HomeMy WebLinkAboutZ-35863Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35863
Date:
8/8/2012
8/8/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
870 Inlet Ln
43.-2-8
Filed Map No.
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35863
dated 8/8/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for wh/ch this certificate is issued is:
wood frame one family dwelling with wood ramp & cement patio.*
NOTE: BP37406 Wood Stove - CO#35864
The certificate is issued to
Conant, Francis
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
LOCATION: 870 Inlet Ln
SUFF. CO. TAX MAP NO.: 43.-2-8
NAME OF OWNER(S): Conant, Francis
OCCUPANCY:
ADMITTED BY: Nora Conant
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SUBDIVISION:
SOURCE OF REQUEST: Conant, Francis
DATE: 8/8/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 2
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Propane
# BEDROOMS: 4
OTHER:
Cement Block
2ND FLR.:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
TYPE HEATER:
WARM AIR: X
# KITCHENS: 1
# STORIES: I # EXITS:
CELLAR: Yes CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
Ramp PATIO TYPE:
1 GARAGE:
Propane AIR CONDITIONING:
HOT WATER: Yes
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 SP CTION:
TreE ST~T: /O;_~ZO ENO:
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
/~.~;JUL - 9 20)2
I BLDG OEP)'.
L__ TOW~ OF SOUTHO[D
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the follOwing:
A~ For new building or new use:
1. Final survey °f Property with aect/rate'loeation of all buildings, property lines~ streets, and unusual natural, or
topographic featur6s. -
2. Final Approval from Health D~pb of water supply and sewerage_disposal (S_9 form~.
3.. Approval of electrical installation from Board 6 f Fire Underwritem.
4. Sw.orn statement from plumlqer certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, maltiple reaideaoes 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 t~quirements.
B. F~r existing bui~dings (pri~r t~ Apri~ 9~ ~95?~ n~n-~nf~rming uses~ ~r bui~dings and "pre-exis~ing~ land uses.~
1. Accurate survey of property showing all property lines,'streets, building and unusufil nalurai or topographic
features.
2. A properly c~mpleted application and consent to inspect signed by the applicant. If a Certificate of ;~cupaney is
denied, the Build~ng Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. C, ertifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming po01 $50.00, ACcessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,.
CeFtifieate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate o f Occupancy - $:25
Updated Certificate of Occupancy - $50.00
Temporary Certificate Of Occupancy - Residential $15.00~ Commercial $15.00
Date. ~'~
New Construction:
Location of Property:
House No.
Suffolk County Tax Map No 1000, Section
8alxtivision
P~mit No.
Health D~pt. Approval:.
Planning Board Approval:
Old or Pm-existing Building: ~
_ (check one)
Strut '
Hamlet
R~cluest for:
Date of Permic
Temporary Certificate
Filed Map.
Appucane.. co
Applicant Signature
Underwrite~ Approval: _ ~k~ 0
_ _ Final Certificate: ~V~_ (check one)
CONSENT TO INSPECTION
~ C~ C~b,i ~bj,r~. , the undersigned, do(es) hereby state:
Owner(s) Name(s)
S .. , ,That the .unUersi~..~is) (ar?) ~e o~wnor(s) of the premises in the Town of
oumom, locateaat ~:~-C3 ~LOL~ (~x/v~ ~
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section '~, Block ~ , Lot e~
That th undi~rs~gned (has) (have) filed, or muse to be filed, an application in the
Southold Town Building Inspector's Office for-the following: ~ -. C, enO
¼
That the undersigned do(es) hereby 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
respect to the aforesaid application, includiag inspections to determine that said premises
comply with all of the laws, ordinances, rules and'regulations of the Town of Southald.
The undersigned, in consentitlg to such inspections,-do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
. be used insubsequent prosecutions for violations of the laws, ordinances, roles or
regulations of the Town of S outhold.
Dated:
(Print Name)
'(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER'
S i,l,,,/ /-/ /1 ! ~
VILLAGE
.
DISTRICT SUB. LOT
/ ~
ACREAGE
TYPE OF BUILDING
LAND
SEAS.
IMP.
/7~c~
VL
TOTAL
FARM
DATE
COM~. lIND. I CB. I MISC.
REMARKS
,, :
Tilloble 2
Tillable 3
Woodland
Swamplend
Brushland ,~ ~
House Plot
Z~ i~ DAcre
Totol
43.-2-8 3/07
Extension ~ x ~o = ~0 ~ I ~ ~0 ~
Ex.sion (?~3 ~ ~0~ Fire Place ~ y~ He~
~e~ ~5~ ~o = ~ '~ I b-O Porch Rooms 1st Flor
Breezeway ~ ~ ~/ ~ Patio R~ms 2nd Floor
Gorage - ~t~:~ //~ ~iveway
0.~. ~
LOCATION:
(number & street)
SUBDIVISION: ~ MAP NO.: ·
NAME OF OWNER(S): ~,~t~, 'C.~ q~olf~d,~
OCCUPANCY:
(municipality)
LOT(S):
(type)
ADMITTED BY: ~J~,
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: ~ ~ # STORIES:
FOUNDATION: ~!~5~_¢q~- ~ ~ BASEMENT: *i~tA][~
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: ~
#EXITS:
CRAWL SPACE:
3RD FLR:
BATHROOM(S): ~ TOILET ROOM(S): UTILITY ROOM: ·
DOMESTIC H OTWATER. q~ TYPE HEATER: ~~R~CONDiTiONiNG:
TYPE HEAT: ARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO ~
OTHER: ~ ~ --
ACCESSORy STRUCTURE~
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STA, TE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: ~ j
INSPECTED BY: x~ OF INSPECTIOcN:
/~/ TIME START: ,Z/V, ~ END: