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Home My WebLink AboutZ-20548 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20548 Date FEBRUARY 26, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 340 PINE. ROAD SOUTHOLD, N.Y.: House No. Street Hamlet County Tax Map No. 1000 Section 94 Block 9 Lot 10 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-20548 dated FEBRUARY 26,. 1992 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 ATTACHED SCREENED PORCH. * The certificate is issued to HELEN L. WISBAUER. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. R uilding Inspector Rev. 1/81 BUI7 DI"G' DEP.i%THENT T0.'+id OF SOUT11OLD, N. Y. NOUSI.7 G CODE. INSPECTION REPORT Location 340 PINE ROAD SOUTHOLD, N.Y. �numoer & .street) �Viuna. ipality) Subdivision Map No . Lot(s Name of Owner(s ) HELEN I. WISBAUER Occupancy A-1 Res. OWNER (type owner- enanz) Admitted by: JOAN HAMILTON Accompanied by: SAME Key available Suffolk Co. Tax No 54-9-10 . Source of request WILLIAM H. PRICE, JR. Dat FEB. 14, 1992 DWELLING: LING: Type of construction WOOD FRAME rs ories ONE Foundation , CEMENT BLOCK Cellar PARTIAICrawl space Total rooms, lst. F1 3 2nd. F1 3rd. F1 Bathroom(s) 1 FULL BATH Toilet room(s) Porch, type SCREEN PORCH Deck, type Patio, type_ Breezeway Garage . Utility room Type Heat OIL Warm Air %X Hot-water Fireplace(s) No. Exits Aircond tioning Domestic hotwater YES Type heater OIL Other OUTDOOR SHOWER ATTACHED TO HOUSE AS SHOWN ON SURVEY DATED 2/10/92. ACCESSORY STRUCTURES: NONE Garage, type con'st. Storage, type cons . Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description Art. Sec . I I Remarks: Inspected by: Date of Insp. FEB. 25, 1992 GARY Is Time start 9: 10 end 9:25 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT FEB 2 01992 TOWN Ii�1LL 765-1802 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 building , property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.- of water supply and sewerage-d sposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwri ers. 4. Sworn statement from plumber certifying that the solder used in system contains � . less than 2/10 of 1% lead. ' S. Commercial building, industrial building, multiple residences a d similar buildings and installations, a certificate of Code Compliance from' archit ct or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requireme ts. f M' B. For existing buildings (prior to April 9, 1957) non-conforming use 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 si ne 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dw lli,ng $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre--existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5i. Temporary Certificate of Occupancy .- Residential $15.00, Commercial. $15.00 Date . . . . .. l.$. . )9A% . . . . .. ..... . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .0. . . . . . . . . . . . . Locption of Property. . . .g40. Pine, Road. Southold . New.York . . . , . . . . .. . . . . . . ....... . . . . House No. Street Hamlet Onwer or Owners of Property.. . . .Helen.I. Wisbauer. . , , . , . . . . . . , ...., . , . . . County Tax Map No 1000, Section. 054 . . . . .Block. . .O . . . . . . . . .Lot. . . . . . . . ..... . . . . . . Subdivision.. . . . . . . . . . . .. . . . .. .. . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . ... .. . . . . ..:.... . . .. Permit No. . .. .. . . . . . , . , .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . ....... . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval'. . . . . .. . . . . . . . . ..... . . . .: if Planning Board Approval. , , .. . . . . . Request for: Temporary Certificate. .. . . . .. . . . Final Certicate. . . . . . . . .. . rn Fee Submitted: ;. . . . . 68�q O.O... .. .. . . .... . .. . .. . . . . . . . . . . . . . . . . .. .. . . . . .. ... . . . ...... . . .. . William H. Fric ,, . Jr. , cn 2�ao.Syg OF SuszVEYE6 FOrz DONALD Q. ��°� K STEINMET ACAD I 30.0 I 0 t -Y 1 I 46 r' i'lZf�Q. J I 3 _ �vtE2 ul G I] _I O U CL Z Ul 49 Ax- C' MONUMENT - � i ��Ct� aA''9 F'4� y rO�i � � ¢ r +� -f CANO AS SJRVEN/Er, rl .. __._'__.._ ?�_J'VV T1-C✓ TM� 'v l��•�L_�. I-� J�J....L 11�K� !V`�Qf''J/L �GI'J�S: ' d SUFFOL14 CO.TAX MAP ICDO 054'09-010 �CJv'r. �� ,!`'_L ---•ess 1nSsseriSlrRc�r`• '-rc, a e.v as his be, 1 n.:;:.=zn �-_. L.IC.LANV SCJ_'VEY0r25 1 h _ 1 i gg 4 FEB 201992 ` CONSENT TO. . . INSPDCTION William H. Price,. Jr, , attorney for Helen I. Wisbat�� Owr nes) Name us) ndersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premisesin the Town Of Southold located at 340 Pine Road, Southold, NY which is shown and designated on the Suffolk County tax map as District 1000, Section 05� 4 � Block 09 Lot 010 That the undersigned (has) (have) filed, or caused to be filed. an applica- tion in the Southold Town Building Inspectors Office for the fol owing; one-story frame dwelling with -outside shower, screene porch and gravel. parking area 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 inspect' Loris 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 t e conduct of such inspections may be used as evidence in subsequent prose. tions for vio- lations of the laws, ordinances, rules or regulations of' the Town of Southold Dated: 2/14/92 ( gnature WILLIAM H. PRIC E, JR. (print name) (signature) (print na e) pUILDI_:,- ';T .T0:41'1 OF ;,CUT:-OLD, M. Y. F.OU I::G C07�7 ^ IGi; -D;OAT Loca�icn (r.UZI0er Subdivision �- Plan No . n Lot(S ) - a iVa•�n of 0:•jner(s ) Occuaa^c1 zYPe) r►� �yIed b �o:�n 'r-Ccnan . - y ' -z -Ac,,cr�a=:nicd by :_ � Key availabl Suffolk Co. Tax No. Source of request r � ate DV T LINC: Type of construction Foundation �,� stories Total roo.;Is, '1st. Fl Cellar ,� Cra al space 2nd. F1 3r Fl Bathrooms) Porch t- Toilet room(s) ' y�e—/tDeck, type Breezeway atio, type Garage Tyne Heat Utility room • Fireplace(s) ;Tarrn Air --------------Ho tTrzat er 7 No. F:_i is Airco_ Lionin� Domestic ho tc•�ater di Otter Type heater ACC:-SSCR- STQTTCmTTRES: Garay oe, type const. Stor2be, t S:•1i,;,,;1 i n o pool type c o r. t. CD Other Guest, type const VTOLA'rrOuS: CHAPTER 45--N.Y. STATE UNIPOItNi TIRE p VENTION & BUILDING CODE Lncztion A c"-nticn IArt. Sec � . J I • I I I I I I I I I Remarks: In-Pected by: Date of Insp•q,�Y-/ Y -Time st-art ' end 'ti'