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HomeMy WebLinkAboutZ-33352FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33352 Date: 10/22/08 THIS c~KTIFIES that the building DWELLING AND ACCESSORY Location of Property 435 OAR ST CUTCBOGUE (HOUSE NO.) (STREET) (H~LET) County Tax Map No. 473889 Section 136 Block 0001 Lot 027 Subdivision Filed Map No. __ Lot No. __ confo~ns substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which u~TIFICATH OF (~2Co~ANC"f ~ Z- 33352 dated OCTOBER 22, 2008 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 SEASONAL DWELLING WITH ENCLOSED PORCH AND ACCESSORY GARAGE. * The certificate is issued to ROBERT HENN of the aforesaid building. (OWNER) SUFFOLK COLRTI~f DEPA~T~T OF HEALTH APPRO~-AL ELB~-rKICAL U~KTIFICATHNO. PLI]MBHRS c~KTIFICATION *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 MAP NO.: LOT (S) 10/22/08 2NI) FLR.: __0 3RI) FIR.: __0 TOIIA"[ RO~I~($): 0.0 [/YILITY ROOM(S): VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DAT~ ON INSPECTIC~: 10/22/08 TIME START: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN H,:d~L 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tbis application must be filled in by typewriter or ink and submitted to th~Building Department with the following: A. For new building or new use: . 1. Final stnwey of prope~Xy with accurate location of all buildings, propeity lines, streets, and um~sual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S 9 fom~). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less thau 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and si~mlar 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accm-ate smwey of property showing all property lines, streets, building aud unusual natural or topographic features 2. A properly completed application and conseut to inspect signed by the applicant. If a Certificate of OccupanCy is denied, the Building Inspector shall state the reasons tlmrefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellin~ $25.00, Swinmaing pool $25.00, Accessory' building $25.00, Additions to accessory building $25.00, Busiuesses $50.00. 2. Certificate of Occupancy ou Pre existing Building $]0000 3. Copy of Certificate of Occupancy - $.25 4. Updated CmtificateofOccupancy- $5000 5. Temporary..Cefti.ficate ofOccupaucy - Residential $15 00, Commercial $15.00 New Constmction: Date. August , 2008 For a seasonal dwelling and detached Old orPre existing Building:__X (check one) garage Location of Property: 435 Oak St., Cutchogue House No. Streel Hamlet Owner or Owners of Property: Robert P. Henn, Jr. Suffolk County Tax Map No 1000, Section 136. O0 Block fll .00 Lot_ 027.000 Subdivision Filed Map. L or: Permit No. Date of Permit. Applicant: Health Dept. Approval Unde~wvritels Approval: Plamfing Bored Approval: Request tbr: Temporary Certificate Fee Submitted:$ 100.00 Final Certificate: (check one) A p'pt'i( ~a n t $i~maatu/re OLSEN ~ OLSEN~ L.L.E ATTORNEYS AT LAW G^RY FL^NNER OLSF. N ATTORN£Y AT LA'~ DAVID WORTHINGTON OLSEN ATTORNEY AT LA\'O 32495 MAIN ROAD · P.O. BOX 706 · CUTCHOGUE, NEWYORK 11935-0706 PHONE 6~1 734-7666 FAX 6o1' 734-7712 olsenlaw@optonline.net October 6, 2008 Re: Henn to Morris Our File 9236 To Whom It May Concern: I am hereby applying for a pre-existing Certificate of Occupancy in re the above transaction. Enclosed please find the following: 1. Application. 2. Consent to Inspect Form. 3. Copy of survey. 4. Check in the sum of $100.00. Please contact Jim Gebbia at Century 21 Agawam Albertson (734-5700) to arrange for the inspection. Thank you. Very truly yours, DWO:lmk Enclosures Southold Town Building Dept. P. O. Box:7-28 Southold, NY 11971 DXViD '4/ORTHINGT~ /~--/a~./.z? TOWN OF SOUTHOLD P~OPERTY RECORD CARD OWNER FOR.MER OWNER RES. ,~../, o LAND ~/oo SEAS. IMP. I(~oo STREET /.../~.Q)~ N S VL FARM' TOTAL / DATE AGE BUILDING CONDITION NEW NOR/v~L BELOW ABOVE Form Acre Value Per Acre Value VI LLAGE W DISTRICT SUB. ACREAGE , TYPE Of BUILDING COMM. lIND. ICB. MISC. Total Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House PIo~''~' FRONTAGE ON WATER FRONTAGE ON ROAD ~ 0//~ REMARKS /13/2¢ 6'.~,J,/~ z, ~. ~/~-~,~, r. ~. ~/.-.< ,~. , ,~,o. lEst. Mkt. Value M. Bldg. Extension Extension Extension Breezeway Garage O.B. Foundation Basement Ext. Walls Fire Place Porch Patio Driveway Parch Heat Floors nterior Finish Roof Type Rooms ]st Floor I Rooms 2nd Floor Dormer CONSENT TO INSPECTION Henn, Jr. Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises !n the Town of Southold, located at 435 Oak St., Cutchogue which is shown and designated on the Suffolk County Tax Map as District 1000, Section 136.00, Block 01.00, Lot 027.000 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-sx±st±ng cert±ficate of occupancy for a seasonal dwelling and detached garage That the undersigued do(es) hereby give consent to the Building h~spectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to i:onduct such inspections hs 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,, iii consenting to such inspections, do(es) so with the knowledge and understanding that any infomiation 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. October 6 Dated: )~"gl~l~l-'t , 2008 (Print Name) (Signature) (Print Nmne) 00T-03-08 FRI 12:27 PM Fh× NO, P, 08/08 OAK 8THEET ~ ~ ~ ~ ~ t~I ~ , ~ ~ ~ ~ ........ ~ . · ~ ~ I / I ~ . ...:/ / ~ [ I / 0.~'~ 50. DO~ LOT J I I 109 I LOT I LOT . I LOT Van W~le, ~ 631.a35. t ~11 ~ ~ ~N~ COR~ -- ANN ~