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Home My WebLink AboutZ-21120FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21120 Date OCTOBER 30{ 1992 THIS CERTIFIES that the building. Location of Property 685 HUMM~3. AVENUE House No. County Tax Map No. 1000 Section 63 Subdivision TWO FAMILY DWELLING SOUTHOLDr N.Y. Street Hamlet Block 2 Lot 20 Filed Map No. Lot No. conforms substantially to the Requirements for a Two Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-21120 dated OCTOBER 30r 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 TWO FAMILY DWELLING WITH ACCESSORY ONE CAR CEMENT BLOCK GARAGE WITH BATHROOM & ACCESSORY STORAGE SHED * Tile Certificate is issued to JOHN & MARIA TARABOCCHIA (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A · PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 TOL]I CF SCUT~OLD, N. ¥- Location 685 Hul~.l. A~ SO~OLD, Subdivision. N~p ~[o. Lot( JOIIN & MARIA TARABO~CHIA 0ccupan6y A~mittcd by: A-2 RESIDENTIAL (-type) MRS. TARABOCCltlA ~ O'.vrle~- EeIl2flL ) Accompe-ni ed by: SAME Key ~vailable Suffolk Co. Ta:~ bio. 63-2-20 Source of pequest PHILIP J. CAI~IHALE~' MI'TX Date OCT. 21, 1992 ,Type of construction Foundation BRICK Total roomS,. 1st. Fl__ Bathroom(s ) 2 Porch, t~-pe Deck, i-ype. Breez es.say Garage Type Heat OIL ' 'data. Air Firep!ace(s) No. F,'.I~ Domestic ho t:,;at er YES Other FRONT RAISED PATIO WOOD FRAME .mS ~or!es Cellar I/2 Crawl space 112 · 2nd. Fi~ 4 ,3rd. Fl. =- _Toilet room(s). ... Patio, type__ Utility ro~m Hots.sat er , xx Type hea. te-~ LILCO GAS 2-1/2 STOR~ Gara~e, type consz. 1 C~ Storage, t~e const, s~o ~Y~ C ~ BLOu~ (WlI~ Swir.~inE poo~ Guest, t~e const. Other,.. V_iOLATIOMS: _L~cation [ .CIIAPTER 45--N.Y. STATE UNIFOI~I FIIU'~ PKEVENTION & BUILDING CODE Descriotion } Art,. } Sec. ] Remarks: BP #5788 CO Z-5297 FOR A~DITION ' Inspected by: ~,, Date of Insp. OCT. 27, 1992 GAR~/~/. FISH - · Time start end Form No. 6 TOWN OF SOUTI1OLD BUILDING DEPARTMENT TOWN HALL 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 seweraje-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 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-c~nforming uses, or buildings and '~'pre-existin~' ~and uses: ,1. Accurate sur_~yf~o~er_~ty sh~wing all property lines, streets, building and %nusual 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. i. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, SwimminE pool $25.00, Accessory building $25.00, .Additions to accessory building $25.00. Businesses $50,00. . .~qertificate of Occ_u~c_y_pn P~re-existin_~u~ildi__ n_g_- ~lg0.q0__ . 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 $15.00 · Date ..... 2.0..- .~ 7..f..~.: ..................... ~w Construction ........... Old Or Pre-existing Building '.~f... .......... ,cation of Property...~.. ............... '~'~ff!Q:3~'-'~':O.' ........ Ilouse No. Street Hamlet ~mmr or Owners of ?roperty....~[.ehg.....-~.~f.~g~ .... .~.D....WXA..fi'R...%~.~£~.~?.i% unty Tax Map No i000, Section ..... ~. ~ .Block. L- .Lot 5,bdivision ............................ Filod Map. ./~.~ .Lot /~./.~ .. . to/~ ................................... ~rmit No. ~/~ .Date Of'Permit. ~ .Applicant. O~£ .' ~th Dept. Approval... ~ ~ .Underwriters Approval, ~lmning Board Approval..~/.~ ................. !uest for: Temporary Certifica[e ........... Final Ccrticate ...... , S~b=itted: $ .... ~..O.O.,.. AFFIDAVIT The undersigned, John Tarabocchia and Maria Tarabocchia, have read the letter of Philip J. Cardinale dated 10/21/92 presented in support of our application of Certificate of Pre-Existing Use, and we attest based upon our own personal knowledge the truth and accuracy of the facts stated therein. STATE OF NEW YORK : COUNTY OF SUFFOLK On the 21st day of October, 1991, before me personally came John Tarabocchia and Maria Tarabocchia to me known to be the individuals described in and who executed the foregoing instrument and acknowledged that they executed the sammy,. ~,~ ~. CARDINA~ · ~,^~Y POBUC, State ~ No. 52-4619540 ~ Notary Public Qualified in SuffoE COlJI~t TO do(.~s.) hereby state: That the undersigncd~ (are) the owner(s) of the premise.s in the . ,.vh~ch ~s shown and dcs~n.n~ed on thc County tax map as District 100O, Section ~ ~, ~lock ~ , Lot That the undersigned~ (have) filed, or caused to be filed. 2n appllca- %ion in the Southcld To%~ Euildinf Inspector's Office for the follow~: __ That the undersigned do(es) hereby give consent to the t3uildLng Inspectors of the Town of Southold to enter upon the above described proper/y, iucluding any and alt buildings located thereon, to conduct such inspections as they may deem necessary with respect to thc aforesaid application, including inspections to dcter'7~ine that said premises comply x:'ith all of the laws; ordinances~ rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the kRov.'ledge and understanding that any information obtained in tile conduct of such inspections may be used as evidence in subsequent prosecutions for %,[o- lations of thc laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) (pcillt name) (print name)