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Home My WebLink AboutZ-22047FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22047 Date THIS CERTIFIES that the building. Location of Property 900 ROGERS ROAD House No. County Tax Map No. 1000 Section 66 subdivision DECEMBER 21~ 1992 ONE FAMILY DWR. LLING Street Block 2 Filed Map No. SOUYHOLD~ N.Y. Hamlet Lot 38 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-22047 dated DECEMBER 21~ 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 DW~.LLING WITH ACCESORY 2 CAR GARAGE & ACCESSORY OUTSIDE SHOWER (FRAM~.D SHED) * The certificate is issued to PATHICIA SYMONDS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DAT~D N/A · Pt~ASE SEE ATTAC~D INSPECTION REPORT. '~BBJ~n~r Rev. 1/81 Location BU r :, I~DI.'.G DEP f~,T['LE~iT TO'.fM OF SOUTHOLD, N. Y. HOUSI[[G CODE Ii~;$PECTIOH REPORT 900 ROGERS ROAD SOUTHOLD, NEW YORK [numocr ~ s~reer) Subdivision MaD No. Nmme of Owner(s) PATRICIA SYMONDS Occupancy (Type) A~mitted by: Key ~vailable Source of request ki,iunlclpaizEy) Lot(s) A-I RES. OWNER' [owner-Lenanr) Accompanied by: Suffolk Co. Ta~ No. 66-02-38 FRANCIS & PATRIC~A SYMONDS Date DEC. 2, ~99 D%'rELLZ~/G: Type of construction WOOD FRAME Foundation CEMENT BLOCK & LOC~S~e!lar PD~T~ Total rooms, 1st. F1 ~ 2nd. F1 #stories 2 Crawl space xx ~rd. F1 Bathroom(s) Porch, t~e Breezeway. Type Heat OIL Fireplace(s) Domestic hotwater Other ONE Toilet room(s) Deck, type Garage 'Warm Air xx No. ~cits TWO YES ! Patio, ty~e..__ Utility room .Hotwater Airconditionin~ ~ylDe heater ELECTRIC ACCESSORY STRUCTURES: Garage, type const. Swim. ming pool Other 2 CAR Storage, type const. OffrSlDE SROWER Guest, t~rpe const. (PR. S~ED) VIOLATIOMS: Lncation .CHAPTEK 45--N,Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion Art. Sec. 'OPEN Remarks: BP #12142z ALTERATION TO LIVING ROOM - NO CO ISSUED BP ~9 C0~-16~06-ISSUgD ~o~ ~u'K' by:/~ ,j~..,,~z.~_.~_ Date of Insp. DECEMBER 16, 1992 Inspected ... ~/. ~Is, Ti~e start 9:40 end 10:05 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 APPLICATION FOR CERTIFICATE OF~OCCUPANCY 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 C~nnpliance from archiuect or engineer responsible for the building. 6. Submi~ 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: l. 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. · Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accossory 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 Occuphncy - $50.00 5. Temporary Certificate of Occupancy - Residential. S15.00, Commercial $15.00 ....................... Old Or Pre-exis~ing Building .... ~ ....... Construction .. ~0cation of Property ................................................... House No. ~-'' S~reet Hamlet · ~wer or Owners of Property...~.~.' ........... ~. '... ~ ~ ~unty Ta~ ~,ap ~o ~000, Seetion. O. 6.6.' ....... B~ock..O.Z: ......... ~ot...~ ............... ............ .................. :bdivision ...... ~ ..................... Filed Map %LP~ 7_ .~.. ............... Date Of Permi~.-;~ .... '.'...~,,~.lpplicant .... ,.. ~.. ' ....... · alth Dept. Approval Approval ........................ .... I ............... ; ...... Underwriters . anning Board Approval.. quest for: Temporary Certificate ........... Final Certicate ........... *~.~ ~.. 'q ~, ~ ~ :~. .. . ~ ....... - AI~PLiCANT · ~HZOOEI CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: , the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Town ~J ~ ( I .~'7[ , which is shown and designated on the Suffolk County tax map as District 1000, Section O~ , Block O~ , 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 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 hu 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. (sign ature~/' (print name) (signature) (print name)