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Home My WebLink AboutZ-22712FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22712 THIS CERTIFIES that the Date NOVEMBER 9, 1993 ONE FAMILY DWELLING Location of Property 150 MASON DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 7 Lot 1.3 Subdivision iled 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-22712 dated NOVEMBER 9, 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 ATTACHED GARAGE * The certificate is issued to JANE SWEENEY (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. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUT11OLD ROUSING CODE INSPECTION REPORT LOCATION: 150 MASON DRIVE CUTCHOGUE, NEW YORK number b street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) JANE SWEENEY OCCUPANCY A-1 RES. (type) ADMITTED BY:. JANE SWEENEY KEY AVAILABLE SOU&::Z OF REQUEST:_ JANE SWEENEY_ OWNER (owner -tenant) ACCOMPANIED BY: SAME SUFF. CO. TAR MAP NO. 1000-104-7-1.3 DATE: JULY 6, 199 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. '4 2ND FLR. I STORIES ONE CELLAR 3RD FLR. BATHROOM (s) ONE FULL BATH TOILET ROOM (s) PORCH TYPE COVERED PORCH ENCLOSI%CK, TYPE BREEZEWAY YES FIREPLACE ONE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC TYPE HEAT OIL WARM AIR OTHER: OOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHMING POOL OTHER: # E%ITS 2 CRAWL SPACE UTILITY ROOM PATIO, TYPE GARAGE I CAR AIRCONDITIONING HOTWATER STORAGE, TYPE CONST. GUEST, TYPE CONST. WOOD.FRAME VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE REMARKS: BP #1031Z-COZ-2753; BP #17248-Z-COZ-19405, BP#20587Z—COZ-22710, BP #21562Z—COZ-22711 INSPECTED BY: , c� / / / DATE ON INSPECTION AUGUST 9, 1993 t Gar Fis TIME START 10:10 AM END 10:35 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I J2 TOWN HALL 765-1802 TJ tj _'_ / 13 199 APPLICATION FOR CERTIFICATE OF OCCUPANC �u application must be filled in b t TOjM A. This a ' pp y typewriter OR ink and sum--•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. �-IF.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. 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 $155..00, Commercial $15.00 Date...�../?//-e... .......................... New Construction........... Old Or Pre-existing Building...,/..... .. Location of Property.... Sp........'csrl .. �y ....... I ...... �y?lGLio�gv¢! ................. House No. Street Hamlet Onwer or Owners of Property.....�1!1fY W G�/.Y rF ��....................//............. . .. County Tax Map No 1000, Section—/—V ..... Block. .........Lot... .............. Subdivision....................................Filed Map ............ Lot ...................... Permit No. AC_:.c......Date Of Permit...... .......Applicant ............................. Health Dept. Approval.................Underwriters Approval...... .•............... Planning Board Approval.! � . c' Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ t;�, b .................... APPLICANT O�Vn er (hr) do(es) hereby state: ame(,K) CONSENT TO INSPEC'T'ION the undersigned, That the undersigned (is) (tee) the owner( of the premises in the Town of Southold located at it Prt if <- CU -k%,hick is shown and designated on the Suffolk •County tax map as District 1000, Section 7 , Block p 7-, Lot %. That the undersigned (has) (ka*0 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 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 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: 7 n (signature) �G Yl e -o- r-1 S SvJ t e tl (print name) (signature) (print name Prow n SOS in pood w"s ocb*-f e"v- it) 9p t. 0 hated + ?Ac - Ar CUTCHOGUEF 7-cwN oo= soLrrkcw-o, N.Y. .3j, 1. JAI Bo ar, TOP Of'S0.111d suff-o tic Q"rkf Ift mo r�05TT<v+t4n: 1,000, 5&4=+ tO4, alk.7, Av I t. TUWK GUMMM A14 IWI I*AW.,-A 1 -&-vialki-coa Subs", 10 TWINUIRWIN a 7m c F 0 or cw mm StAn LAW. 4W AV 111111cm LAW. =.M 0 1111011 '; Mo "M u"m pm Los VAL am M 0 A VALID =0 n cmaiiiiiiiio C n' - -%J^41kj*d cdc. at, (980 NOCA MMUMM CWTIOM POMM SHM am Wwa an mm� OCC)aacK VAN 7zwL, PC . OW 6i4oe* a PwmftD no am .0 Comma. Go = C = To IN 0 AL Acomll A, umm" sonnfim i� r I sLON)K A, r. TO DO ASSWMM Of UM I Ufam *414 TUWK GUMMM A14 IWI I*AW.,-A 1 -&-vialki-coa Subs",