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Home My WebLink AboutZ-31466FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31466 Date: 03/03/06 THIS CERTIFIES tb~t the building ACCESSORY Location of Property 1200 BROADWATERS RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 0009 Subdivision Filed Map No. -- Lot No. -- confo~ms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC~U-PD/qC"fNUMB~ Z- 31466 ~ted 9U~RCH 3, 2006 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 ONE CAR GARAGE WITH APARTMENT ABOVE* The certificate is issued to KENNETH & NONA ROCK (OWNER) of the aforesaid building. CUTCHOGUE (}LAMLET) Lot 003 SUFFOId(COUNTYDEPARTMElqT OF HEALTEAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~z~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1200 BROADWATERS RD N~ OF O~ (S): KENNETR & NONA ROCK OCCUPANCY: SINGLE FAMILY DWELLING ;~l'l-£~u BY: JASON SCOTT CUTCHOGUE MAP NO.: LOT (S) S(~CE OF P,~EST: KENNETH ROCK 2/22/06 DA~I~: 03/03/06 DWELLING: ACCESSORY STRUCTURES: C~E, ~'YPE OF C(~ST.: ACCESSORY ONE CAR * STOR~E, TYPE C~ST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP~IT19Z COZ 1421 (DWELLING) DATE (~ INSPECTION: 03/02/06 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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. 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. Q~.or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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. ~ of Occupancy on Pre-existing Building - Certificate $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: /~o House No. Owner or Owners of Property: /~- ~"~ ~,x.~. Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Street (check one) Hamlet Block O ~ Lot ~ 3',, Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Underwriters Approval: Final Certificate: /(check one) Fee Submitted: CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at /Stoa. ~/?o..*A which is shown and designated on the Suffolk County Tax Map as District 1000, Section /0'7' ,Block e-'7 ,Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the South~o!d~.own Building Inspector's Office for the y~lowing:~ a'q ~0~ ~ 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 in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~(Si~ature) (Print Name) (Signature) (Print Name) OWNER ,~. ,~/~, ~.~ FORMER OWNER LAND AGE IMP. /U~O ~7 o0 g <-/,~ / TOWN OF SOUTHOLD N' S PROPERTY VILLAGE E W :VL. FARM COMM. CB. MISC. TOTAL DATE ~,~,N~ CON~mON NEW NORMAL BELOW ABOVE FARM Acre Volue Per Volue Ac re Tilloble Tilloble 2 Tilloble 3 Woodlond Swomplond Brushlond House Plot RECORDCARD . ~ST'/ SUB' ~-OT -~'J~'"Y.~ AcR. TYPE OF BUILDING .... Mkt. Voluo Totol FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK ___COLOR TRIM M. Bldg. Ext~e~s~d~°~ Extension Extension Porch Porch ~,73 Breezeway oroge ~'~r TotaJ Foundation Basement / Fire Place Type Roof Recreation Room Dormer Driveway Bath Floors Interior Finish Heat 0,'/ Rooms 1st Floor Rooms 2nd Floor FIN. B. LOT Z54 COVE LOT 25 2 ¥ Z 0 T F'-- 0 Z ~' ___~/-.r¢,~' AREA = 37,439 SQ. F% . ~ ~ .~ AMENDED MAP A OFNASSAU POINT,,, ~" ' ~ NASSAU POINT CLUB PROPERTIES, INC. ~ FILED AUG. 16~ 1922 FILE NO. 156. P.0~909 MAIN ROAD $OUTHOLD ~ N .Y , 11971 TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00 104 09 - 03 N.Y. S. LIC. NO. 49668 SCALE I'1 = 50' CE APR.23,1987 YORS ~ ENGINEERS~ P.C . 5020 Prepared in occordonc® wire the t~|nlmum standards for erie sur'~eye as established 'Dy the L.I.AoL $o and approved and adopted for such use by The New York State Land Title Association. 87 - 288