HomeMy WebLinkAboutZ-30952FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 30952
Date: 05/31/05
THIS CERTIFIES that the building DWELLING
Location of Property 2070 HYATT RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 050 Block 0001 Lot 001
Subdivision 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
OCCUPANCY NUMBER Z- 30952 dated MAY 31, 2005
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 ACCESSORY GARAGE*
The certificate is issued to BONNIE BAU~L~N
of the aforesaid building.
(OWNER)
SUFFOLK COUN~"f DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'~'~u3
N/A
N/A
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
LOCATION: 2070 HYATT RD SOUTBOLD
S~I~ISION: W~EP NO.: LOT (S)
NA~ OF O~ ($): BONNIE BAUMAN
O~ANCY: SINGLE F/d4ILY DWELLING
A~ITTED BY: BONNIE BAUMAN
DATE: 05/31/05
TYPE H~T: OIL ~FAR~ ~-IR: XX HOTWATER:
OTHER: LOWER LEVEL 3 NON-HABITABLE ROOMS **WASHER & DRYER
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE b/~IFOPJ4 FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTIOD AP.T. SEC.
R~: BP#15505Z-COAZ19086(ISP DECK&BCTTUS;BP#14022ZCOZ15442{DECK;
BP~;31130-~7-C,0Z-3095 I-(ALT ~ITABLE ~)
1'OUH OF SOUTIIOLD I ~ ~,_~.__~..-: ' "' - ~:',
765-L002 ' i ~
. ~PLICATlON fOR.CERTIFICATE OF 0CCUPAUCY~ .~,~v?.',.L_~~--~
Thi~ application' must be filled in by bype~riter OR irk'sod submitted bo cite buiidii~g
Inspector wi~h ~lle [ollo~in~l fur ne~ building or ney use{
Flndl sOrvey o{ property yith ~ccOr~bu ioco~io,t of nil building94 propect~llncs{
Final Approval [toro I[ealEh Depbt' o~ BaLer supply uztd sewerage-disposal(S-9 [o~);
Approval of electrical iustallnbimi'from Board of FLea UnderwriCn~a{
le98 thatt 2/i0 of lz lead~ "
5, Commercial buildtng~ indus, t~iai building~ mdltip~e residence9 aud s~utiar buUding~
and ins~allationsl a 'cecb~Eicake of Code Compliance from: architec~ or ecg{ruer
respons{ble for the buildtng~ '
6~ Submit Plauning Board Appcova~ of completed site plau requirements;
For ~xfsting buildings (prior to April 9~ i957) non-conforming useh~ or buiid~g~ .ed
I'pre-existing'~ land USeSi
~, Accurn~a survey el property sho~ing ali property lines} ~CreeCs, building m,d., ~..
re{usual ,a:u~al or topographic ~ea~es~
2.' A properly completed application ned n consent to inspect signed ~y' ci~a upplicuuc*
If a Certificate o~ Occupancy is denied~ the Building Inspector she. Ii state th~
r~ason9 therefor iu writing to th~ appliuankt
C&
Certificate of Occupancy - [{eW dwelling $25,00{ Add£tions to dwellihg $25.004
· ^iterntio{ts to dwelling $2)~00~ SOl{tuning pool $2~00~ ~ccessory bulid{i~g $25~00,
Additions to accessory building ~25~00~ BUsinesseS ~50.00,
~ertificate of Occupancy on Pre-existing Building - $[00.00
Copy of Certifica~e o~ Occupancy - ~5.00'&ver 5 years ~
Updated Certificate of Oecapaney -
'femporary Certificate of OccUpancy - Reeidee~ial ~15.00~ Conunercial. ~t~.O0
flew Constructiod, , · { , , ,, , , , old Or Pre-exis~tng uuildit,g. ,, ~:~, ~ ~.~. · ~, ~, ~ , ,
Loci, cio,, of Property,, ,,,,,,,, ,,,, ,. ,,,,,,,.,,,,,,
· HoUse ilo. Street }jlzmie t
Bonnie Bauman
· 050.00 . 01.00 001.000
bdi(,i '
ReqUest for*. ,Temporary Certificate~{~{~{*~*{. 100.00 '
AI'PLiCA~ff
William H. Price; .Jr. ''
William H. Price,
CONSENT
IIqSPI~cTION
Jr., as agent for Bonnie Bauman,
the undersigned.
Owner(s) lq:mae(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Sou,hold located at 2070 Hyatt Road
, which is shown and designated on the Suffolk
County tax map as District 10013, See£ion 050-0,0Block 01.00, Lot 001.000
That the undersigned (has) (have) filed, or caused to be filed, an applier[-
tiaa in the Sou,hold Town Buildings, Inspector's Office for the followin[~:
Pre-Certifi'cate of Occupancy
That the undersigned do(cs) hereby [live consent to the Buildinf Inspectors
o[ the Town of Sou,hold to enter upon the above described proper~y0 includinf~,
any and all bulldlntls located thereon, to conduct such inspe6ttons as they may
deem necessary with respect to the aforesaid application, including iospections
to determine that said premises comply with all o[ the Itu%vs. o~'dlnanees, rules
and regulations 9f thc Town of Sou,hold.
The undersigned, in consenting to such inspections, da(es) so withtl,e
knowledge and undePstanding that any information obtained in tile conduct of
such inspections may be used as c%,£dence itl subsequent prosecutions for vio-
lations of tile laws, ordinances° rules or regulations of the Town of Sou,hold.
Datedi Ap?ii 20,' 2005
William H. Price, Jr.
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