HomeMy WebLinkAboutZ-34210FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUP/LNCY
No: Z- 34210
Date: 03/05/10
THIS c~KTIFIES that the building DWELLING AND ACCESSORIES
Location of P~erty 2650 NASSAU POINT RD
(HOUSE NO.)
County Tax Map No. 473889 Section 104
Subdivision
CUTCHOGUE
(STREET) (HAMLET)
Block 0012 Lot 015
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
~CU~ANC"~ ~ER Z- 34210 dated ~L~RCH 5, 2010
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 DECKS, ACCESSORY GARAGE AND SHED.*
The certificate is issued to BISCHOFF FAMILY 2006 TRUST
(OWNER)
of the aforesaid building.
SuF~OI=KCOUN~DEPART~T OF HEALTHAPPROVAL
ELEt-£KICAL CERTIFICATE NO.
PLU}~3ERS C~KTIFICATION DA'r~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
ACCESSORY STRUCTURES:
~, ~ OF C~"T.: WOOD FP~E 18.3 X 20.5 STOP~, ~'FPE C~ST.: SHED 10.5 X 16.1
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
R~: BPl1850 ADD COZl1454
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
FEB 19 2010
BLDG. DEPT.
10Wt~ 0r S0t~l,0t9
This application must be filled in by typewriter ~r 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 o f 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.
1. 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.
2. Certificate of Occupancy on Pre-existing Building - $l 00.00
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
New Construction:
Location of Property:
house, garage & shed
Old or Pre-existing Building: X
2650 Nassau Point Road, Cutchogue
Date.
~ebruary 18, 2010
(check one)
House No. Street
Owner or Owners of Property:_ Bisehoff Family 2006 Irrevocable Trust
Suffolk County Tax Map No 1000, Section 104.00 Block 12.00
Subdivision Filed Map.
Pennit No. Date of Permit. Applicant:
Hamlet
Lot 015.000
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Underwriters Approval:
Final Certificate:
OLSEN & 0LSEN LLP
32495 MAIN ROAD
PO BOX706
CUTCHOGU£,NY 11935
(check one)
Applicant Signature
OWNER
FORMER OWNER
LAND
AGE
NEW
FARM
Tilloble
Tillable 2
Tillable
Woodtond
Swampland
Brushland
House Plot
SEAS.
NORNtAL
A~r~
Total
TOWN
ST.E~
N
S
OF SOUTHOLD PROPERTY
VILLAGE
!
E
TOTAL
· -/:2/o ,/
FARM
DATE
3
BUILDING CONDITION
BELOW ABOVE
Volue Per Value
Acre
COMM. CB. MISC.
RECORD CARD '"
D]ST. SUB. LOT
ACR.
TYPE OF BUILDING
Mkt. Volue
REMARKS
FRONTAGE' ON WATER
FRONTAGE ON ROAD
M.
Ex-tens[on
ExtensTon
Porc~n
Total
COLOR
TRIM
'Foundation
Basement
~t. Wails
Fire Place
Type Roof
Recreation
, Dormer
Floors
Interior Finish
Heat
Rooms 1st' Floor
I
l//I,
(/q74
D~iveway
Rooms
CONSENT TO INSPECTION
Eleanor Bischoff by David Worthington , the undersigned, do(es) hereby state:
Owner(s)Name(s) 01sen, as Attorney
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 765o Mn~mt Point Road. Cutchoaue
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 104.00, Block 12.00 , Lot 015.000
That the undbrsigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: one story frame
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enfer 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, ordinance.s, rules or
regulations of the Town of Southold.
Dated: February 18, 2010
(Signature)
David Worthington Olsen, As Attorney
(Print Name)
(Signature)
(Pr/nt Name)
STREET ADDRESS: 2650 NASSAU POINT ROAD
LOT NUMBERS REFER TO"AMENDED MAP 'A ' OF NASSAU
POIN~ OWNED BY NASSAU POINT PROPERTIES. INC. "
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
AUGUST 16, 1922 AB MAP NO, 156.
SURVEY OF PROPERTY
A T NASSAU POINT
TO~N OF SOUTHOLD
SUFFOLK COUNTY. N.Y.
1000--104--12--16
SCALE' I'=$0'
FEBRUARY 2, 2010
AREA-29,857 80. FT.
TO TIE LINE
LoT 176
2.00'
LoT 175
· =MONUMENT
o
CERTIFIED TO:
SHANNON GOLDMAN
DEBORAH MCKEAND
F/DEL TY NATIONAL ~TTLE I~. ~,~ANY
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