HomeMy WebLinkAboutZ-30292FORM NO. 4
TOWN OF SOLITHOLD
BUILDING DEPA2~TMENT
Office of the Building Inspector
To,~nHall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 30292
Date: 07/08/04
THIS ~:K~TIFIES that the buildin~ DWELLING
(aka 905 Fourth St)
~cation oX Property 16615 NEW SUFFOLK ~JE
(HOUSE NO.)
County Tax Map No. 473889 Section 117
subdivision
NEW SUFFOLK
(STREET) (H~MLET)
Block 0008 Lot 002
Filed Map No. Lot No.
conforms substantially to the Requirements for a Ob~ F~-MILY DWELLING
built prior to APRIL 9, 1957 purs%u~nt to which CERTIFIC3%TE OF
OCCTOP~/~C~I ~ Z- 30292 dated J~3LY 8, 2004
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which uhis certificate is
issued is ONE FAMILY DWELLING WITH COVERED PORCHES.*
T~e ce~tlficate is issued to LEL_nAND BRAb~DES
of the aforesaid building.
(0~fNER)
N/~
Rev. 1/81
(aka ~05 Fourth
LOCATIOn: 16615 NEW SUFFOLK AVE
ACCESSORY STRUCTURES:
~?R 15~"04
10:44~M SOUTHOLD BUILDIMG F~31 76~ 9S0£
Fo?m, ~o, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must bB fi/led in by typewriz~r or ink and subrmt~ed to thc Building Dopa~mant with the following:
A. Fei' new building or n~v ,,se: ]. Final survey of pwperty with accurate location of ail buildings,'properW llne~, streets, and unusual natural or
topographic features.
2. Final Approval from IIealth Dapt_ of water supply and sewerage-diaposal (S-9. form).
3. Approval of electrical instaIlation from Bozed e f Fire Unde. rwritvrs.
,$. Sworn statement t~om plurnb~ certifying that the solder used i~ syd;em contai~ less than 2/10 of 1% le~d.
5. ~mmerc~a~ bui~ding' industa.~a~ ~ui~ding' mu~t~p~e r~sid~n~es and skn~a~ bu~ldmg~ and j-nst~ati~ns° a ~erti~te
~f Cod~ Complgan¢¢ fl~m a~ixitect or englne, er reaponsih [e foe the b~]i!d~g.
6. ~ubnnf Pl~nmng P. oard Approval of completed site plan requ[rcnx¢~de.
For expiating buildings (print to April 9, 19~7) non-eonformigg uses, or buildings and ~'pre-exisfing" land uses:
l. Accurate sur~ey of property showing all property line~, streets, building and unumml llatl.wal or topographic
[eatures.
2. A properly completed application and eol~ent to inspect signed by thc app/ic~at. Ifa Certificate of Occupancy is
den~vd, the Building Inspector- shall state [he reasons therefor in writing to the appEc~'mt.
C..Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Ait~'ations to dwelling $25 00,
Swimming pool $25 00, A¢¢esxory building/25.00, Addltior~ to accessory building $25.00, Bmqineas~a $50.00.
2. Ccrrillca[e of Occup~'~ncy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- 5.25
4. UpdatodCertit~eate of Occupancy- $50.00
5. 'rempoxary C~rdticm'e of Occupmmy - Res/dent/al $15.00, Commm~ial $15,00
Date. April 15, 2004
Nevi Constmciion: Old or Pre-existing BuildLag:
Location el'Property: 16615 Main Street
X
(ohackone)
New Suffolk
Owner or Owners of Prope~y: . Le_land G. _Brandes
Suffolk County Tax Map No 1000, Section 117
Sub rlivision
Pm~cd~ No.
Health Dept. Approval:
Planning Board Approval:
Ke, qu¢~.t ~:or: femporary Ccl~ificaCe __
Fee Submitted: $ 100.00
Date of.[~errmL
Block 8 Lot
Filed Map. Lot:
Applicant: Leland G. Brendes
Und~lxvrit er~ Approval:
2
Final Certificate: x (check one)
b/ ( Applicant
LELAND G. B~DBS
CONSENT TO INSPECTION
Leland G. Brandes
Owner(s) N ae(s)
, the undersigned, do(es) hereby state:
That flue tmdersigned (is) (are) tho owner(s) of th; premises in the Town of
$outhold, located at 16615 Main Street '
which is showu ~I desig~a£ed on the Suffolk Comity Tax M~? ~s Distri~. 1000,
~cction 117 _, Block 8 , Lot 2
That the, undersigned (has) 0aave) filed, 9r cause to be filed, an spplication in tho
Southold Town 'Building Luspeetor's Office for the following: Pre-existing
Tha; the undersignod do(es) hereby ~ve consent to the Building Iv_specters of fire
Town of Soutnold to ~ntcr upon the above described property, ineluding any and all
building~ located fiaor~on~ to conduct suoh inspections a~ thor may de~rn necessary with
respect to the a'£ore~0Jd application, including inspections to de,ermine that said pretnises
comply with al? of.~ho laws~ ordinances, rules and regulations of the Town of Southold.
The undersiDaed, in consmfing to such inspections, do(es) so with th= knowledge
~nd understm~dm~ ti~at 0a~y in~brmat/on obtained in the conduct or,eh inspections may
be used in suhsoquen~ prosecutions for viola~iox~5 of thc laws, ordin0xic~s, rules or
xegulafions of the Town of Southold.
(Signature)
~elanfl G. Brandes
Name)
(Signature)
(Print Nmn¢)
L¢¢
5outh Winclso -, CT o 5o7+
Michael d. Verity - Chief Building Inspector
SotrLhoM-'~oww Ha ,P
53095 Route 25
P.O. Box t179
Sauf. balcL, Ne~ Yc~k 11~)71
De~r Mt: Verity
As per our telephone conversation of Thursday May 27th, I am writing this letter
, to inform you that the barroom in my house ~ 905 FouH~ Street ir~ ~ Suffaik
was not modified since my mother bought tho house in 1965. The fixtures wore
changed in the intervening' period, but pl~ced in the s'ame spot as they'were
originally.
t am also enslosing my check in the amount of $300.00 (Three Hundred Dollars)
payable to the Town of SoLKhold. This is the application tee for the deck that you
and. [ discussed.
Sincerely,
Lee B rondos
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS.~ULATION
[]FRAMING [~"~NAL~.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR