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Home My WebLink AboutZ-20571 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-20571 Date MARCH 6, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location. of Property 132.5 SMITH DRIVE NORTH SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 2.5 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-20571 dated MARCH 6, 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 The certificate is issued to WILLIAM P. & JEAN N. RILEY (owners) 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 BUILDI::G DEP:,;T:-=iT T0,•+ii OF SOUTHOLD, N. Y. HOUSI:<G CODE Ii•iSPECTION REPORT Location 1325 SMITH DRIVE NORTH SOUTHOLD, NEW YORK �numDer (5< s tree z) �Viun.Lcipaiity) Subdivision Map No. Lot(s) Name of Owner(s ) WILLIAM P. RILEY & JEAN N. RILEY Occupancy A-I RES. OWNER (type) owner-tenant) Admitted by: DAN SMITH Accompanied by: SAME Key available Suffolk Co. Tart No. 76-2-2.5 Source of request JANE NELSON RILEY Date FEB_ 19, 1992 M=LING: Type of construction WOOD FRAME 1-1/2 r, stories Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. Fl 4 2nd. Fl BALCONY 3rd. Fl Bathrooms) 1 FULL BATH. Toilet rooms) Porch, type Deck, type Patio, type_ Breeze:•iay Garage Utility room Type Heat OIL 'alarm Air XX Hotwater Fireplace(s) ONE No. axits 2 Aircor_ditioni ng Domestic hot-water YES Type heater ELECTRIC Other ACCESSORY STRUCTURES:' NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE .Lncation Description lArt. 1 Sec . Remarks: BP #3081-Z CO Z-2548 . Inspected by: Date of Insp. FEB. 127. 1992 GARY FISH Time start 9:25 end 9:45 IjForm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL _ 9 765-1802 " _ BLDG. DEPT 4 ^ TOWN OF SOUTH.OLD- 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 a 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. ® 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 . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . ��Old Or Pr -ex xii 1s _ting Building. . V . . . . . . . Location of Property. . . . . 11 . . . . . . ��9d 1. :!. . . 1��.°1�A. . . ./• o� 714. . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Qw.ner_s of Property. . . . . . . . .i "f. . `1i,�,J �.w, , � :��I . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . 1' . . . . .Block. . . . X. . . . . . . . .Lot `. . . . . . . . . . . . . . . . Subdivision. . .! -e' . . . . . .Filed Map.#-.l�E? .Lot.-ge6 . . . . . . . Permit No. ..... ... ... . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.,:': `: . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . ... ..:. . . . . . . . . . . . . . . .Underwriters Approval.`.. . . ... . . . ... . . . . . . . . . . . . Planning Board Approval. . . . . .... . . . . . . . . . . . . . . . Request for: Temporagy Certificate. . Final Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . ��.��l. . . . . . . . . . . . . . y'3 . . . . . . . . . . off° . . . . . . . . . . . . . . . . . . . co-u 0:5-) J APPLICANT CONSENT TO INSPECTION a'\4" v the undersigned, Uivner(&) Name(.!-) do(es) her state: That the undersigned (is) (are) the.owner(s) of the premises in 'the Town of Southold located at %vh-ich is shoiIvn and designated on ;the Suffolk County tax map as District loon, Section Block _�. Lot � ,„� • That the undersigned (has) ' ) filed, or caused to be filed, an applica- tion in the Southcld Torn Building Inspector's Office for.the following: Ce TP That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information. obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations. of the laws, ordinances, rules or regulations of the Town of Southold. Dated: — 1 % (signature) (print name) (signature) (print name) G. of NE y o v� G � VV Jv �i + r irtt72 nick(, f�r-'� l y / SUC2V�`1t'�EgD r-L.�erG c+ 2 '�• �o �- -�� ` - { �"? tS 256 JQJ� e J c � b��»� >. _� ®LAND`' r ° fll �i• f`1'j �� rr�r !� —/5,Q G%Ca� e5_�;_ 'l:\ CSC_�r•I-�� - ..-- ------ ---- ---- jr�• __. j[f . X. f p0�� tin hr thof; �,alter nor / •a j z��?t'I tot s.s!a. , - xtio ace tto f on• Pv°s that lVaw n of R e_-.. - �$---- !D O t -- 0 of .aria Laar. Yo*Strut (� '�{� CG i ✓.� S.HO ,W GJr�i.�,J� f}6S 0 ' "he land th'$a uI ev,r s inked not a-rIRB O ®^�tsoss a sh,•, s8ai o _ _ °&half not be considered (-� } ` / p l r•r -r-- (n to a'alyd Truo aapy, :�i Y c'S , CJ /Guaran esS in3icz2.y only to the person far hereon sira♦1 is Prep r,,t,and wham the su Vve co on his i?ehaif - ivthe ----- -----------_-_. _ lendan ..''t.'' t3a.ornrneitalaaAr'�•an -- --in ""Von I;sted d tha� !'Haas horn End � _ ssi; of the Ian�+i tur°on.,GU rantoesar® °nsfi- ! '�� : LC7 iturrlr5 7�atti'tr rE? 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