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Home My WebLink AboutZ-27132FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27132 Date: 06/12/00 THIS CERTIFIES that the building Location of Property 375 OAK AVE (HOUSE NO.) County Tax Map No. 473889 Section 077 Subdivision Filed Map No. DWELLING SOUTHOLD (STREET) (HAMLET) Block 0002 Lot 012 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- 27132 dated JUNE 12, 2000 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 WOOD SHED * The certificate is issued to JAMES & CATHY Q. SLECKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Aut~i~zed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTIQ~ REPORT LOCATION: 375 OAK AVE SOUTHOLD SUBDIVISION: MAp NO.: __ NAME OF OW~ (S): JILM~S & CATHY O. SLECKMAN LOT (S) -- OCCUPA/~CY: ~INGLE FAMILY JA~4ES & CATEY O. SLECI~4AN ADMITTED BY: ~{ARYANNE FEAVEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 77.-2-1~ SOURCE OF REQUEST: JAMES SLECKMAN 4/30/00 DATE: 06/12/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: ~ FOUNDATION: CEMENT BLOCK CELLAR: PIT CRAWL SPACE: MOST TOTAL ROOMS: 1ST FLR.: _~ 2ND FLR.: __~ 3RD FLR.: --0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): YES PORCH TYPE: REAR COVERED DECK TYPE: FRONT PATIO TYPE: BREEZEWAY: FIREPLACE: ~QT ACTIVE GARAGE: DOMESTIC EOTWATER: YES TYPE HEATER: GAS-L.P. AIRCONDITIONING: TYPE HEAT: , OIL WARM AIR: HOTWATER: XX OTHER: ACCESSORY S%~RUCTUP~ES: GARAGE, TYPE OF CONST~: SWI~4ING POOL: OTHER: STORAGE, TYPE CONST.: .WQOD SEED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REF~%~S: B~ ~2236Z-COZ1793{ADD)BP#26519Z(HNAT.SYSTEM) BP#26566Z-COZ27130 (DECK) INSPECTED BY: ~' ~'~~~ DATE ON INSPECTION: 05/19/00 / JO~. BOUFIS TIME START: '~ END: 10:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 765-1802 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 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 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. 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 Qccupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date... New Construction ........... Old Or Pre-existing Building .......... ~ ..... Location of Property... ~ '.7..5'.....O..~.~...~. ................................... .~. '.&.'. ............ House No. .- Street Hamlet Onwer or Owners of Property....0.?..~..e.~ .... .Q..~.~.....~...~./~.~. ?....~..... fl..~..~..~..~..m?..~...~. .......... County Tax Map No 1000, Section .... ?. ...... Lot...0.~..~.:.97.?-- ........ Subdivision...~... ,$.f2 . . '~.~..~'....~1]~.~..~.~.~. ....... Filed Map. //PC . .Lot ./(,' .~./fl. ~,../.~ .~. Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate. ~ Fee Submitted: $ .... ~ ~4~ {} (~ .~ APPLICANT C CONSENT TO INSPECTION Jav~--e_,~ O,v~ ~'~th;~ ~ ~a~clfr~a~ , the undersigned, O~er(s) Name(s) do(es) hereby state: That the unders~ned (is) (are) the owner(s) o~ the premises ~ the To~ of Southold located at ~ ]~ 0~i< ~J~Jtd~ ~ ~'O~O~lI . which is shox~ and designated on the Suffolk County tax map as District 1000. Section ~]~.~g. Block 0~.0~. Lot That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector*s Office for the follow,g: 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 respec~ to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,'trules 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 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: ~/~ (signature) (print name) 5UP-,.MEY OF LOT.5 162 ,16~ ~. 164. r-~UFFOLK (_.,OUNTY TAX # (...Et2.TIF I EI~ TO: JAMES ~L EC, K,I"IAN 60.00' N68°30'50''E 60.00' F'IALL ON LINE ~ Frome Dme llinQ ~ I~.1' ~ ~,~ Ohoih Link Fenc~ O~N 0 'I'O lin S68°30' 50"W 60.00' , O NOTES: · MONUMENT AR~A :7,200 SQ. FT. 0~-. 0.1~/ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD. N.Y, 11901