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Home My WebLink AboutZ-29536FORN NO. 4 TOWN OF SOUTHOLD BUILDING DEPA/{TMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29536 Date: 06/24/03 THIS CERTIFIES that the building DWELLING Location of Property 2130 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 0009 Lot 013 Su/odivision 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 (~C~OPANCqfNL~BER Z- 29536 dated JLrNE 24, 2003 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.* · ~ne certificate is issued to HOWARD R MEINKE ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF H]F~%LTH ;%PPROV/kL ELECI~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT]~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 2130 BROADWATERS RD ~ OF O~ (H): HOWARD R MEINKE (~CWPAN~"f: SINGLE FAMILY AD~I-i-r~BY: EOWARD MEINKE CUTCHOGUE MAP NO.: LOT (S) HOWARD R MEINKE F~ A%r;~I~I~: SI]FF. CO. TAX ~ NO.: 104.-9-13 SOI]HCE OF REQUEST: HOWARD MEINKE DATE: 06/24/0_3 DWELLING: ~[PE OF C~3NST~UCTION: WOOD FP~E EOnNDATION: CEMENT BLOCK DECK TYPE: LOFT ON SECOND FLOOR PATIO TYPE: BRICK PATIO ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. THERE IS AN "AS BUILT" DECK AND HOT TUB ADDITION TO THIS HOUSE. THE OWNER IS IN TRE PROCESS OF OBTAINING A VARIANCE FROM THE ZONING BOARD OF APPEALS FOR THE DECK AND HOT TUB. ONCE THE VARIANCE HAS BEEN APPROVED THE OWNER MUST APPLY FOR THE BUILDING PEP. MIT. ~: BP#1622 ~LDD COZI~08; BP#14955 ADD COZ24559 BI~2949~/Porch & Bathroom alteration ~0Z_29534 TOWN OF SOUTHOLD TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Co~nmemial 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 Plarming 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Q_~ / ~ o House No. Owner or Owners of Property: ~'-/~.~/9~ff~ Z~> //~ Suffblk County Tax Map No 1000, Section I a' ,~-- Block Old or Pre-existing Building: _ ~ (check one) Street Hamlet Lot / .¢~ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) ~//Applicant Sign~u~re CONSENT TO INSPECTION ~/O~4//4/~2]~ /]~ fl//&~A//~-~ , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are~) the owner(s).of the prmn~ises in the Town of Southold, located at ~ [ ~ O ]~/~O~P 14/~ 5 /~ which is shown and designated on the Suffolk County Tax Map as District 1000, Section ! t~ ~,Block ~ ,Lot !~ . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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, roles 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 in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. / ~/'~, (Signature) ~.. (Print Name) (Signature) (Print Name) LOT 265 'd . // LOT NUMBERS ARE REFERENCED TO "AMENDED MAP ,4 OF NASSAU POINT" FILED IN THE OFFICE THE SUFFOLK COUNTY CLERK ON AUG 16,1922 AS MAP NO t56, OF SURVEY FOR HOWARD ME/NKE AT NASSAU POINT TOWN OF S OUTHOLD SUFFOLK CO)UNTY, N, Y. I000- 104 - 0~9- 12 8~ 13 SCALE. ~1"= 30' MAY /3,, 1986 N.YS. LIC. NO. 49618