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HomeMy WebLinkAboutZ-19731 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-19731 DATE: February 15, 1991 THIS• CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1400 PRIVATE RD. #18 (HYATT RD. ) SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 1. Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19731 dated FEBRUARY 15, 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 ESTATE OF DOROTHY REISE (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. /Wilding Inspector Rev. 1/81 BUILDI­rG DEPART.IE;iT T0,'h1 OF SOUTHOLD, N. Y. HOUSIM CODE INSPECTION REPORT #18 Location 1400. 'Private Road Hyatt Rd. ) Southold, N.Y. knumoer do street) Municipality) Subdivision Map No. Lot(s) Name of Ow,ner(s) ESTATE OF DOROTHY REISE Occupancy A- 1 (type owner-tenant) Admitted by: Mark Fawley Accompanied by: Same Key available Suffolk Co. Tax No. 50- 1-8 Source of request JOAN FRAWLEY E%ECU•TRI%. OF THE Date FEB. 12, - 1991 DItMLLING Type of construction WOOD FRAME �U 2 ns-tories Foundation CEMENT BLOCK Cellar Crawl space xx Total rooms, 1st. F1 3 2nd. F1 2 3rd. F1 Bathroom(s) 2 FULL BATH Toilet room(s) Porch, type FRONT COVERED Deck e . � type Patio, type_ Breezeway Garage Utility room Type Heat PROPANE FLOOR Warm Air xx Hotwater Fireplace(s) NONE No. Exits 2 Airconditioning Domestic hotwater YES Type heater PROPANE Other PANTRY - ACCESSORY STRUCTURES• NONE Garage, type const. Storage, type const. Swia-aming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Lncation Descrintion JArt. j Sec. FRON OFS HALL BE NTAINED IN A WA CONDITION. (CRAFT I F. SEC. 1242.5 0) I I Remarks: BP #5691-Z Co Z-19062 Inspected by: 1_4/4.,_) Date of Insp. Feb. 14, 1991 y J. Fish Time start 9=05 end 9:20 � aa- yvo � - Form No. 6 5 TOWN OF SOUTH L D 0 D BUILDING DEPARTMENT FIB I 2 ) TOWN HALL � 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD 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 . . � �v.��, . �Z,�. .[ Y.!.YY I.. ':ew Construction. . . . . . . . Old Or Pre-existing Building. . . . , . . • . . . . . Location of Property. 1�.�!����7.`�r. Q Cr�ljT -. . . ...���s /t.. . . . . . . . . . House No. Street Hamlet 0nwer or Owners of Property.&,< js . . . , __ • . • . County Tax Map No 1000 Section. Q 8 Subdivision. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . ... . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . .. . . . . . . . . !1ealth Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . ... . . . . . . . . . . .. . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . i1equest for: Temporary Certificate. . . . . . . . . . x p Y Final Certicate. . � ,; , , , , , • Fee Submitted: $. . .(.�0 . . . . . . . . . . . . . . . . . . . . .S f1gT of ©fib-rHy Bflsd- 6�%Cll . . em c 0 731 APPLICANT CONSENT TO INSPECTION �D*A16R tJG`�Y,A , . ' pp. lundersig ned, Own r(s) RZ- ne(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located ato�Q�. %vhich is shown and designated on the Suffolk- County tax map as District 1000, Section � .Block Lot g 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: E R T i F1 c.ATF ljr, 6G c 0-PAA)G y FDA- 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. 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