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Home My WebLink AboutZ-25037FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25037 Date MAY 8, 1997 THIS CERTIFIES that the buildin~ Location of Property. 1095 TRACK AVEI~uE House No. County Tax Map No. 1000 Section 137 Subdivision ONE FAMILY DWELLING cuTCHOGUE, N. Y. Street Block 1 Lot Filed Map No. Lot No. Hamlet 26 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25037 dated MAY 8, 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 R. SIRIANO & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PL~%SE SEE A%-~AC~D INSPECTIO~~/~ Rev. 1/81 N/A N/A N/A Building Ins/to~ LOCATION: 1095 TRACK AVE. (number & street) SUBDIVISION NAME OF OWNER (s) R. SIRIANO BUILDING DEPARTNENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT CUTCHOGUE, N.Y. .... (municipality) NAP NO. LOT(s) OCCUPANCY SINGLE FANILY (type) (owner-tenant) ADNITTED BY: SUSAN SUTTON ACCOHPANIED BY: .SANE KEY AVAILABLE SUFF.CO. TAX NAP NO. 1000-137-1-26 SOURCE OF REQUEST: PATRICIA MOORE, ATTY DATE: APRIL 9, 1997 DWELLING: TYPE OF CONSTRUCTION FOUNDATION BLOCK TOTAL ROOMS: IST FLR. BATIIROOM (s) ONE WOOD F~ ~ STORIES CELl. AR FULL CRAWL SPACE .5 2ND FLR. 3RD FLR. TOII~T EDOM (s) UTILITY ROOM I { EXITS 2 PORCil TYPE BREEZEWAY DOMESTIC HOT~/ATER TYPE HEAT OIL OTI1ER: BECK, TYPE PATIO FIREPLACE GARAGE TYPE IIEATER OFF BOILER AIRCONDITIONING WARM AIR tlOTWATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWINNING POOL OTI1ER: 2 CAR WOOD STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE. UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: DATE OF INSPECTION APRIL 16, 1997 TINE START 10:15 AM END 10:30 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. ~ TOWN OF SOUTHOLO ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 instal!ations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted, site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-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. 3. 4. 5. 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. Certificate of Occupancy on Pre-~istin~ Buildin~ - $100.00 >' Copy of Certificate of Occupancy - . .25¢. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property... ~(?.~.-~... ~. ~.~....~.. ...... , .~,..~.'.~. ~ ~ .~/~.. .......................... House No. Street Hamlet Onwer or Owners of Property .... .".~../~..~.~?.~....~.....~.?.~~ .............................. /~ County No 1000, Seotion.. .Block. / Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... ,Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: $ ............................. , ......... Temporary Certificate ........... Final Certicate ........... .................... APPLICANT CONSENT TO INSPECTI6~N Owner(s) Name(s) do(es) hereby state: · the undersigned· of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shoxma and designated on the Suffolk County tax map as District 1000, Section /~ , Block / , Lot That the undersigned (ha~s) (have) filed, 'or caused to be filed, an appliea- tion in the Southold Town Building Inspector's Office for the following: That the undersigned d~o(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 that any information obtained hn 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. . - (signature) (print name) (signature) (print name)