HomeMy WebLinkAboutZ-22132FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22132
Date JANUARY 29, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 420 SKIPPERS LA & 1000 OYSTER POND LA. ORIENT{ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 24 Block 1 Lot 8
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-22132 dated JANUARY 29r 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 DWF~.LING WITH ACCESSORY ONE CAR GARAGE WITH
The certificate is issued to
STORAGE SHED ATTACHED *
ESTATE OF A. HARRY SCHNURR
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLRASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
-~~uilding Inspector
LOCATION:
sUBDIvISION
NAME OF OWNER (s)
OCCUPANCY
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
ROUSING CODE INSPECTION REPORT
420 SkiPpers Lane & 1000 Oyster Pond Lane
(number & street)
ESTATE OF A. HARRY SCHNURR
A-I
Orient, N.Y.
(municipality
LOT (s)
(type) (owner-tenant)
ADMI'i-r~D BY:. SUSAN MADIGAN ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-24-01-8
sOURcE OF REQUEST: WILLIAM PRICE, ATTY DATE: JAN. 21, 1993
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CONCRETE
TOTAL ROOMS: IST FLR.
BATMRODH (s) ONE FULL
PORCH TYPE ENCLOSED
BREEZEWAY
DOMESTIC HOT~ATER YES.
TYFE HEAT OIL
OT~R: PANTRY OFF KITCUEN
WOOD FRAME
~ STORIES I & 2 ~ EXITS 4
CELLAR PARTIAL CRAWL SPACE
2ND FLR. 3 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK, TYPE PATIO, TYPE
FIREPLACE NO GARAGE
TYPE HEATER LILCO GAS AIRCONDITIONING
WARN AIR XX HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWII~4ING POOL
OT~llR:
I CAR WOOD FRAME
STORAGE, TYFE CONST. WOODATTACRED TO GARAGE
(BA_D SmU'E)
· GUEST,.TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
- APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applicacion'must be filled ia 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, pcoperty lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disp, osal($-9 form).
3. Appcoval of uleccrical installation from Board of F£r~ OnderwriCecs.
4. Sworn statelheu~ from plumbur certifying that ~he solder used irt ~y~Cem contn_in~
less cha~ 2/10 of 17. lead. "
5. Commercial building, indus, trial building, mulgiple residences and s/anllar buildings
a~d installations, a certificag~ of Cod~ Compliants from~ architec~ or engineer
responsible for the building.
6. Submig Planning Board Approval of completed site plan requiremen~s.
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 nagural or topographic features,
2. A properly compleged application and a conseng to inspect signed by' the applica~lt.
If a Cer~lficat~ o~ Occupancy ia denied, tile Building Inspector sha. ll state tim
reasons therefor l[~ writing to tile applicant.
Fees
I, Certificate of Occupancy - New dwelling $25.00, Additioas to dwelling $25.00,
Alterations to dwelling $25.00, Swiuuning pool $25.00, Accessory building }25.00,
Additions co accessory bu£1ding $25.00. Businesses $50.00.
2. Certificate of Occupancy om Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years
4, Updated Certificate of Occupancy - $50.00
i. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date January 20, ...................
.................. .
New Construction ........... Old Or Pre-existing Building ..... ......... XX...
Skippers Lane Q~.~9~
· Loc~tio~l of Property ..................................................................
House No. Street [[m~le~
f ty Estate .o.f.A.: Harry Schnurr
Onwer or Owners o Proper ...... , .................... , ........ , ......................
Co.nty looo, sectio .... 0.23. ....... Ulock...9.! .......... roc ...... O.Q .............
Subdivision .................................... Filed Map ............ Lot .............. ~ ........
Permit No ................ Date Of Permit ................ Applicant .............................
I{ealth Oep; Approval U,%derwriters Approval . ""
Planning Board Approval ........................
Request for:
Fee Submitted;
T p y tifi ' 1 tic
em orar Cer cate.... .... ,.. Fins Cer ate..... ,..,,
100 O0 ·
$ ·
WILLIAM H. ~RICE, JR.
b'T£E£T
' O~w~er(s) N~me(s)-- '
do(es) hereby state:
CONSENT
TO.
INSPZCTION
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises /n thc Town
of Southold located at Skippers Lane, orient, NY
· which is shown and designated on the Suffolk
County tax map as District 1000· Section 024 , Block 01 · Lot 008 ,
That the undersigned (has) (have) filed· o1' caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following: __
Certificate of Qccu?anc~; on Pre-,existing .B~ildi~ng
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 wi[h 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
knowled~.e and understandin~ 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 regular.
Dated: 01/ ~, /93 ., ' ~' / (signn~ure)