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Home My WebLink AboutZ-14690FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z. 1.-4.6.9-0- .......... Date July 23 19 86 THIS CERTIFIES that the building ......... Qrt.e.. f. ~.m.i.l.y..d.w.e. 1..1 .iD.q: ............... Location of Property 3065 WELLS ROAD PECONIC h&Js bio: ....................... 's't/e i ..................... County Tax Map No. 1000 Section . .8.6 ......... Block ....2 ........... Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. E UI ET con~Er~s sut~s~laEnl~?ai~yFOR, A,PR,IVATE ~ON~-.~ILY DWELLING BUILT PRIOR TO .Ap. ril 23 -57 ~FoRwT~c~A~-O~oP. ANCY Z ..................... 19. pursuan 14690 dated ...J. tt %y..2.2 ................. 19 ..8 .6, 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, glassed in porch and one car garage. The certificate is issued to C. BRUCE STAIGER & ANNE R. STAIGER of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..................... .N/.A. ......................... See Inspection report Building Inspector Rev. 1/81 Location BUILDING DEPARTI~NT '- T0¥~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 3065 Wells Road Peconic (numoer & street) (Municipality) Subdivision Map No. Lot(s) Name of Owner(s) C. BRUCE & ANNE R. STAIGER Occupancy R-1 (type) A~mitted by: MR. STAIGER owner (owner-~a~t) Accompanied by: SAME Key ~vailabl e Suffolk Co. Tax No. $~-2-5 Source of request c. BRUCE STAIGER' Date 6/25/86 D~;~LLING: Type of construction wood framed #stories Foundation c~ment block CellarfullCrawl space Total rooms, 1st. F1 6 2nd. F1 ~ 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type qlassed in Breezeway yes Type Heat electric Fireplace(s) 1 Domestic hotwater Other Deck, type Garage. 1 car 'Warm Air No. Exits 3 Patio, type Utility room Hotwater Airconditioning yes Type heater ELECTRIC ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Location Housing Code Chapter 45N.Yo State Uniform~Fire Prevention - ' & Bu~ldinq Come Descriotion I Art. I Sec. CELLAR RAIL NOT CONTINUOUS 2-MD FL ?3_IL NOT CONTI-M~JOrJS THIS DWELLING HAS A SMOKE DETECTOR. Remarks: Inspected by~~~~~~Date of Insp. '-Ti~e start3:30 CURTIS W. HORTON 7/~7/86 end 4~00 ~.m. CONSENT TO INSPECTION Owner(s) N{~me(s) · the undersigned, do(es) hereby state: That the .undersigned ~i~) (are) the owner(s) of the premises in the Town of Southold located at ~/~,l(~ R~o~ ~ f~o~ c~ · which is shown and designated on the Suffolk County tax map as District 1000, Section ~ & , Block ~ , Lot ¥ That the undersigned (1~) (have) filed, or caused to be filed, an appliea- tion in the Southold Town Building Inspector's Office for the following: I/ 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 with the knowledge and understanding that any information obtained ha 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) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted i ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date..~..~..v,~_~,. ?,..~..~..,..~ 9..~.~... New Building ............. Old or Pre-existing Building .... ~ ..... Vacant Land ............. .X. Location of Property .......... .'~...0.4 .~.~....~. ~. !( .~....~..~..~ ............... ~.~, .~..0..~. ~. C.. House No. Street Ham/et Owner or Owners of Property . .~..'. ~ .V':..¢.C..~.....~'., ./dr.s..~.~., .~.....'~..-~.."F. ['?.~Y'. ................ County Tax Map NO. 1000 Section .... .~. ~ ........ Block .... .~ ......... Lot .... ~ ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporarg Certificate ..................... Final Certificate .................... Fee Su bm itted $~ ................ Construction on above described building and permit meets all applicable codes and regulations. ~,...~rT_. -~" -~ Applicant..~..-..~.~.~,..~ .T. ~..~, ~~