HomeMy WebLinkAboutZ-31468FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA=RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 31468
Date: 03/03/06
THIS CERTIFIES that the building DWELLING
Location of Property 8625 NASSAU POINT RD
(HOUSE NO.)
County Tax Map No. 473889 Mection 118
Subdivision
CUTCHOGUE
(STREET) (HAMLET)
Block 0004 Lot 013
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~JP~/qC~f ~u~B~ Z- 31468 dated M3~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 ONE FAMILY DWELLING WITH ACCESSORY 10'X 12' BEACH HOUSE*
The certificate is issued to GEORGE C & MURIEL GRAHAM
( O~7NER )
of the aforesaid building.
SUFFOLK COUNT"fDHPARTMElqTOFH]F~J~THAPPRO%q%L
ELECTRICAL CERTIFICATE NO.
PLUMBEP~ CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
oAhorized
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
~TI(]~: 8625 NASSAU POINT RD CUTCHOGUE
SUBDIVIHXON: MAP NO.: LOT (H)
~ OF O~ ($): GEORGE C & MURIHL GRARAM
OCC~ANCY: SINGLE FAMILY DWELLING
AD~I~K~u3 BY: SUZANNE MCDUFFEE
SO, CE OR ~Q[~: GEORGE GR~4 2/22/06 _ DATE: 03/03/02
DWELLING:
TYPE OF CON~UCTI(~: WOOD FRAME ~ STORIES: 1.0 # E~ITN: --3
FO~TION: CEMENT CELIa: PART C~ SPACE:
~£~: SEPARATE NOT WATER HEATER
ACCESSORY STRUCTURES:
G;~E, T"fPH OF CONST.: S~P~E, TYPN CONST.: 12' X 12' PLAYHOUSE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
P-~: BP ~31791-Z-COZ-31467 (ACCY GARAGE)-COZ 31469 (ACCY PLAYHOUSE)
INSPEC~BY:
GEORGE GILLEN
DATE ON INSPECTION: 03/01/06
TIM~E START: 10:40 AM ~D: 11:15 AM
TOWN OF $OUTItOLD
BUILDING DEPARTMENT
TO~,~N BALL
76,%1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or itek and submitted to ~.he Building Department with the following:
A. For new building or new use:
Final survey of property with accurate location of al! build/ngs, property lines, streets, and unusnal natural or __~_..__.~
topographic features
Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3 Approval of electrical installation from Board o£Fire Underwriters.
4. Sworn statemem from plumber certifying that the solder used in system con.'aim less than 2/10 c~f~;~ le~tlJ.'
5. Commercial building, industrial building, multil:le residences and similar buildings and 'insmllatib~s'~ a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan re;tuirements.
_~r existing to April 9, 1957) non-conforming or buildings and "pre-existing" land uses:
buildings
(prior
Accurate" sur~ey of proporty showing all prcperty 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 therefbr in writing to the applicant.
C. Fees
1. Certi~ate ~f ~ocupancy ~ New dwe~i~g $25.~ Additi~ns t~ dwe~i~g $25~ A~terati~ns t~ dwe~ing $25.~
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Bushn. esscs $50.00.
CertificateofOccupancyonPre-existingBuilding~ $100.00
Copy of Certificate of Occupancy - $,25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building:
House No.
Owner or Owners of Pmpexty:
Suffolk County Tax Map No 1000, Section t \ ~ Block
Subdivision Filed Map.
(cheek one)
Hamle~
Lot:
Permit No.
Health Dept. Approval:
Planning Board Approvak
Request for: Temporary Certificate
Fee Submitted: $
Date of Pen-nit.__
.applicant:
Undevatr/ters Approval:
Final Certificate:
(check one)
A~SlgnatureC~
CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (~e) the owner(s) of the pr~mises in the Town of
Southold, locatedat q/~2~-/V,45'-c~ ~r ~ , 0~re-~-1o6-~tN~'
which is shown and d~ign~ted on thc Suffolk County T~ax Map as Dis~ct I000,
Section ll~' ,Block ~ . ,Lot IR
That tho undersigned (has) (have) Rled, or cause to be filed, an application in the
$outhold Town Building Inspector's Office for the following:
That the undmsigned do(es) here, by 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
r~spect to the aforesaid application, including inspections to deteauiine ti'mt said premises
comply with all of the laws, ordinances, niles and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and und~standing that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
reffulations of the Town of Southold.
(Signature)
(Print Name)
(Signature)
(Print Name)