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Home My WebLink AboutZ-24951 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-24951 Date MARCH 26, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1925 WEST CREEK AVE. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 2 Lot 6 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-24951 dated MARCH 26, 1997 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 * The certificate is issued to NANCY S. WRIGHT & 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 SEE ATTACHED INSPECTION REPORT. r � zo ui ding spector Rev. 1/81 BUILDING DEPARTMENT , TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1925 WEST CREEK AVE. CUTCHOGUE, N.Y. number V street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) NANCY- S. WRIGHT & OTMSS OCCUPANCY SINGLE FA4ILY type owner-tenant ADMITTED BY: NANCY WRIGHT ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO.-•TA% MAP NO. 1000-110-2-6 SOURCE OF REQUEST: NANCY WRIGHT. DATE: FEB. 19, 1997 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES ]-1/2 # E%ITS 2 FOUNDATION BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 2 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH TYPE SCREEN PORCH (COVERED)_ DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER ELECTRIC TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR %% HOTWATER ELECTRIC OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST._ SHED SWIMMING POOL GUEST, TYPE CONST. OTHER: -------------------- ----------------7------------------------------------------------------ ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #23655-COZ-24633 (Accy. Shed) INSPECTED BY DATE OF INSPECTION FEB. 27, 1997-Reinspect 3/14/97 MICHAEL VERITY TIME START 10:20 AM END 10:50 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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-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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, 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 - .25-i�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.010, Commercial $15.00 Date . . . . . . . . ..:I.�Q.�.`'� 7. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . II.�� .- �.�sh`I`.q � �91 Location of Property. . . . . .1.`a p . ��. . . . . . . . . . . . . . . . . . J .. . House No. Street Ha et Onwer or Owners of Property..Kay►a.� c4:\ . .T .e -. :�� Q�� .�:�'.�p1h:�: 5� �• .��il�� County Tax Map No 1000, Section. . . . .Yo . . . . . .Block. . . . . .:' . . . . . . . .Lot. . . (R . . . . . . . . . . . . . . . . . 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: $. . . . 10P.Q Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLICANT CONSENT TO INSPECTION the undersigned, O r(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 yor ve. �'cLGQn o u which is shown and designated on the Suffolk- County tax map as District 1000, Section j f 0 Block j 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, 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: Qj -7— _ l� (si nature) print n e) (signature) (print name) ' � • � ' ., : � ate, - , :. - ffi '� G'Mf,�t•vlt,.►'C�t-�t. ,,, � ,. c,�i�'�1�/�/ " /��'d.",�..t5�,{�°.,s�'✓1 . BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6.- z V " a.-,e. number & street municipality SUBDIVISION MAP NO, LOT(s) NAME OF OWNER (s) S Cl • OCCUPANCY type /,> owner-tenant ADMITTED BY: Gy ACCOMPANIED BY: KEY AVAILABLE Vol SUFF.CO. TAX MAP NO. ��/Q -• 2 SOURCE OF REQUEST: �. �'Z. �� DATE: DWELLING: TYPE OF CONSTRUCTION STORIES Z. ## EXITS_ FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND PLR. :Z.� 3RD FLR. BATHROOM (s) Ly ,.; Y TOILET ROOM (s) UTILITY ROOM `- PORCH TYPE_ HECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. aie �. REMARKS: INSPECTED BYP40- DATE OF INSPECTIONq7- �' I /-7 TIME START • ND D �c7