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Home My WebLink AboutZ-21077FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21077 Date OCTOBER 9, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4025 OAKLAWN AVE EXT. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 1 Lot 6.1 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-21077 dated OCTOBER 9, 1992 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 The certificate is issued to FRED STAPON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Buo8in6 fnsj76cfor Rev. 1/81 FU .. ..ii TO:.;f CF :=T:iOLC, 0. Y. EGUZ1=0 CCLE- RZ C,-�T Loc --tion 4025 OARLAWN AVE. EXT- SOUTHOLD, NEW YORK Subdivision •Ian NO Lots) N4, e of Owner(S-) FREDERICK STAPON & ANO Occupancy 1 FAMILY DWELLING OWNER t gype) �0':/nLr-UQI1_n-�) Adnittcd by: FRED STAPON Accompanied by: SAME Key available Suffolk Co. Tax No. 70-10-8 Source of request FREDERICK STAPON D a t o 9/28/92 DUEL LTarG ,Type of construction FRAME WOOD ;'stories 2 Foundation CONCRETE BLOCK Cellar 80 Craal space Total roomt ,.lst. Fl 6 2nd. Fl 3 3rd. Fl Bathrooms) Z Toilet room(s) Porch, type Deck, type WOOD 2nd STORY Patio, type CST BLOCK Breezeway Garage Utility room Type Heat OIL Warr.1. Air i?ot:tat�r Fireplaces) 1 No. E:I tJ 2 Dcmestic hot;•later xx Type heater OFF FURNACE Other ACCFTSC?'Z* S^AUC^'rS Gzrage, type const. Storage, type const. Swi.:iing pool Guest, type const. Other VIOLATT-OF'S: .CHAPTER 45--N.Y. STATE UNIFOI:M FIIu. PRL•'VENTIOY S BUILDING CODE Remar'cs • BP #210002-COZ-21075 ( Inzzcc ted by garage) BP #21001 COZ21076 (deck 6 alteration Date of In�-p. OCT. 2, 1992 Time Start 10:00 end 10:45 Form No. 6 �✓ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWNHALLai, 2 8 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A.. 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. 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. 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. 6P.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 Date ........�. [ ............. $15.00 'law Construction..... .. Old Or Pre-existing Building... ... 40 . OAK , � ^ , . MA7r -h0 L ocation of Property: .. (......� .. �' � . ... D . .. . House No. �1c Street Hamlet )nwer or Owners of Property.�.//..�........................ 'ounty Tax Map No 1000, Section -0.700 .... B1ock..I.0QIl........ Lot .Q� 8 00. ubdivision....................................Filed Map ............ Lot ... ....... ............ ermit No................Date Of Permit ................ Applicant ............................. ealth Dept. Approval..........................Underwriters Approval......................... lanning Board Approval ........................ equest for: Temporary Certificate........... Fi al Certi te.......... ee Submitted: $............................. ! _,kz 4012 7 % APPLIC T � j-- RF'D E F'l GK `; uwnerts) do(es) hereby state: CoZNSr::T TO rnSl-)cccrlON 7-ra�Po,►-1 Name: SEP 2 6 they undcr:,il,tic,d, That the undersigned (is) (arc) the o%•mcr(:;) of the p//remise:; is the To.•m of Southold located at 4ozc� 0�� (,(�/`� �Y�• 7/ �• �07AT}40LID i:� :shown and dcsirn:,tcd on the Susi;olk County tax map as District 1000, Se.ctionC DOQ 131ock 1004 , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the follo:•:ir.g: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they znav deem necessary with respect to the aforesaid application, incl di -;g inspec:iers to determine that said premises comnly m.,ith all of the la« •s; or dinanccs, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knov:ledge and understanding; that any infor -nation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re ation the Town Southold. Datcd: — 2 0 r .-, — (si;natur ) (print name) (sianaturc) (print name) c U..51rY z AvE , tTl -...�.r•r•v.vw•�'+'r�r-�:wr.e'.w+W��.✓Y.. v-n11..�� s.+�w.-r�}y'- L �' ....'! i SOUTH E)TREE N.82°37'14" E. Al NjL q ti''t71�F \Ny -$EP, 218.1992 F r !3`,h r , -.3.S 9U.Q — rn ';r'r•�'Ao":'rs�'tr2:`. ,valid a d s arivshalt ?' Se {r b�11orya�rinZ 9 �uOpAb�ba.�h r slt®tesnr nrrhv a Ad h9pn,,nNanoY go on sj rhfCyern era-ha!` ro rho ED' an8d c• •d�t pAr71 n7A2gf?r'B ..7IfIng_r :r� rn srirt7ripn f ucr7 fp,ahr srrb�°s n MrAP OF PIP 0P Ty SURVEYED FOR AT SOUTHOLD 5Uf FOLKo �O.0 ' TY, W -Y Ij �/ J �i J f 1 03 $!3 K JC A :,.i v TO Tf C OIL Ti i'L6 Ord AIZAAZ"E.0 CO. A5 SLf0VcYc--0 QQ L? 1zl c iC VA W `rt3 ll�(I,-, F.C. 1~,CF-N5ED LAND Y�iR�EY(J v �J� tt1 a1 ?R, Al NjL q ti''t71�F \Ny -$EP, 218.1992 F r !3`,h r , -.3.S 9U.Q — rn ';r'r•�'Ao":'rs�'tr2:`. ,valid a d s arivshalt ?' Se {r b�11orya�rinZ 9 �uOpAb�ba.�h r slt®tesnr nrrhv a Ad h9pn,,nNanoY go on sj rhfCyern era-ha!` ro rho ED' an8d c• •d�t pAr71 n7A2gf?r'B ..7IfIng_r :r� rn srirt7ripn f ucr7 fp,ahr srrb�°s n MrAP OF PIP 0P Ty SURVEYED FOR AT SOUTHOLD 5Uf FOLKo �O.0 ' TY, W -Y Ij �/ J �i J f 1 03 $!3 K JC A :,.i v TO Tf C OIL Ti i'L6 Ord AIZAAZ"E.0 CO. A5 SLf0VcYc--0 QQ L? 1zl c iC VA W `rt3 ll�(I,-, F.C. 1~,CF-N5ED LAND Y�iR�EY(J v T0:'i-Vi OF �3CUT:iOLD, N. Y. F.OUZ I::C CODE . IN3?L"CTIO►'•1 itD?GRIT - Location �1 l r;010c gree c) l i iu:,�clpall �y ) -Subdivision Man No. Lot(z) Name of, Owner(z) Occupancy C '- rpe) own er- c: enan c ) Admitted by: Accompanied by: Key available Suffolk Co. Tarc No Source -of reques Date � Z 'Type of cons truct • on of Ts-tories Foundation Cellar XO Crawl space_• - Total rooms, lst. Fl 2nd. F1 3 3rd : Fl ------- "m(s) Porch, y ' Toilet ro (s)-3rd.' �--- Porch, type � - Deck, e !�� tYP d Patio, typL� Breezeway `�-- � Garage Utility room Z`ype Heat 'rlarm Air Hot:•ia ter L..� Fireplace(s)_ I No. E:cits 2-� Aircor_di L- �oni ng Domestic hotwater Type heater Other _41_� ACCESSORY STRUC'!'T�S Gzrage, type const._ Swimmin- pool Other r Storage, typeconst. Gues th;- type const. 2I Remar'cs : _ Inznccted 1 Pate of Insp. F2_ Time start &,; CrV end O � e,_'S— I