HomeMy WebLinkAboutZ-20219 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-20219 Date SEPTEMBER 13, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 70 MECHANIC STREET SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 4 Lot 33
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-20219 dated SEPTEMBER 13, 1991
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 AUDREY REINHARDT
(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.
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 70 EAST MECHANIC STREET SOUTHOLD, N.Y.
number & street (municipality)
Subdivision Map No. Lot(s)
Name of Owner(s) AUDREY REINHARDT
Occupancy A-1 RES. OWNER
type tuwner--tena.nt)
Admitted. by: AUDREY REINHARDT Accompanied by: SAM
Key available Suffolk Co. Tax No. 61-4-33
Source of request WILLIAM H. PRICE' ATTY Date SEPT..A, 1991
DWELLING:
.Type of construction WOOD FRAME 1-1/2
yp stories
Foundation CEMENT BLOCK 6 BRICK Cellar FULL Crawl space
.Total rooms, lst. Fl 3 2nd.. F1 2 3rd. F1
Bathroom(s) 1 FULL BATH Toilet room(s)
Porch, type Deck, type Patio, type�
Breezeway Garage NONE Utility room
Type Heat OIL `alarm Air Hotwater Rg
Fireplace(s) ONE No. Exits 2 Airconditi.oning
Domestic hotwater Type heater OFF THE BOILER
Other LARGE CLOSET 2ND FLOOR
ACCESSORY STRUCTURES: NONE .
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Remarks:
Inspected by: _ c Date of Insp. SEPT. 12, 1991
G . FISH Time start 9:30 end 9:50
.» 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . , , , September. 5.,. .1991 _
':ew Construction. . . . . . . . . Old Or Pre-existing Building. A , , , , , , , , . . .. . . . . . . • .
Location of Property. . 70. Mechanic. Street, Southold, New York
House.No. . • . . Street. . . . . . . . . . . . . . . . . .Hamlet. . . . . . . . . . . • .
0nwer or Owners of Property. . . . AudreX .Reinhardt • . . • . . . . . . . . •. .. • . . • . • • .
. .
County Tax Map No 1000 Section, , , 061 . . . . . . .Block. 04. . , , , , , , , , , ,Lot. , , . . 033. . . . . . . . . . . . .
Subdivision. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . .. .. . . . . . . . .
Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
tequest for: Temporary Certificate. . . . . . .
. . . . Final Certicate. .X, , , , , , , ,
Fee Submitted: $. . . .J.RQ I Vp. . . . . . . . . . . . .. . . . . .
�r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . .
(5�tk CX APPLICANT
CONSENT
TO .
INSPECTION
William H. Price, - Jr. ,
0 w(s) Nume(s) the undersigned,'
do(es) hereby state:
attorney for' the
That the undersigned (is) (are) the/owner(s) of the premises in the Town
Of Southold located at 70 Mechanic Street, Southold
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 061 Block 04
, Lot 3 3
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspectors Office for the following:pre existing certificate of occupancy for a one and one-half
story frame house
------------
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: September 4, 1991 •
(signature)
William H. Price, Jr.
(print name)
(signature)
(print name)
At
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