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Home My WebLink AboutZ-22381FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22381 Date THIS CERTIFIES that the building Location of Property 1210 WEST ROAD House No. County Tax Map No. 1000 Section 110 Subdivision JUNE 9~ 1993 ONE FAMILY DWELLING CUTCHOGUE ~ N.Y. Street Hamlet Block 5 Lot 13 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-22381 dated JUNE 9~ 1993 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 DWE. LLING * The certificate is issued to JAMES & SUSAN TRENTALANGE & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRiTerS CERTIFICATE NO. N/A PLUMBERS:CERTIFICATION DATED N/A *PLEASE ~S.~E ATTAC~D INSPECTION REPORT. Rev. 1/81 /~ Bui'lding Inspector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1210 I~ST ROAD CUTCHOGUg, NEW YORK (number & street) (municipality suBDIvISION MAP NO. LOT (s) NAI~ OF ONI~R (s) JA~gS TP~NTALANGE & ORS° OCCUPANCY A-! RES. (type) ADMITTED BY:. GERRY PAGLIARO KEY AVAILABLE SOURCE OF REQUEST: O~R (o~er-tenant) SAM~ ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000-l]0-05-13 JAMES TRENTALANGE & LEONARD INFRANCA DATE: MAY 30, 1993 DNELLING: TYFE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. 5~ BATHROOM (s) ONE FULL WOODFRAME C~NTELOCK PORCH TYPE SCREEN PORCH BREEZEWAY DOHESTIC NOTWATER YES TYPE HEAT OIL OTHER: 2ND FLR. TOILET ROOM (s) ~ STORIES 01~ CELLAR PARTIAL 3RD FLR. DECK· TYPE IN REAR (WOOD) FIREPLACE 01~ TYPE HEATER LiLCO WARM AIR XX ~ EXITS FOI~ CRAWL SPAC~ UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GAP. AGE, TYPE OF cONST. S~II~llNg POOL OTI~R: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE URIFOEM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~S: BP #!6261Z - CO Z-16254 FOR DECK ADDITION. DATE ON INSPECTION TIME START 9:00 ~ 7, 1993 END 9:15 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 JUN- I APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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. B. For existing buildings (prior to April 9, '1957) non-conforming uses, or buildings and .__~pre_~sti__ng"~land uses: 1. Accurate survey of property showi_~all_p~opertz lines, streets, building and unusual natu~or topographic features. '-*~ ~ 2. A properly completed application and a .consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,~--ilYe'~hilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1o 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-existing Build_ing_- $100.00 Copy of Certificate of Occupancy - ~Y5"700 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........... ~. f~.~/..~ .................. New Construction ........... Old Or Pre-existing Building ....... .~.. ...... Location of Property, ......... ~.~.~ ...... ~ .~..~.~7. ~ ..~.~ .......... .~..'.~-.~.~.~ ~.~C .~ ....... House · Street Hamle_~..~.~..~.~..O~.. Onwer or Owners of Property~..~.~..l-~.~ .~.~..~.~.~ ............ .~.~.q.~tf. ~ ~..~.: .~.~. ~..,~.~ 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: $ .... /..~..~..~.~.'~.~. ......... , ~. ~ Owner(s) Name(s) do(es) hereby state: JUN- I CONSENT TO INSPECTION , / ~/, ~/~ ~,,~.-- .~,~,-~,~-~.the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at · which is shown and designated on the Suffolk County tax map as District 1000, Section //~) , Block 0~' , ~ot L2, · 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 aferesaid 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 xvith 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 regulates of the Town of Southold. (pmnt name) (siffn~u~e)~ (print name)