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Home My WebLink AboutZ-28022FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28022 Date: 10/19/01 T~IS C~TIFIES t~at the building DWELLING Location of Property 685 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 143 Block 0002 Sutx~ivision Filed Map No. __ Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to whic~ CERTIFICATE OF OCCUPANCY NUMBER Z- 28022 dated OCTOBER 19, 2001 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 ACCESSORY GARAGE. (HAMLET) Lot 013 The certificate is issued to FRANK C. & NANCY A. TODRICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTOFI~LTEAPPROVAL ELEOr~ICAL c~TIFICATE NO. PLUMBERS CERTIFICATION D~r~a3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPlLRTMENT TOWN OF SOUTROLD HOUSING CODE INSPECTION REPORT I~3C-ATION: 685 SIGSBEE RD LAUREL S13BDMSION: ~NO.: ~ NAME OF OWNER (S): FR3LNK C~ & NANCY A. TODRICK OCCUPANC"f: RESIDENTIAL FRANK C. & N~-NCY A. TODRICK aDMi'A'rF~u BY: NANCY TODRICK ACCO~PaNI~ BY: SANE KEY AVAII~BI~E: ~U~F. C~). TAX N~%P NO.: 143.-2-13 SOURCE OF P~EQUEST: N;LNCY TODRICK, 10/3/01 DA~: 10/19/01 DWELLING: · "fPE OF CONS~I{UCTION: WOOD FRAME # ~'rORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CRLT~: FULL CR~JNL SPACE: BP,]~EZEW]%Y: FIREPI~CE: NO DOMESTIC H(~WA~R: YES TYPE ]~EA'rEK: KEYSPAN GAS ~_IRCONDITIONING: (YIn{ER: SIDE ENTRYWAY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME (ONE CAR) STORAGE, TYPE CONST.: SWI~INGPOOL: (~JEHT, T"~E VIOLATIONS: CHAPTER 45 N,Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Pd~%&~S: BP #5529Z-COZ-28020 (~J)D TO ACCY) BP#8654Z-COZ28021 (kDD) INSPEcr~3BY:GARYJ.~S//~ DATE ON INSPECTION: 10/05/01 T~ START: 10:30 AM ]~D: 11:00 'C, Form No. 6 TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN HALL'. 765-1802 APPLICATIONFOR:CERTIFICATE' OF OCCUPANCY A. This appiieation must be filled in by typewriter· OR ink a~d 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 ins'tall'etlon from Board o~ Fire Underwriters. Sworn statement from plumber, certifyin~ that the solder used in system contains less-than 2/10 .of 1% lead. 5. Commercial building, industrial building, multiple· residences and similar building and installations, a certificate of Code C0mp.~ianoe from ardhiteCt ·or engineer~ · responsible for the building. 6. Submft Plmming Board'Approval of completed site plan requirements. For' eXisting buildings~(prior to April 9~ ~957) non-conforming uses, or 'buildings .and ':pre-existing" land uses: . 1.' Accurate surv~ of property showing all property lines, streets, building and unusual natural or topog~aphic features.' 2. A-properly completed appli~.ation and a.consent :to inspect signed by the applicant. If a Certificate of' Ovc~lpancy is denied, .the Building Inspector.Sh. all state the reasons therefor 'in writing'to the applicant. . Fees ' 1. Certificate o£ OCcupan,cy - New d~ellin§ $25.00, Addition~ to dwelling' $25.00, Alterations to dwelling $25.O0~ SW~,,;~d~g pool $25.00, Accessory building $25:00, Addition~ to accessqry building ~25,~0, Businesses $50,O0._ . " ~. Certifi~ate of Occupancy on Pre-ex~sting Buildin~ - $100.OO 3. Copy of Certi£icate of Oqcupancy - ~ ~, .Updated Certificate of Occupancy - $50.00 5~ Tmmp0rary Certificate of Occupancy - Residential~,$~5'00' 'Commercial $15.00 P Y . . · Rouse No. '. '~ ' ' . Street ' ' Onwer or O~ners o~ Property .................... ;..,, .' ..... ; .......................... ~ .... C. ounty Tax Map No 1000, Section .......... ck;., .......... Lot .................. · Lot Subdiv~Sion ~, ' Filed Hap · Permit ' ' Applicant Permit No ................ Date Of .... ..................... . Health Dept. Approval ........................ '...Underwriters APProval ......................... Planning Board Approval ' Requ' Temp tifi Final ' est. for: orary Cer. cate ........... Certicate ........... · ee Su ted: .................... · CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town '--~ (/q~c~ , which ks sho,~n and designated on the Suffolk County tax map as District 1000, Section /~'~ , Block ~ , Lot ) 3 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 in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations o[ the Town of Southold. (si{~nature) (print name) (signa[ure)