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Home My WebLink AboutZ-25760FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25760 Date: 06/05/98 THIS CERTIFIES that the building DWELLING Location of Property 835 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 103 Block 0007 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- 25760 dated JUNE 5, 1998 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 ONE CAR GARAGE * (HAMLET) Lot 024 The certificate is issued to DORIS TORKELSEN & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REP~. Building In.slector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 835 PEOUASH AVE CUTCHOGUE SUBDIVISION: MAP NO.: __LOT (S) -- NAME OF OWNER (S) : BORIS TORKELSEN & ORS. OCCUPANCY: SINGLE FAMILY DORIS TORKELSEN & ORS. ADMITTED BY: DORIS TORKELSEN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 103.-7-24 SOURCE OF REQUEST: CNARLES CUDDY. ATTY - 5/20/98 DATE: 06/05/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: FOUNDATION: CEMENT BLOCK CELLAR: ~ULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: O 3RD FLR.: BATHROOM(S): ~,0 TOILET ROOM(S): O,O UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: ~ AIRCONDITIONING: TYPE HEAT: OIL WAP~4 AIR: XX HOTWATER: OTHER: KITCHEN PANTRY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: ONE CAR - WOOD STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION SEC REMARKS: INSPECTED BY: DATE ON INSPECTION: 05/27/98 ao Bo ,C. 765-1802 : , :.,::~.,,,, :s : :~ ~_~PLICATION FOR CERTIFICATE OF OCCUPANCY ~A¥ 2 I This application must be filled in by typewriter OR ink and' su~t~:3t~%~[~m huildHn~ inspector with the following: for new building or new use.~._~VNO~SOUT~OLo~C ~ 1. Final su~ey 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 fo~). 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of I% lead. 5. Co~ercial building, ~dustrial build,g, ~ltiple residences and s~ilar 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 '!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 therefor in writing to the applicant. Fees 1. Certificate of Occupancy - N.ew dwelling ~2~.00, Additions to dwelling Alterations to dwelling $2~.00~ Sw~,~ing pool $2~.00, Accessory building 92~o00, Additions to accessory build~ 92~.00. ~Businesses 9~0.00. 2. Certificate of Occupancy on Pre-exist~_g~ Buildin~ 9100.00 3. Copy of Certificate of Occupancy - · .2~. ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ~esidential 91~.00, Co~ercial 91§.00 New Construction ........... Old Or Pr~-existing Building .... ~ ..... ~ Location of Property. .~,~.~. .... .~.~.~.~... ~.~:.: ............ C.~.~..~Q~y~_~0 .......... House No. Street Ha~ Onwer or O~ers of Property ............................................ ~ ................... County T~ ~p No 1000, Sectton..f~.'.~9 .... Block...~,PA ...... Lot...~.~.~3.9 ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fem Submitted: $ ~-~.~- Charles R. Cuddy, attorneJ~for Doros Torkelson, owner CONSlg, NT TO IN$1?I~C'I'ION Owner(s) Name(s) · the undersigned· do(es) hereby state: That the undersigned (is) (are) the owner(s) of tile premises in the Town of Southold located at ~-'P).~ ~c4~O~,Jx C)hv~¢-- ' ~__ /Q//~ which Is shmvn anddcsi~natedontheSuffolk Couu[y tax map as Di~strict 1000, Section IoD , mo~k '7 , ~.ot ~ That the. undersigned (has) (have) filed, or caused to be flied, an appltca- tion in tile Southold Town Buildiug Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of tile 'l.'owu of Southold to enter upon the above described property, including any and all buildings located thereou, 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 eonseutlng to such inspections, do(es) so with the knowledge and understanding that any information obtained In the eonduct 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. (print name) (signature)