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Home My WebLink AboutZ-35243Town of Southold Annex 54375 Main Road Southold, New York 11971 10/14/2011 No: 35243 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 10/14/2011 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a 780 Holden Ave, Cutchogue 110.-5-19 Filed Map No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35243 dated 10/14/2011 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling with one car garage under and unfinished basement.* The certificate is issued to Nolan, Kenneth & Nolan, Ardith (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED iNSPECTION REPORT. LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 780 Holden Ave, Cutchogue SUFF. CO. TAX MAP NO.: 110.-5-19 NAME OF OWNER(S): Nolan, Kenneth & Nolan, Ardith OCCUPANCY: ADMITTED BY: Kenneth Nolan SUBDIVISION: SOURCE OF REQUEST: Nolan, Kenneth & Nolan, Ardith DATE: 10/14/2011 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 2 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: # BEDROOMS: OTHER: # STORIES: 1 # EXITS: 3 cement block CELLAR: 3/4 CRAWL SPACE: 1/4 2ND FLR.: 3RD FLR.: TOILET ROOM(S): UTILITY ROOM(S): DECK TYPE: PATIO TYPE: concrete FIREPLACE: 1 GARAGE: one car under yes TYPE HEATER: National Grid (gas) AIR CONDITIONING: Gas WARM AIR: HOT WATER: x 4 # KITCHENS: 1 BASEMENT TYPE: unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: 9:00am 10/4/2011 END: l 1:59am Form No. 6 so oLD BUILDING DEPARTMENT TOWN HALL 765-t802 APPLICATION FOR CERTIFICATE OF occUPANcY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. 'Sw. om 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 ComplianceTrom 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 buRdings and "pre-existing" land uses: 1. Accurate survey of property showing all property line~, streets, building and unusual natural or topographic features. 2. A properly ~mpleted 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 I. Certificate of Occupancy - New dwelling $$0.00, Additions to dwelling $$0.00, Alterations to dwelling $$0.00, Swimmir~g pool $$0.00, Accessory building $$0.00, Additions to accessory building $$0.00, Businesses ~. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $:25 4. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 %91. New Construction: Location of Property: House No. Owner or Owncrs of Property: /~'~/t~.4~/A/fi'/'~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: ~ (check one) Street Date of Permit. Hamlet Blo k Lot / q Filed Map. Lot: Applicant:. Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ \'~[3 . ~ ~.~ Final Certificate: (check one) CONSENT TO INSPECTION Owner(s) Na, n (s) , the undersigned, do(es) hereby state: That the undemi~ed (is) (~) the owner(s)~ofthe premises in the Town of Southold, locatedat /O'O . /q~od.~¥/ which is shown and designated on tho Suffolk County Tax Map as District 1000, Section //0 ,Block ~- ,Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Sou !d Tow_n B.ildi%L ..ectOr's Ofa for.the following: That the undersigned do(es)hereby give congent 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 South6ld. The undersigned, in bonsenting 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 proseoutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: (Print Name) '(Signature) (Print Name) 5URVE"r' OP PP-.OPEP-."I'Y 51TUATE: OI3TOHOCUI= TOI, NN: .C:X:>UTHOLD E:,UFFOLK COUNT'Y, NY ECJPFOLK COUNTY TAX ~' IOOO- tlO- 5- Iq GA~Y NOLAN NOTES: · '4ONUi'4ENT FOUNO A'P-.EA = 22,4-60 5~: or' 0.52 ocr'e5 ®P-.APHI© 5©ALE I"= 90' 0 ~.o~° ~6o~ ¢. o¢.¢o N 6 RAST MAI~ STR[{ET N.¥.S. L[C. NO. 50202 RIYERH]BAD, N.Y. 11901 369---8288 Fax 369--8287 REF.-C:\UsersUohn\Dropbox\l i\11-165,pro LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: ~ SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING FOUNDATION: &'-'~t~ff~C~¢:-~ BASEMENT.~ff~ # OF BEDROOMS: 1ST FLR: _~ 2ND FLR: -- / BATHROOM(S): ~ TOILET ROOM(S): ~ # EXITS: ~-~ CRAWL SPACE: F~/~ 3RD FLR: ~ UTILITY ROOM: PORCH TYPE: ry DECK, TYPE: PATIO, TYPE: BREEZEWAY: ~ FIREPLACE: ~ GARAGE: ~ DOMESTICHOTWATER: C/El TYPEHEATER:I/~'-'-~A~IRCONDITIONiNG: TYPE HEAT: /¢'/~LT-(-~4?~'~WARM AIR: HOTWATER: # OF KITCHENS: ~ FINISHED BASEMENT: YES NO ~ OTHER: ACCESSORY STRUCTURES ~.~~ GARAGE, TYPE OF CONST.: ' STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVEN'FION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: TIME START: END: