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HomeMy WebLinkAboutZ-20916 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Zi-20916 Date AUGUST 6, 1992 THIS CERTIFIES that the building ONE FAMILY.DWELLING Location of Property 802 MAIN ROAD LAUREL, N.Y. House No. Street Hamlet County Tax Map, No. 1000 Section 127 Block 2 Lot 6.1 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-20916 dated AUGUST 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 UNHEATED ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME GARAGE The certificate is issued to CARMINE RUFRANO (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. Bui ding Inspector Rev. 1/81 BUI�T..+L 1:'itl Dr,P:uRl.•L,iT TM-RP1 OF SOUTHOLD, ,N. Y. HOUSI7'4G CODE INSPECTIONREPORT Location 802 MAIN ROAD LAUREL, N.Y. (number & street) (i-iunicipaiity) Subdivision 'Kap No. Lots) Name of Owner(s ) CARMINE RUFANO Occupancy A-1 Residential (type owner-tenant Admitted by: JOHN LUHRS Accompanied by: SAME Key available Suffolk Co. Tax No. 127-2-6. 1 Source of request JOHN LUHRS Date NOV. 20,1991 DWELLING: • Type of construction BRICK Ts tories ONE Foundation CEMENT BLOCK Cellar No Crawl space Total rooms, lst. Fl 2nd. F1 3rd. F1 Bathroom(s) ONE Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. WOOD FRAME Storage, type const. Swi�n,ming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description I Art. l Sec . i Remarks: BP #20284 CO Z-20917, BP #18741Z CO Z-20437, Z20438 & Z-20439 Inspected by• i` Date of Insp. NOV. 6, 1991 G ISH Time start end Form No. 6 c,". +.- `Y_i z•.�.`.,fl,� R, 1~��'�t` TOWN OF SOUTIIOLD BUILDING DEPARTMENT NOV TOWN HALL 765-1802 _ — BLDG. 1.3FP'T. T0VVN OF SOU T HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY +. This application must be filled in by typewriter OF, 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. 3. 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 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 ® p Date . . . . . . . . . . . . .�...� New Construction. . . . . . . . . . Old Or Pre-existing Building.l. .�¢��. . Location of Property. . . . . .jf.�. . . . . . . . . . . �.;�rvr0 . . 2C?-�.�. . . . . . . . . .�.'�:v . . . House No. �; Street Hamlet .<.e r. Unwer or Owners of Property. . ,L;: . . �:: I, 1. . . . /�. , . . . . . /�. .( . .r ? , County Tax Map No 1000, Section. . .1 29. . . . .Block. . . . . . . . . . . . .Lot. . . . . .. . . . . . . . . . . Subdivision. . . . . . . . . . . . 11: . . . . . . . . . . . . . . . . .Filed Map. . . :�. . . .Lot. . . . .. . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . (request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . /-Q- o L)w"11 Pee Submitted: $:..A:9 0 d,; . . . 4qsl�- . . .,q . . . . . . . . . . . . . . . Q- CO �aQ 9 I(o APPLICANT .�C h M .. d.. V A 2._S' CONSENT TO INSPECTION c 1n nn iYv the undersigned, Owner(s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at � which is shown and desic�ntizited on the Suffolk: County tax map as District'1000, Section Block L Lot , That the undersigned (has) is ) filed, or caused to be filed, an applica- tion in the Southold Torn Building Inspector's Office for the following: 0� 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 lags; 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: 7� (signature) 0d HIV (print name) 7 fit- V-7 (signature) (print nacre) 1 A �- �1 . NOON■■ MEN MEMMISMI . . � , :-:<<� .. �,� .. ►.' � NOON■■■ ■■■■■■■■■ ■■■■■■■■■ " , '� `� �•.,,r1}.l NONE■■ ■■MEMO■■■■■■■■■■■■■ 1OMEN MMMMEMMMMMEEEMMMMMM NONE M y NOON■■ ■■■■■■■■■■■■■■■■■■■ ME■EM ■ /INAME■NE■NEE■EEMEME M■■N■■N ■■EEN■MM■EN■ME■EME■ NONE No ■MMNNEMMAN■■■■■OEM■ µQ1 M■MMM■e ■Nr■■NNE■■■■■■■■MMM ■■ME■■■ ■M■M■■■MM■ME■■■■E■■ MEM■M■M NE■NN■■■N■■■E■E■■■■ : .. Foundation Basement Ext. Walls Interior Finish Fire Place Type Koof Rooms 1 stFloor Recreation Room Rooms 2nd Floor - D. - - TOWN OF SOUTHOLD PROPERTY RECORD CARD - 16 OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. I S W TYPE OF BUILDI/N/G t ) L 0 l P, i_.IC_ !t �.� / /r� 1� D _yL_ L4. •i / Q^` �•..- 'r�(. RES. © SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS o " 25� y f ( r cPuf'-u DO Db0 AGE BUILDING CONDITION / 'n 7 � i' 'i;`li becif Fjc . .`; '✓1 '1 �a11r'va1';on5 ' r�5,..pLC) , NEW NORMAL BELOW ABOVE rya ha &,=7 FARM Acre Value Per Value Acre �9 90 -�� 8 if / -C' %; I fer-C f ir) Yi-;.4gc��aa e 4. C0/1;�r Tillable 1 0� -COOL SAME — po p Tillable 2 .Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot l ire @_ L ''�( S v DEPTH BULKHEAD Total DOCK