HomeMy WebLinkAboutZ-22197FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Location of Property 3615
House No.
County Tax Map No. 1000 Section
Z-22197 Date MARCH 17,1993
THIS CERTIFIES that the buildin~ONE-FAMILY DW~.LLING
VANSTON ROAD CUTCHOGUEr NY
Street Hamlet
111 Block 11 Lot 1.7
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-22197 dated MARCH 17, 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 DWEJJ.ING*
The certificate is issued to JOAN R. SMITH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHRm INSPECTION REPORT.
/
Building Inspector
Rev. 1/81
LOCATION:
BUILDING DEPART}~NT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
3615 VANSTON ROAD
(number & street)
CIITCHOGUE, NY
(municipality
suBDIvISION
NAME OF OWNER (s) JOAN.R. SMITH
-MAP NO. LOT (s)
OCCUPANCY
A-I RESIDENTIAL
(type)
OWNER
(owner-tenant)
ADMITTED BY:. KATELIN THOMAS
KEY AVAILABLE
SOURCE OF REQUEST: CHAI~ES H. SMITH, JR.
ACCOMPANIED BY: SAME
SUFF. CO. TAX MAP NO. 1000-lm]-]l-I.?
DATE: 2/27/93
DWELLING:
TYPE OF CONSTRUCTION WOOD F~
FOUNDATION 'BRICK
TOTAL ROOMS: IST FLR. 6 2ND FLR. 3
BATHROOM (s) 3 TOILET ROOM (s)
PORCH TYPE I~I~i¥~jmp(ROt2ndH~cRDECK, TYPE
BREEZEWAY FIREPLACE
DOMESTIC HOTWATER YES
TYPE HEAT OIL
OTHER:
STORIES 2 # EXITS 4
CELLAR PARTIAL CRAWL SPACE PARTIAL
3RDFLR.
! UTILITY ROOM
PATIO· TYPE
GARAGE
,AIRCONDITIONING
HOTWATER
REAR ENTRY WAY SOME ROOMS ALSO HAVE ELECTRIC ~.AT
OWE
TYPE HEATER ELECTRIC
WARM AIR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
S~PdMING POOL
OTttle;R:
STORAGE, TYPE CONST. ATTACHED TO GARAGE; ALSO A
FRAME SHED
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. I SEC.
REMARKS: BP #14593-Z C) #Z-22195 BP #!8548-Z CO #Z-22196
INSPECTED BY:
DATE ON INSPECTION 3/8/93
TIME START 9:I5AH END 9:45AN
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
- 3 1993
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 buildingSe./~~ non-conforming uses, or buildings and
Vpre-existing" land us
1. A.__c_cu~r~ur¥~7 of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly comj~leted application and a consent to inspect signed by the applicant.
If a Certifi~a~o~'O~y ~ 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.
~%~ Certificate of Occupancy on Pre-ex.~pting Buitdin~_-_~100.O0
3. Copy of Certificate of Occupadcy - $5.00 over 5 years - $10.00
4.' Updated Certificate of'Occupancy - $50.00
5. Temporar~ Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . ~..% . . .~.~..~....q..~. ...................
New Construction ........... Old Or Pre-existing Building.
Location of Property....3.~..t.~.. ............. ~.~.~.~.re.A/... .~f¢~....~f... '
House No. Street Ha~et
Onwer or Owners of Property..~,',,~..
County T= Map No 1000, Section. ~ } ~ .Block. .Lot
I.
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant. .. .~. . . ~
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..~. ....
Fee Submitted: ...................
........ : . ... .
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
MAR - 3 1993
· the undersigned·
of Southotd located at
That the undersigned (is) (are) the owner(s) of the premises in the Town
· which is shoxvn and designated on the Suffolk
County tax map as District 1000, Section I 11 , mock 11 , Lot
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:
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 res-pect 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 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: 2-? F~-/d /~S //,,~X ~. ~ ~
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