HomeMy WebLinkAboutZ-18738 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z718738 Date JANUARY 25, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 5.55_NORTH VIEW DRIVE ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 13 Block 1 Lot P/o 10
MINOR
Subdivision DOROTHY ROBERTSON Filed Map No. 8874 Lot No. 2
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9,. 1957 pursuant to which
CERT. OF OCCUPANCY. #Z-18738 dated JANUARY 25, 1990
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 DOROTHY L. ROBERTSON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
Building Inspector
*SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
BUIT DI',•;G DEPARTHENT
' T01.11\1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 555-_NORTH VIEW DRIVE ORIENT, N.Y.
number. & street) 14unicipality)
MINOR Subdivision DOROTHY L. ROBERTSON Map No .#8874 Lot(s) 2
Name of Owner(s) DOROTHY ROBERTSON
Occupancy R-40 OWNER
(type) (owner-tenant
.Admitted. by: DOROTHY .ROBERTSON Accompanied by: SAME
Key available Suffolk Co. Tax No. 13- 1- p/o 10
Source of request DOROTHY ROBEkiS-ON Date JAN. 5, 1990
DWELLING
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar 1/4 Crawl spac.e374
Total rooms , 1st. F1 6 2nd. F1 3rd. F1
Bathroom(s) 2 Toilet room(s) 1
Porch, type Deck, type over garage Patio typein rear
Breezeway Garage 2 car Utility room in basement
Type Heat oil 'alarm Air Hotwater
Fireplace(s) Ii.ving room No. Fxits 4 Airconditioni ng
Domestic hotwater electric Type heater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLAT IO'L\1S _CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Lncation Description Art. ++� Sec.
Remarks
Inspected by: Date of Insp. Jan. 19, 1990
Gar . Fish Time start1o:30 am end 11:00 am
a ,
TOWN OP SOUTHOLD
BUILDI
NG DEPARTMENT D f !
TOWN HALL f
SOUTHOLD, NEW YORK 1 197 1 BLDG. DEPT.
�
765 — 1802 TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. . .1/��90 . - - . . . . . .
NEW CONSTRUCTION
.OLD OR PRE—EXISTING BUILDING_ . X. . .VACANT LAND. . . . .
Location of Property.55_5 YORTHij_ Viear.DR V$_Orien - - _ . - -
HOUSE NO_ STREET . . . . . . . . . . . . .
- • • - - - - • •
HAMLET
Owner or Owners of Property„ DOROTHY L. ROBERTSON- - - - - - - - - - - - - - - - - - - - - - -,- - - • - . -
County Tax Map No. 1000 Section ,013- - . Block _ _ . 0J_ _ Lot- PZ9 .10
Minor Subdivision for -
Subdivision_Dorothy L: Robertson
. . . . . . . . . . Filed Map -Y1$876- - -Lot_ . #? . . . . . .
Permit No. - - - - - - - - - -Date of Permit R dol
. . _ . . . - . . _Applicant 1�. Fh.$•. jBl'L1eT . . . .
Health Dept. Approval , _8/21/89 . . ... . . . . . .- - - - . . . Underwriters Approval . . .: . . . . . . . . . .
Planning Board Approval . . .
Request for Temporary Certificate
Final Certificate - - - - - - - - . -
Fee Submitted : $ - _UT.00. . . . . . . . . . . . . .
APPLICANT
(. ...'R U: . . . . . . . . . . . . . . . . . . . . . . . .
udol h H. B er
rey- 10/ 14/88
CO v2A .
FORM NO. 6
TOWN OF SOUTHOLD
v.y BUILDING DEPARTMENT
TOWN HALT
765 - 1II02
APPLI•CAT10N�'FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings 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 of 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 solder used in system contains less"
than 2/10 of lz lead.
5. Commercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the 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:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings'or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall--be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of ,the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - 'Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00_
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00 ,.
6. Temporary Certificate of Occupancy - $ 15 . 0:0 Residential
Commercial
i
• ev_ 10/14/S8
CONSENT
TO
INSPECTION
DOROTHY L.° ROBERTSON the undersigned,
Owner(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 600 South View Lane, Orient, N.Y.
which is- shown and designated on the Suffolk
County tax map as District 1000, Section 013 , Block 01 Lot p/o 10
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:
Application for Certificate of-occupancy on pre-existing dwelling G
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: January 5, 1990 ,
signature)
Dorothy Lewis Robertson
(print name)
(signature)
(print name)
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