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HomeMy WebLinkAboutZ-22050FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22050 Date DECEMBER 21~ 1992 THIS CERTIFIES that the building ONE FAMILY DWF. LLING Location of Property 4525 WUNNEWETA ROAD CUTCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 12 Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22050 dated DECEMBER 21{ 1992 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 HENRIETTA SILVERMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLF.~SE SEE ATTACHED INSPECTION REPORT. - ~ ~ Bui~n~p~e'ct~r Rev. 1/81 Location I~DI:'.G DE P.~,T2'CE?IT TO'.'r~,r OF SOUTHOLD, N. Y. HOUSIi~G CODE INSPECTI02'~ REPORT 4525 ~NNE~ETA ROD CUTC-HOGllE, N.Y- ~nu~nour ~ s~reeE) Subdivision Map No. ~hunlclpa±zty) cot( ) Nmme of 0wner(s) RENRIETTA SILVERMAN Occupancy A~mitted by: I Fk~IILY (tYPe) MARION KING OWNER ( own er- ~ enanv) Accompanied by: sAME Key ~vai!able Suffolk Co. T~c IQ'o. !! 1-12-?.2 Source of request Date JULY 14, 199 D%~LLI~: Type of construction Foundation BLOCK Total rooms, 1st. F1 Bathroom(s) 2 Porch, type Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other FRAME MASONARY #stories ! IOZ Cellar 90% Crawl space ? 2nd. F1 5rd. Fi Toilet room(s) ! Deck, type. Patio,~~ty~-e~. Garag~ IN cELLAg Utility room · Warm Air .Hotwater xx No. Fa<its 3 Airconditionin~ Type heater OIL ACCESSORY STRUCTI/RES: Garage, type const. Storage, type const. Swi,T. ming pool Guest, type const. Other CELLAR ALTERATION PEP~IIT #2 i 158-Z CO Z-~-0048 BP #12420Z-SWIMMING FOO{.' uo ~-~4952 VIOLATIONS: Lncation .CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: _ , ~. Date of Insp. JULY 28, 1992 Time start I1:00 end !!:45 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate cf Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing ail property lines, streetS, building and unusual natural or topographic features. 2. A properly completed application and a consent to insp~_l, signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees I. 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. .Certificate of Occupancy on P~re-existin~BB~i_lil~n~ Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate . 2./.< ................. ......... ~w Construction ....... Old Or Pre-existing Building.[...-Z~-. ......... )cation of Property .................... ~ ................ llouse No. Street ~wer or Owners of Property .................................................................. unty Tax Map No 1000, Section...~.~.~ ...... Block.../.~ ........ Lot..Z,..~.. ............. bdivision .................................... Filed Map ............ Lot ...................... rmit No ................ Date Of Permit ................ Applicant ................... i ......... alth Dept. Approval ..... ~/~ ................... Underwriters Approval ....... ~.~ .............. arming Board Approval. quest for: Temporary Certificate ........... Final Certicate ........... C©NSEL'T TO do(es) hereby state: That the undersigned (is) (arc) the owner(s) of the premise.'; in the Town of Southold located at · xvh[ch is shov.'n and dcsiffn.nted on the Su[folk County tax map as District 1000, Section_ /// . Block /~,__. Lot %z. That the undersigned (ho.s) (have) filed, or caused to be filed, an applica- tion in the Southcld To~nn Euilding Inspector's Office for thc followLn~: That the undersigned do(es) hereby give consent to the Buildhn~ 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, inc!udtng inspec:icns to determine that said premises comply with all of the laws; ordinazccs, rules and regulations of thc Town cf Southold. The undersigned, in consenting to such ~spcctions, do(es) so uith the knowledge and understanding that any ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of thc lavzs, ordinances, rules or repletions of Ibc Town of Southold. (signa~u~e~~ {pmn~ nameY ' (S i/znnt u re) (p'r iht name) 0 /43' ,/ 'i