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Home My WebLink AboutZ-22453FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22453 Date THIS CERTIFIES that the building. Location of Property 49000 MAIN ROAD House No. County Tax Map No. 1000 Section 70 Subdivision JULY 12~ 1993 ONE FAMILY DWELLING SOUTHOLD~ N.Y. Street Block 7 Filed Map No. Lot Lot No. Hamlet 8 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22453 dated JULY 12f 1993 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 (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~ASE SEE ATTACB~.D INSPECTION REPORT. Rev. ? "81 HENRY J. SMITH & WIFE / ~ Bui/lding Inspector BUILDING DEPARTMENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT LOCATION: 49000MAIN ROAD SUBDIVISION (number & street) NA~E OF OWNER (s) HENRY g. SMITtl & NIFE SOUTHOLD, N.Y. (municipal£ty LOT (s) OCCUPANCY A-I Res. O~ER (type) ADMI'FrED BY: ETTA O'CONNELL KEY AVAILABLE SOURCE GF REQUEST~ ItENRY J. SMITIt (owner-tenant) ACCOHPANIED BY: SAME SUFF. CO. TAX MAP NO. 70-7-8. DATE: JUNE 28, 1993' DWELLING: TYFE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) i FULL BATH PORCH TYPE SCREENED IN BREEZEWAY DOHESTIC HOT~/ATER YES TYPE HEAT OIL OTHER: REAR ENTRY WAY 3 2ND FLR. 3 TOILET ROOM (s) DECK, TYPE FIREPLACE NO TYPE HEATER OFF BOILER WARM AIR ~ STORIES 2 ~ EXITS CELLAR FULL CRANL SPACE 3RD FLR. - - UTILITY ROOM PATIO· TYPE GARAGE AIRCONDITIONING HOTWATER XX ACCESSORY STRUCTURES: GARAGE, TYFE OF CONST. S~IHHING POOL OYv~R: WOOD FRAME STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON INSPECTION JULY 9, 1993 TIHE START 9:30 ENI~ 9:45 .~ Form No. 6 TOWN HALL ~J! I - This application must be filled in by typewriter OR ink and submitted to the bui~ing 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 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 requiremen%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. 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 New Construction ........... Old Or Pre-existing Building ...... ~ .......... Location of Property~YP~. ~i~ ~p~,..Sp~t~p~ ~.~...1.1~7j .................................... House No. Street 'Hamlet Onwer or Owners of Property ..... 8~gY.4,.~MI%8 ............................................... County Tax Map No 1000, Section ..... %q ....... Block ..... ? .......... Lot ..... § ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ........... ..... Applicant. ................. Health Dept. ApProval .......................... Underwriters Approval ......................... Planning ~oard Approval ...................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $.~00~0~ ...................... Rudolph H. Bruer, as attorney ................................................ CONSENT TO INSPECTION Henry J. Smith ' , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Main Road, Southold New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 70 , Block 7 , Lot 8 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 aferesaid 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 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: 6/ 28~93 (signature--S' Henry J. Smith (print name) (sifnature) (print name