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Home My WebLink AboutZ-25294FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25294 Date OCTOBER 2, 1997 THIS CERTIFIES that the building Location of Property 2200 SROADWATERS ROAD House No. Street County Tax Map No. 1000 Section 104 Block 9 Subdivision Filed Map No. OWE FAMILY DWELLING UuTCHOGUE, N. Y. Lot Lot No. Hamlet 14 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25294 dated OCTOBER 2, 1997 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 OWE FAMILY DWELLING WITH ACCESSORY GARAGE, WOOD STO~AGE BUILDING & UN~EATED GUEST COTTAGE (NO KITCHEN) * The certificate is issued to MARY JO VERITY & ORS. (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 ~E~T. Buildin~ I~spec~ Rev. 1/81 // BUILDING DEPARTHENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2200 BROADWATERS ROAD (number & street) SUBDIVISION NAME OF ONNER (s) l~dl¥ JO VERITY & ORS CUTCHOGUE, ~l.Y. 14AP NO. (municipality) LOT(s) OCCUPANCY (type) ADHITTED BY: I~ARY JO VERITY KEY AVAILABLE SOURCE OF REQUEST: F~RY JO VERITY (o~ner-tenant) ACCOMPANIED BY: SA~E SUFF.CO. TAX HAP NO. 1000-10~-9-14 DATB: SEPT. 17, 1997 WOOD FRAI~ DNELLING: TYPE OF CONSTRUCTION FOUNDATION CF2~NT BLOCK CELLAR 1/2 TOTAL ROOHS: IST FLR. 6 2ND FLR. 3 3RD FLR. BATHROON (s) 2 TOILET ROOH (s) PORCH TYPE FRONT SCREEI~ED PORCH BECK, TYPE BREEZENAY FIREPLACE ORE DOHESTIC HOT~/ATER YES TYPE HEATER OFF BOILI/R TYPE HEAT OIL WARHAIR OTHER: KITCHEN P/~T~Y STORIES I-!/2 [ EXITS 3 CRANL SPACE UTILITY ROOH PATIO GARAGE AIRCONDITIONING HOT~/ATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD STORAGE, TYPE CONST. WOOD BUILDING POOR SBAPE SWlI~4ING POOL , GUEST, TYPE CONST. U~HEATED, ~ BATH, OHE LARGE ROO~ FOR SLEEPING, NO KITCHEN AS PER CO Z-5470. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~!67-CO Z-178(ALT & ADD TO DWELLING) BP ~5103 CO Z-5470(ALT ACCY BLDG.) DATE OF INSPECTION SEPT. 30, 1997 TII~IE START 10:30 AM END Il:00 AM Be TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.. p ?p~.m.~? f ..~7. ~ ..1~.%7. .................. New Construction ........... Old Or Pre-existing Building..,.~ ............ 2209 ~ogdEat~s Road Cutchoque Location of Property ......................... % ........................................ House No. Street Hamlet Onwer or Owners of Property.~.~? X~r~' Alan Bailey 9~ David ~ County Tax Map No 1000, Section..~A{~P... . .Block. .9P:~.q . ..... . . Lot.. ...0l~:p~q .......... . Amended Map A of Nassau Point. ~156 ~, P/O 265 9~ 296 Subdivision ......................... .. . . . . ... .. Filed Map ........................ . ....... Permit No ................ Date Of Permit ................ Applicant ............................. · Underwriters Approval Health Dept. Approval ................................................. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. X Fee Submitted: .................... CONSENT TO INSPECTION MARY JO VERITY · the undersigned, Owner(~) Name(s) do(es) hereby state: one of the That the undersigned (is¥(arc) tane-owner(s) of the premises in the Town of Southold located at 2200 Broadwaters Road~ Cutchogue~ New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 104 , Block 9 , Lot 14 . That the undersigned (has) ('have) filed, 'or caused to be filed· an applica- tion in the South01d Town Building Inspector's Office for the following: __ Certificate of Occupancy on Pre-existinq Buildinq 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 17~ 1997 , .3~gnatur e) ~ Mary Jo Verity (print name) (signature) (print name)