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HomeMy WebLinkAboutZ-25202FORM NO. 4 TOWN OF EOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIN~ C~RTIFICATE OF OCCUPANCY No Z-25202 Date AUGUST 19, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 600 PA~WAY House No. County Tax Map No. 1000 Section 70 Subdivision ONE FAMILY DWELLING SOu'z~OLD, N.Y. Street Hamlet Block 10 Lot 40 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-25202 dated AUGUST 19, 1997 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 HEDWIG TAMIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A Inspecto Rev. 1/81 BUILDING DEPARTHENT TONNOF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 600 PARKWAY (number & street) SUBDIVISION NAME OF OI41~R (s) HEDWIG TALIN SOUT~0LD, N.Y. (municipality) HAP NO. LOT(s) OCCUPANCY A- I gESIDEI~IAL O~I~R (type) (o~ner-tenant) ADHITTED BY: JASON LEONARD ACCOHPANIED BY: SAI~ KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-70-10-40 SOURCE OF REQUEST: J. REVIN McLAUGltLIN, ATTY DATE: AUG. 12, 1997 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOHESTIC HOTWATER TYPE HEAT OIL OTHER: WOOD FRAME [ STORIES ONE CEMENT BLOCK CELLAR FIILL CRAWL SPACE IST FLR. 7 2ND FLR. 3RD FLR. ONE TOILET ROOM (s) UTILITY ROOM EXITS 3 BECK, TYPE FIREPLACE TES TYPE HEATER OIL WARM AIR PATIO CEMENT REAR OF HOUSE GARAGE 2 CAR AIRCONI)ITIONING HOTWATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REI~RKS: BP {4247 - COZ-3497 (Addition) DATE OF INSPECTION AH~ilST 15. 1997 TIME START 10:50 END II:10 TOW~ OF SOUTHOLD BUILDING DEPARTY~ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must b~ 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 i% 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 Vpre-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 sig-aed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... ~ ..... ] ......................... New Construction ........... Old Or,re-existing Buildin~ ...[.:....f~3..,.~..~.q~_~$~_~ -- .ocation of roperty .... .... ....... ........ House No. S tre~et Ham_let O nwer or 0whets of Property... ~.~.~k-~o'.~---~x~''' ~k__.' Count~ T= ~ap ~o 1000, Section .... .~..0. ..... Blo~k...!..~. ......... *.ot.....~-'.© Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate. Fee Submitted: $.. I~.:Of~. ........... APPL~.~J