HomeMy WebLinkAboutZ-24896FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PP.E EXISTIN~
~RTIFICAT~OFOC~u~ANCY
No Z-24896
Date FEBRUARY 7, 1997
THIS CERTIFIES that the building
Location of Property .. 1260 BUNGALOW LANE
House No. Street
County Tax Map No. 1000 Section 123 Block 2
Subdivision Filed Map No.
O1~ FAMILY DWELLING
MAT~ITUCK, N.Y.
Lot
Lot No.
Hamlet
17.1
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z--24896 dated FEBRUARY 7, 1997
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 GARAGE *
The certificate is issued to FRANKLIN A. SCHOLL & WM. P. SCHOLL, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PT.~SE SEE ATTAC~ED INSPECTION REPORT.
Rev. 1/81
LOCATION:
SUBDIVISION
NAHE OF OWNER
BUILDING DEPARI]qENT
TOWN OF SOUTUOLD
HOUSING CODE INSPECTION REPORT
1380 BUNGALOW LANE HATTITUCK, N.Y.
(number & street) (municipality)
HAP NO. LOT(s)
FRANKLIN A. & WH. P. SCDOLL, JR.
OCCUPANCY A-I RES.
(type) (owner-tenant)
ADMITTED BY: TOH ~ILINGER ACCOMPANIED BY: SAHE
KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-123-2-17.1
SOURCE OF REQUEST: PAUL A. CAHINITI, ATTY DATE: JAN.
1997
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CEHENT BLOCK
TOTAL ROOHS: IST FLR.
BATIIROOH (s)
PORCH TYPE FRONT SCREEN
BREEZEWAY
DOMESTIC HOTWATER HOT WATER
TYPE HEAT OIL
OTIIER:
WOOD FRAME # STORIES i t EXITS 2
FULL CRAWL SPACE
3RD FLR.
UTILITY
DECK· TYPE PATIO
GARAGE
ELECTRIC AIRCONDITIONING
IIOTWATER XX
CEI,LAR
2ND FLR.
TOIl,ET ROOH (s)
FIREPLACE
TYPE HEATER
WARHAIR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIHHING POOL
OTtlER:
2 CAR
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CUAPTER 65 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REHARKS: BP #23909-Z Accy Shed CO Z-24895 & CO Z-24894 Deck
INSPECTED BY
DNFE OF INSPECTION JAN~ 21, 1997'
Tilde START END
Form No. 6
TOWN OF SOUTtIOI~
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE 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 I% lead.
5. Commercial buildiqg, 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.
For exi,ting 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
1. 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.BuildiBusiner~es~ - $1007~O.$50'00[
2.Certificate of Occupancy on Pre-extstin~
3.Copy of Certificate of Occupancy - . .25~
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~-/ Date .~~~ ~ .........................
New Construction ........... O1~ Or Pre-existing Building .... ¥ ..... J ......
,,ocation ...........................
House No. Street Hamlet
Onwer or Owners of Property. FRANKLIN SCHOLL & WILLIAM SCHOLL
County '[ax Map No 1000, Section ]23 .Block. 2
............................ ~ot.~ ....................
SuT~division .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certica~e......._2_..~.
Fee Submitted: $...\.~, ~_~. ~ . ~ ~.. '
/
~-A'P PL ICANT
CONSENT
TO
INSPECTION
FRANKLIN SCHOLL & WILLIAM SCHOLL
O~wner (s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) tile owner(s) of tile premises in the Town
of Southoht located at 1260 BUNGALOW LANE, MATTITUCK (SCTM # 1000-123-2-17.1)
, which is shown and designated on the Suffolk
County tax map as District 1000, Section
123 17 1
, Block 2 , Lot '
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Pre Certificate of Occupancy w/ attaches a~ck and detached
garage & shed ~ ~{- -
That the undersigned do(es) hereby give consent to the Building Inspectors
of tile 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 xvith 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 ~f Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
Dated: 1./1.5/97 ure) -'
CONTACT PERSON FOR INSPECTION / PAUL A. CAMINITI, ATTY FOR SELLERS
/
(print name)
TOM UHLINGER AT CELIC REALTORS
298-8000
(signature)
(print name)
I t
0¢~