre-existing Building ./~. ......... Vacant Land ............. Location of Property..~').~. ~. ............. ~..P-~L, .~. ....... ~ .~~. ...... House No. Street Ham/et Owner or Owners of Property .~ 7~.~ · ~. ~ ~. ~~...~.' .~ ~2-~.~/~.~ .~..~ .~-,::5,~_. ~ County Tax Map No. 1000 Section ... ~. ~.; ........ Block .. ~,"~r.; ......... Lot./. ~. .......... 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 $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78