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Home My WebLink AboutZ-23386FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF OC~UFANCY No Z-23386 Date DECEMBER 1, 1994 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Propert~ 300 HIPPODROME DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 2 Lot 24 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-23386 dated DEuF~4BER 1, 1994 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MAURICE & GLADYS M. SHAHAN N/& N/A N/A INSPECTION T. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTIIOLD ilOUSING CODE INSPECTION REPORT LOCATION: 300 HIPPODROME DR. (number & street) SUBDIVISION NAME OF OWNER (s) HAURICE M. SHAMAN HAP NO. & WIFE SOUTHOLD, N.Y. (municipality) LOT(s) OCCUPANCY SINGLg FAHILY (type) ADMI'l-l~D BY: BARRY NOVICK KEY AVAILABLE SOURCE OF REQUEST: ~_~M)YS M. SBAItAN OWNER (owner-tenantL ACCOMPANIE~ BY: SA~E SUFF.CO. TAX MAP NO. ]Ooo-bb-Z--Z~ DATE: NOV. 23, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION CEMENT TOTAL ROOMS: BATHROOM PORCH TYPE BREEZEWAY 1ST FLR. 3 ONE WOOD F~ ~ STORIES 2 CELLAR FULL CRAWL SPACE 2ND FLR. 3 3RD FLR. TOILET ROOM (s) OME UTILITY ROOM NORE REAR ENCLOSED NONE FIREPLACE EXITS DECK, TYPE PATIO PEAR CONCRETE & SLAT ONE GARAGE NONE DOMESTIC HOTWATER YES TYPE ~EAT OIL OTHER: FRONT CENi't~AL ItAI.T. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTMER: TYPE HEATER ELECTRIC WARM AIR YES OUTSIDE CELLAR ENTRANCE AIRCONDITIONI~G HOTWATER NONE STORAGE, TYFE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE U~IFOILM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY IN M. B~U~I~S~ ' ~ --/ TIME START 9:05 NOV. 29, 1994 END 9:25 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo 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 ail 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 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 requirement.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 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. 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 .. November 23, 1994 New Construction ........... Old Or Pre-existing Building ..... ~.X~. ......... Location of Property... 300 ~i~.%oJ3p~. ~jy~. Southold House No. Street 'Hamlet Onwer or Owners of Property.. Gladys M. Shahan County Tax Map No i000, cgzon ........ ' ...... Block. 02.00 .Lot, 024.000 Se -' 066 00 ................................... Subdivision. Map of Beixedon Estates ........... Lot ................... ................................... Filed Map. 1472 10 ... Permit No ................ Date Of Permit ................ Applicant. Edson and Bruer, Esq. Health Dept. Approval .......................... Underwriters Approval ......................... Planning ~oard Approval ............ . Request for: Temporary Certificate ........... Final Certicate ........... APPLICANT Gladys M. Shahan CONSENT TO INSPECTION · the undersigned, O~vner (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the pren~lses in the Town of Southold located at 300 Hippodrome Drive, Southold, New York · which is shown and designated ou the Suffolk County {ax map as District 1000, Section 066.00 , ]3lock 02.00 , Lot 024.000 . 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-existing Certificate of Occupancy 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 %hat 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 of the Town of Southold. Dated: Nov. 23, 1994 ' (s~nature) ~ Gladys M. Shahan by Melissa Eckhardt (print name) 3 99/t (signature) (print nalne)