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Home My WebLink AboutZ-26822FORM NO. 4 TOWq~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25822 Date: 12/10/99 THIS CERTIFIES that the building DWELLING Location of Property 2070 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 077 Block 0002 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- 26822 dated DECEMBER 10, 1999 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 028.001 The certificate is issued to DOUGLAS R TONGE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: ~070 CEDAR DR SUBDIVISION: NAME OF OWNER (S): DOUGLAS R TONGE OCCUPANCY: SINGLE FAMILY ADMITTED BY: BARRY NOVICK SOUTHOLD MAp NO.: -- LOT (S) -- DOUGLAS R TONGE ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 77.-2-28.1 SOURCE OF REQUEST: DOUGLAS R. TONGE 11/30/99 DATE: 12/10/99 TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: BATHROOM (S): WOOD FRAME # STORIES: 1,O # EXITS: ~ QEMENT BLOCK CELLAR: FULL CP. AWL SPACE: -- 1ST FLR.: __~ 2ND FLR.: __~ 3RD FLR.: __~ 1.0 TOILET ROOM(S): 0.Q UTILITY ROOM(S): -- PORCH TYPE: FRONT COVERED DECK TYPE: PATIO TYPE: SLATE PATIO REAR BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: PROPAM~ AIRCONDITIONING: TYPE HEAT: QIL WARM AIR: XX HOTWATER: OTHER: ~CCESSORY STRUCTURESt GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SHED ATTACHED TO ~ARAGg SWIPING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ] DESCRIPTION I ART. SEQ, REMARKS DATE ON INSPECTION: 12/09/99 TIME START= 10:00 AM END: 10:25 AM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lin, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil~ 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 '!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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. C. 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 $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... ~...~.~..o~.~/..~.?..~ ............. New Construction ........... Old Or Pre-existing Building .... ,..~ ......... Location of Property... ~ ~/~ -~-~' ~-~'J~ /~J~ House No. Street Hamlet Onwer or Owners of Property ....-- ~ ------' ..~.~1..~.....~.%.. ~.~. ~..~-. ............................. County Tax Map No 1000, Section ..... ~.~. ..... Block....?--. .......... Lot. Subdivision .................................... Filed Map ............ Lot ................ Permit No ................ Date Of Permit ................ Applicant ....................... Health Dept. Approval .......................... Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. '7 ~ L'J'- ':~ ~7 (~. / ~'] APPLICANT CONSENT TO INSPECTION ~3oyjl~ta ~'-lo~'~e '. . 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 ~.~o ~o ~~ ~r. -_~1~ f~ //~/ . which is shox~ and designated on the Suffolk County tax map as District 1000. Section ~7 · Block ~ . Lot ~/. That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: ~ 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 ali 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 regulations of the Town of Southold. Dated: (signature) (print name)