HomeMy WebLinkAboutZ-33648FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33648
Date: 04/17/09
THIS c~KTIFIES that the building SEASONAL DWELLING
Location of Property 10245 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (H~4LET)
County Tax Map No. 473889 Section 119 Block 0001 Lot 012
S%~bdlvision Filed Map NO. __ Lot NO. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs,,~-t to which CERTIFICATE OF
OCCUPANCY NU~ER Z- 33648 dated APRIL 17, 2009
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 SCREENED PORCH, DECK AND PATIO.*
The certificate is issued to COOKE LIMITED PARTNERS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
~LECTRICAL C~TIFICATE NO.
PL~4BERS U~4TIFICATION DA'r~,D
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
BOUSING CODE INSPECTION REPORT
BA~ (S): 2.0
1.0 # EXITS: 4
~ SPACE:
ACCESSORY STRUCTURES:
VIOLATIONS:
LOCATION SEC.
CHAPTER 45 N.Y. STATE UNIFORm4 FIRE PREVENTION & BUILDING CODE
DESCRIPTION ART.
ACCESSORY BUILDING WITB DECK CONSTRUCTED WITB 144-8
NO BUILDING PERMIT
P.~: EP34541 ADD COZ33657
GEORGE GILLEN
]1%~'~ (~ I~S~I(]~: 04/14/09
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOW~ ItALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This apphcatiott faust bc fillcd in by typewriter or ink and submitted to the Building Dcpartracnt with thc following:
For new boding or new use:
1. Final surv<¢ of propec~ with accurate location of all buildings, property Lines, st~ets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation fi.ora Board of Fire Underwritem.
4. Sworn statement from plumber certifying that thc r, oldea' used in ~stem contains [ess than 2/10 of 1% lead.
5, Commerc%l building, iudustaSal building, multiple rosidences and sinxilar buit&ings and illstallations, a certd~cate
of Code Compliance from architect or ~gine~r r~ponaible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
~For axisting buildings (prior to April 9, 1957) non-eonformlng uses, or buildings and "pre-existing" land uses:
1. Accurate survey of prope~:y showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly compl~xl application and comcat to inspect signed by ~e applicant, lga Certificate of Occupancy is
denied, the Building Inspector shall state the masons therefor in writing to the appl/eant.
1. Certificate of Occupancy - New dwelling $25.00, Ad4itions to dwelling $25.00, Alt~ations to dw¢llin~ $25.00~
Swimming pool $25.00, Accessory building $25.00, Addffons to accessory building $25.00, Businesses $50.(;0.
.Certificate of Occupancy on ~ting Building - $100.00
Copy of Certificate of Occupancy - $.25
4. UpdaledCerfifieate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre-¢xisting Building:
House No. Street
(check one)
I-Iamle~
Lot
· Lot:
Permit No- Dam of Permit. Apphcant:
Health Dept. Approval:
plammag Board Approval:
Unden~ters Approval:
Request for: T~nporary Certificate
Fee Submitted: $ I ~
cc>
¢_.., D 5"'ci o I
Final Ce~ificate:
(check one)
/o~o-i/~./_// TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
N
V l LLAGE
W
DISTRICT J SUB.
ACREAG~z~
TYPE OF BUILDING
FORMER OWNER
I RES.~// ~ S~S. VL ~
~ND IMP. TOTAL
AGE
NEW
Farm
Tillc~ble 1
Tillable 2
Tillable 3
Woodland
~wampland
3rushland
House Plot
1-ora I
NORMAL
Acre
FARM COMM. [ MISC.
DATE REMARKS
BUILDING CONDITION
BELOW
Value Per Acre
I IND. I CB.
OWNER
FORMER OWNER
TOWN OF $OUTHOLD PROPERTY RECORD CARD
E
N
W
DISTRICT SUB.
ACREAGE
'TYPE OF BUILDING
,ES. ~/~.
LAND
SEAS.
MP.
VL FARM
TO'J'AL DATE
COM~. IND.
REMARKS
CB. J MISC.
AGE
NEW NORMAL BELOW
Form Acre Value Per Acre
BUILDING CONDITION
illob.le 1
'illable 2
illable 3
¢oodland
~amplond
rushland
touse Plot
~tension Basement' /V'~7'~/-~ Floors
Extension Ext. Walls ~/I.4/1z-~ Interior Finish
~tension Fire Place ~ He~
~ ~C, Porch Attic
Porch Rooms ls~ Flor
Breezeway Patio R~ms 2nd Flor
Garage Driveway ~6 ~
O.B.
FORMER OWNER I N
,2?"-
TOWN OF $OUTHOLD PROPERTY
YE
TOTAL
DATE
VILLAGE
E
W
COMM. J iND.
REMARKS
RECORD CARD
DISTRICT I SUB.
ACREAGE 1" ~ '~
LOT ~,~- /4'
AGE
NEW
Tillable I
TilJabJe 2
Tillable 3
Woodland
Swampland
Brushlor'.~l~ ~'~
House Plot
N OPdv~AL
BUILDING CONDITION
BELOW
Volue Per Acre
ABOVE
VaJue
Extension
Extension
Breezewa
Garage
Basement J ,'~/d
Ex~. WalEs
Fire Place
Bath
Floors
Interior Frn;sh
He~l-
Porch Attic
Porch Rooms 1st Floor
Patio
Rooms 2nd Floor
I
Driveway
.. .: (- (
CONSENT TO INSPECTION
. .. ,, / /~,~. the undersigned, do(es) hereby state:
u~er(~) Name(,) .
That the undersigned (is) (are) the owner(s) of the premises in the Town
Southold, loo t d at. of
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section__ . Block__. , Lot
That the undersigned (h~.s) (have) filed, or cause to be filed, an application in the
8outhold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building h~speetors of the
Town of Southold to enter upon the above described prop,try, 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, roles and regUlations.of the Town of Southold.
The undersig~aed, in consenting to such inspections, do(~) 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 o f Southold.
Dated:
Z
Survey for:
Jane W. Cooke
Part of Lot 82 and
Lots 82A, 82B
Amended Map A
of Nassau Point
At Cutchogue
Town of Southold
Suffolk County, New York
Suffolk County Tax Map
Notes
SURVEYORS CERTIFICATION
PROFESSIONAL LAND
SURVEYOR, PLLC
Re,,c June 5, 2004.