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HomeMy WebLinkAboutZ-26755FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26755 Date: 10/27/99 THIS CERTIFIES that the building ACCESSORY Location of Property 355 HOBSON DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 0006 Lot 025 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Requirements for a A(~S(~k~h'~'l~ built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26755 dated OCTOBER 27, 1999 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 ACCESSORY NON-HABITABLE GARAGE * The certificate is issued to WILLIAM WYCRE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LAUREL MAP NO.: -- LOT (S) -- WILLIAM WYCHE ACCOMPANIED BY: KEY AVAILABLE: SUFF, CO. TAX MAP NO,: 122.-6-25 SOURCE OF REQUEST: ABGAIL WICK~. ATT~ DATH: 10/27/99 TYPE OF CONSTRUCTION: WOOD FRAME CEMENT CELLAR: 1.0 0,0 FOUNDATION: TOTAL ROOMS BATHROOM (S) PORCH TYPE: BREEZEWAY: DOMESTIC EOTWATER: TYPE HEAT: 2ND FLR.: O TOILET ROOM(S): . .. DECK TYPE: FIRE Pf~CE: TYPE HEATER: ** WARM AIR: HOTWATER: OTHER: **~QT WATER HEATER IS NOT IN WORKING ORDER. STORIES: I,Q # EXITS: CRAWL SPACE: 3RD FLR.: O UTILITY ROOM(S): PATIO TYPE: GARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONST,: GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. ! sEC. NOTE: THIS STRUCTURE IS AN ACCESSORY GARAGE WITH FULL BATH AND KITCHEN SINK, REFRIGEMATOR NO STOVE. DATE ON INSPECTION: 10/12/99 TIME START: 10:30 END: 11:00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 exksting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building.~..~.~.frame garage 355 Hobson Drive, Location of Property ........................................................ House No. Street Hamlet Onwer or Owners of Property..~.~:.~Y~? ................................................ County Tax Map No 1000, Section...~ ........ Block...~ ............ Lot..~ .................. Subdivision ........ Filed Map Lot .................. Permit No ................ Date Of Permit ............. . .. Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate...x. ....... PPLI NT Abig~l A. Wic~am, ~s~q., Agent WILLIAM L. WYCHE CONSENT TO INSPECTION · 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 355 Hobson Drive, Mattituck, New York 11952 · which is shown and designated on the Suffolk County tax map as District 1000, Section 122 , Block 6 , Lot 25 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: Pre- Existing Use Certificate of Occupancy for detached frame garage. 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 [n the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) Abigail A. Wickham, Esq., agent (print name) seoJ shall n~t be considered to be a valid cony ~erson to, whom the su vey is p enar~ . ~-~.:,ru? on,y to the SURVEY FOR REFERENCE WlLLI~U L.8 F~NNY E. WYCHE AT MATTITUCK TOWN OF SOUTHOLD eUARANTEED TO, SUFFOLK COUNTY~ ~N, ~ ' 5gcuR~TY TITL ~ ~ GUARANTY COMP~Ny SOUTHOLD SA~ ~NGS BANK. SCALE ~ I":~0' MARCH 2, 1971 : ~ULY S, 1977 L 4ND ~URVEYOR