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Home My WebLink AboutZ-24294FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICAT~ OF OCt:umANCY No Z-24294 Date APRIL 18~ 1996 THIS CERTIFIES that the building ONE F~MILY DW~Z,IN~ Location of Property 1055 HOBART RD. SOu-r~OLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 7 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-24294 dated APRIL 18, 1996 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 DWK,~.ING WIT~ACCESSORY 2 CAR GA~J~GE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~E SEE ATTA~O INSPECTION REPORT. Rev. 1/81 RE1T~ TIEDKE & SCOTT H.W. TIEDRE N/A N/A 1.OCA'FION: 1055 HOBART RD. (number & street) SUBI)IVISION [,lAP NO. NAHE OF O~/HER (s) KI~ITH'& SCOTT TIEDKE lid I 1.D 1NG I)I,~PAR'fHEHT 'l'O~4N OF SOUTDOI.I) IIOIJSING CODE IHSPE(;TION REPORT SOUTHOLD, N.Y. (niunlclpali ty) LOT(s) OCCUPAIaCY SINGLE FAMILY (type)- (o~ner-tenant) EEITH TIEDKE SAME AI}HITTED BY: ACCOHPAN lEI) KEY AVAILAIII,E SUFF.CO. TAX HAP NO. 1000-66-2-7 SODRCE OF IIEQUEST: ~I~ & SCOTT TIED~ DATE: 4/9/96 i)WELLIRG: TYPE OF COHSTRUCTION PODNDATIOH BRICK TO'FAI, ROOHS: EATDROON (s) POECI! TYPE BREEZEI4AY DONEST[C IIOT~/ATER TYPE IIEAT OIL OTIIEE: WOOD FRAME ! ST Fi,R. 5 2 CEI.I.AR FULL 2NI) FLR. ~ 3RD FI.lt. FRONT ENCLOSED TOIl,ET ROOH (s) F I liE P LACE TYPE ilEATER ~/ARH Alit STORIES CRA~41. SPACE BECK, 1~PE LILCO GAS 2 ~ EXITS 3 UTII.ITY ROOH PATIO GARAGE AI RCOND IT 1ON [NG IIOTNATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHHING POOl. ()'fliER: 2 CAR ~/OOD STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOI.ATIONS: CIIAPTER /15 N.Y. STATE UNIFORH FIRE PREVENTION & BUll. DING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY (~ ~ 6'ira OUFIS I)A'I'E OF INSPECTION April 17, 1996 'FIHE START 9:30 END ]O:00 Form ~o. 6 TOwN OF SOUTHObD BU I[.DINC DEPARTHENI TOWN IIALL 765-1802 APPLICATION FOIL CERTIFICA'['E OF OCCUPANCY TOWN OF ~UTHOLD _3 A. /his applicatiom must be filled in by typew[iter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final surve~ of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Einal Approval from }lc.hlth Dept, of water supply and sewerage-disposal(S-9 form). 3.Approval of electricm[ installation from Board of Fire Underwriters, Sworn statement from fplumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,la certificate of Code Compliance from architect or engineer responsible for th~ building. 6.Submit Planning Board Approval of completed site plan requirements. B. F~r 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 there£or in writing to the applicant. 3. 4. 5. 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. Certificate of Occupancy on Pre-existin~ Boildin~ - $100.00 Copy of Certificate of Occupancy ~ $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certif%cate of Occupancy - Residential $15.00-~ Commercial $15.00' Date April 9 , ~996 New Construction ........... Old Or Pre-existing Building...~ ............. 1055 Hobart Avenue, Southold, New York Location of Property ...... · ................................................................... }{ou~e No. Street Hamlet KEITH-TIEDKE"~ SCOT? H.W. TIEDKE Onwer or Owners ,.,f Property ................................................................ County Tax Map No 1000, Section..'.~ ..Block, 2 ..Loc.. 7 Inc. Subdivision. SUb~¥$~Pg.~P.P~.~gg¢~¥P.~P~P~il. cd Map 834 .Lot. 9 & 10 Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept, Approval .......................... Underwriters ^pprovol ......................... ?lannlng Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate..~.~%q~isting Use X CONSENT TO INSPECTION KEITH TIEDKE & SCOTT H.W. TIEDKE · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1055 Hobart Avenue, Southold~ NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 64 , Block 2 , Lot 7 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold To~n Building Inspector's Office for the following: __ Application for Certificate of ~re-Existin~ Use 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 reg-ulations of the Town of Southold. Dated: April 9, 1996 _ ' ~ ' ~ ~ /~ ''/ ~(f~ig n {14-u r~t / ' / - (print name) (signature) (print name)