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HomeMy WebLinkAboutZ-20942FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20942 Date AUGUST 17~ 1992 THIS CERTIFIES that the building Location of Property 1450 SOUTH HARBOR LANE House No. Street County Tax Map No. 1000 Section 75 Block 7 Subdivision Filed Map No. ONE FAMILY DW~TmING SOUTHOLD ¢ N. Y. Hamlet Lot 1.4 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-20942 dated AUGUST 17~ 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 WITH ACCESSORYGARAGE & STORAGE BARN * The certificate is issued to ESTATE OF GEORGE J. W~LLS (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. *THIS DWELLING IS NON-HABITABLE UNTIL MAJOR REPAIRS ARE COMPLETE Bu~din~ Inspector Rev. 1/81 Location Subdivision HOUZIi:G CODE IUSPECTIOi'I RE?C'RT 1450 SOUTN UARBOR LANE CUTCNOGUE, N.Y. ~ Nap No. Lot(z) Name of Owner(-,)__ ESTATE OF GEORGE I4BLLS Occupancy . I FAMILY_ (type) A~mitted by:_ MARION KING ( own er- cenanz ) Accomp~nied by: SAME Key ~vai!able Suffolk Co. T~ No. 75-7-1.4 Source of request D~,~T ~T~ · ,Type of construction__ FRAME Foundation BEIC~, SO~BLOCK Total rooms, 1st. F1 5 Bathroom(s) 2 Porch, type 2 OPEN ROOFED. Deck, type Breezeway_ Gara~e Type Heat_ 'Warm Air Fireplace(s)_ 2 .~o. ~¢its Domestic hotwater xx Other, _ NORSTAR TRUST CO. ~:X]gCUTOR OF EST. Date_ J~NE_ 22, 1992 ~stories Cellar 10Z Crawl space 2nd. F1 5 5rd. Fl,, . Toilet room(s) Patio, Utility room__ Hotwater 3 Airconditioning Type heater L.P. 2 90~ ACCESSORY STRUCTU-RES: Garage, type coast. 2 FP~%~ _Storage, type coast.(EARNy FRAME Swim, ming pool ., ~uest, type coast. Other ACCESSORY STRUCTURES AREINNEED OF SO~REPAIR V__iOLATIONS: L~cation INTER%OR ' IN'm'~ RTOR 'EXTERIOR .CIIAPTER 45--N.Y. STATE UNIFOIDI FII~{ pREVENTION & BUILDING CODE Description _ ) Sec. CHIHI~YS, FLUES, FIREPLACES GAS VENTS TO BE NATNTAI.NED SAFE. AND .~,~Ok'~TIGET . ~I~ I~ESTATION PRO~CT STRUC~ ~ER E~CTRIC~ SYS~ ~ BE ~I~AI~B IN S~E I L _1 t, 42. I 1242.7 WORKING CONDITION PLIJ~4BING TO BE MAINTAINED IX A SAFE SANIT~qY co mo . 1243.8 1243.7 1244. I (~) I 'i Remarks: ?IS DI4ELLING IS NON-~La_BITA~. UNTIL MAJOR REPAIRS ~ C~. Inspected b~~ ~' Date o~ I~sp. AU~ST 4, 1992 ~O~S j.~IS~ ' .... -Time start 9:00 end 9:30 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ItALL 765-1802 JUL ' APPLICATION FOR CERTIFICATE OF OCCUPANCY .\. 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 "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. i. 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 - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occopancy - Residential $15.00, Commercial $15.00 Date ....... ~PY.~.~FF...t.~P~ ................. ::ew Construction ........... Old Or Pre-existing Building..~ ............. Location of Property..~q~l.l, ~o. ~tJ~ ~IArbp$. Ro~t~I~. Mp~4ap~ ....... House No. Street Hamlet NORSTAR TRUST COffilaANY AS IlX~Cu'~R OF Oswer or Owners of Property .... ~1~. ~TAT~.OF.GIIO~G~.J,.I~J~$,.~S~ ....................... County Tax Map No 1000, Section .... 075 ...... Block ..... ? ....... Lot. 1.OO4 Subdivision .................................... Filed Mnp.~O028 ...... Lot...2 .................. Permit No ................ Date Of Permit ................ Applicant ............................. !lealth Dept. Approval ........... ' ............... Underwriters Approval ......................... i'lanning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... X. ....... [~ee Submitted: .o.f x OF ..................... lgFA/~ OF G~DRG]~/~ ~j, clecoase(1 CONSENT TO INSPECTION NORSTA~ THUST C~PANY AS EX~Cu'kOR OF '&'~ ESTATE OF G~ORGE J. W~.T.$, deceased , th~. undersigned, Oxvnerfs) Name(s) do(es) hereby state: That the undersigned (is) (xinu) the owner(~) of the premises in thc Town of Southold located at HOWELL FAI~, South Harbor R~d, Southold which ~s shox~ and des~n,ated on the Suffolk County t~x map as District 1000, Section 0TS Block 7 Lot 1.004 . 'That ~he undersigned (has) (have) filed, or caused to be flied, mn ~pplicm- tion in ~he Southold Tox~ Buildin~ Inspector's Office for ~he follow~: __ pre-~isting ~ sto~ d~llin~, 2 garages ~d ~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, includin~ any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to tho aforesaid applicz~tion, 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 ~spections, do(es) so x~th the knowledge and understandin~ that any ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or repletions of the Town of Southold. Dated: ~ ' ~ - ~ NOaST~ ~UST C~ AS ~COTOa (si~natuue) (print name) N.q7 1700 ~-, 4o!,9o . 9O 5U I~0ZENSV..I 5OLiTHOLD '~ 456,-/5 2O kl 80~21' I0" F_. 400. O 2-02,552 ~. CALF-.[00" T!~E: V/ATEfC SYJ P ~t_Y Al'IL. $ E WAG E PI L, POC-~AL FACILITIE~ F01¢ ALL LO rD Obi ri-liS VJITI--I tHE -%TANOAI~p¢ AN L) F~E(~J114 PlZO FES~I~N~L 402,9 533'43' DJ' ',',/ THI~ HAP I~ LES~, THAN ~;:)~OQ<) AND THAT i1415 I~/~o WA~ N~IADE ~y L,1S IriS. OM SLI~V~YS CO~qpgF red API~28+Ig~9~AND TNAT COI~CI~I'E LAPPg 17OPi~l~lC~_ VAN I'UYL, RC. APPi~O ¥ i P ,~ THOLI) TOWhJ PCANNI ~G BOAI2D T Y PI~L~CE~$$ POOL