HomeMy WebLinkAboutZ-24326FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE ~XIBTINO
u~TIFICATE OF O0,.:umANCY
No Z-24326 Date MAY 1, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Propert~ 220 MEC~%NIC STREET SOu'r~OLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 4 Lot 17.1
Subdivision Filed Map No. 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-24326 dated MAY 1~ 1996
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 DWsu~LINOWITHATTAu~U~D GARAGE *
The certificate is issued to MARIE SMITH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PT.~SE SNEATTAu~u~D INSPECTION REPORT.
Rev. 1/81
N/&
N/A
BUILDING I)EPARTNENT
TOWN OF SOUTIIOI,D -
ilOUSING CODE INSPECTION REPORT
LOCATION: 220 NECH/~IC STREET
(number & street)
SUBDIVISION
NAHE OF OWNER (s) MARIE SMITH
SOUTHOLD, NEW YORK
(municipality)
HAP NO. LOT(s)
OCCUPANCY SINGLE FAMILY (type)
ADHITTED BY: CHARLES W. COLOMBO
KEY AVAILABLE
SOURCE OF EEQUEST: CHARLES W. COLOMBO
(owner-tenant)
ACCOHPANIED BY: SAME
SUFF.CO. TAX NAP NO. 1000-61-4-17.1
DATE: MARCH 26, 1996
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT BLOCK
TOTAL ROONS: IST FLR. 7
BATI1ROOH (s) ONE
PORCII TYPE FRONT COVERED
BREEZEWAY
DONESTIC IIOTWATER ___~l~__
TYPE IIEAT OIL
OTIIE R:
CELLAR
2ND FI,R.
TOILET ROON (~)
UECK, TYPE
FIREPLACE ONE
TYPE UEATER __EI.EC2TJRIC
WARH AIR
~ STORIES ONE ff EXITS FOUR
FULL CRAWL SPACE SOME
3RD i?I,R.
UTILUFY ROOH
PATIO BRICK & CONCRETE
GARAGE 2 CAR ~AR~E_
AIRCONDITIONING
IIO'I'%~ATER XX
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIHHING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CllAPTER 45 N.Y. STATE UNIFORN FIRE PREVENTION & BUII.D~NG CODE
LOCATION
DESCRIPTION
A~F. SEC.
REHARKS: BP ~23385-Z - CO z-24325 (Addition)
INSPECTED BY ~~
DATE OF INSPECTION APRIL 3, 1996
TIHE START END
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL.
765-1802
. APPLICATION FOR CERTIFICATE OF OCCUPANCY
1996
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/~0 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
'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 Inspec6or 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
Date ... March 26, 1996
New' Construction ........... Old Or Pre-existing Building ...... .X ..........
Property 220 Mechani. S..o.u.t.h.o. 1..d New York 11971
Location of c Street, ! .....................
House No. Street Hamlet
Onwer or Owners of Property.E.~.t.a.t.e...o.f..M..a.r.i.e..C.~..S.m.i.~.h .....................................
County Tax Map No 1000, Section...0.6.1...0..0 ..... Block....0.4...0.0. ....... Lot. 0.1.7...0..0.1 ...........
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ........... ' ..... Applicant ...................
Health Dept. ApProval .......................... Underwriters Approval .........................
Planning. Board Approval ......... ' .
Request for: Temporary Certificate ........... Final Certicate .... X. ......
Fee Submitted:.. $..1.q0.:.0.0 ...................... i~. ~I ~.~....~....~
~' 5 117 APPLICANT' "
(:~(O~c..~q:,~l~ Charles W. Colombo, Executor
CONSENT
TO
INSPECTION
Charles W. Colombo, as Executor of the
Estate of Marie C. Smith ,
· the undersigr~ed,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) ot the premises in the Town
of Southold located at 220 Mechan±c Streetf Southoldf New York 11971
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 061.00, Block 04.000 Lot017.001.
That the undersigned (has) (have) tiled· or caused to be tiled, an applica-
tion in the Southold Town Building Inspector *s Office for the following: ~
one fam±l¥ dwell±nq w±th an attached qaraqe
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 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 ~vith 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: March 26, 1996 ~'
(signature)
Charles W. Colombo, Executor
(print name)
(signature)
(print name)
Z
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