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Home My WebLink AboutZ-27310FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY 27310 Date: 09/22/00 THXS u~TIFIES that the building DWELLING Location of Property 500 SOUND AVE PECONIC (HOUSE NO.) (STREET) ~ounty Tax ~ap No. 473889 Section 067 Block 0001 Sub~ivieion Filed Map No. __ Lot No. __ confo~ substantially to the ~uir~ts for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which ,:K~TIFI~AT~ OF (M:C~PAN~ euW~ Z-- 27310 date~ SEPTEMBER 22, 2000 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 * (HAMLET) Lot 003 T~e uertificate is issue4 to JOHN W UHL, JR & LINDA LUONGO (OWNER) of the aforesaid building. S~FFO~ ~O~NTY DEPA~T OF .~L'£~ ~-~u-£~/~AL u~KTIFI~AT~ NO. PL~ ~u~TXFI~ATION DA'r~,, *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 500 ~OUND AVE PECONIC MAP~O.: -- ~ (S) -- (S): JOHN W UHL. ~ & LI~A LUONGO ~SIDE~I~ JOHN W UHL. JR & LI~A LUONGO uu~. ~. ~ ~ ~.: ~7.-~-~ ~: ~INITI & GIBBONS. A~S 8/1/00 ~: 09/22/00 O~ C~~: WOOD FRAME BATJ~GCII (B): ~C ~: YES ACCESSORY E~ED A~AC~ED ~ D~LLIN~. GEMENT BLOCK & POSTS 1.0 ~II~ RO~(~): . . . · =A~: 10.0 · I~1~: 200 ('IK'T.T,,~: NONE ~ SPA(~: 3BD FLR.: J D~C~ ~P~: WOOD-FRONT & BACK PATIO 'A"~PK: ~CCESSORY S~UCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DA~ ~ A~A'A(]~: 08/08/0Q ~ ~-~: 10:00 AM ~: 10:25 AM ~ ~ Iq 7 ~ TOWN OF SOUTHOLD "~ ' '~ 'U' BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY DLDG. QFS~UTHOLD '£h±s appZ±cat±on mus~ be ~±l~ed in by ~ypew~ite~ OR ±~ a~d sub~±~ed ~o ~be bu±ld±~g i~spec~or ~±~b the ~o~low±~g: for ne~ building o~ ne~ use: F±~al survey of property with accurate Zocat±on of al~ bu±ld±~gs, property Li~es, streets, a~d unusual natural or topographic ~eatures. Final Approval from Healt~ Dept. of water suppZy a~d se~erage-d±sposal(S-9 form). A~rovaZ of electrical ±nstallat±o~ ~ro~ goard of Fire U~derwrite~s. S~orn statement ~roD ~lumber certifying that the solder used in sys~e~ conta±ns less tha~ 2/10 o~ ~ lead. Commercial building, industrial building, ~ultiple residences a~d s±~ilar buildings and ±nstallations, a certificate o~ Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approvai o~ completed site pla~ 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. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Addition~__~o dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25..~O~--~o~t~ building $25.00, Additions to accessory building $25.00. Busine~e~$50~00:~ 2. Certificate of Occupancy on Pre-existinR Buildinm/~-~iO0.~O~/ 3. Copy of Certificate of Occupancy - = .25~. ~.~ ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... ~ i.~K~.~.~ ...................... New Construction ........... Old Or Pre-existing Building ............ w... Location of Property ..... ~ ............ .$~..6..~. ............ .~.~.<~ ............... House No. Street Hamlet Onwer or Owners of Property.. ,.~.~.~.~ ~j' ~HL. .~..~ ~ L~/~/~/ /~./~6/f~~' County No 1000, Section....O. ..7. ...... Bloc ...... ......... 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: $ "m LICANT ? 3]0 Jul-28-00 11:27A Park Ridge A H 201 391 4407 Lc)x,<- - / ~ I/4? ~/ ' CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are).the owner(s) of tl~ premises tn the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section 0092, Block ] , Lot ~ 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.'trules 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 rio- lations of the laws, ordinances, rules or regulations~~n of Sout~ld. Dated: 7-.~1- 190 (print name) 0oo -F £- (signafure) (print name) STATE OF NEW YORK ) COUNTY OF SUFFOLK ) JOHN UHL, JR., residing at 725 Carman Meadows Drive, Manchester, MO 63020- 7174, being duly sworn, deposes and says: That I am one of the owners of property located at 500 Sound Avenue, Peconic (SCTM # 1000-67-1-3) That I am fully familiar with the circumstances of the heat conversion due to the fact that my parents originally owned said house and that in March of 1980, the gas heat was converted to electric heat. That I make this affidavit knowing it will be relied on upon by the Town of Southold Department of Buildings. N~~.~lA~rn to before me this~) ugust, 2/~ ota~l~lic [ - BETSY A PERKINS Notary Pubhc. State ot N~ Ym~ No 01 PE6005733 Qualified tn Suffolk Coun.~__ JOHN~UHL, JR. ~