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Home My WebLink AboutZ-22003FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22003 Date DECEMBER 7r 1992 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 10375 NASSAU POINT RD. CUTCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 119 Block 1 Lot 15 Subdivision 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 OCCUPANCY NUMBER Z-22003 dated DECEMBER 7, 1992 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 ORE FAMILY DWELLING WITH ACCESSORY WOOD FRAME GARAGE * The certificate is issued to CONRAD AHRENS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~ulldlng Inspector Rev. 1/81 Location Subdivision Nmme of Owner(s) CONRAD AHRENS BUILDI~:G TON,[ OF SOUTHOLD, N. Y. HOUSI[[G CODE IUSPECTIOH REPORT 10375 NASSAU POINT ROAD CUTCHOGUE, I~E~YORK [numoer ~ s~ree~) ~i'Junlclpal~y) MaD No. Lot(s)__ Occupancy A-I RES. ~Zype) A~nitted by: Key available Source of request COLOSSI) OWNER ( own er- t enanz) Accompanied by: Suffolk Co. T~c No. F. AHRENS'- · Date 119-1-15 NOV. I0, 1992 DI'~LLI~IG: Type of construction Foundation Total rooms, lat. F1 5 Bathroom(s) 2 FULL BATHS Porch, t)~e SCREEN PORCH Breezewa~ Type Heat Fireplace(s)_ ORE Domestic hotwater Other CEmeNT BLOCK W~D FRAME #stories Cellar F~L Crawl space 2nd. F1 5rd. F1 Toilet room(s) Deck, ~ype Patio, type__ Garage Utility room Warm Air .Ho~,.~ater Airconditioning ~S Type heater A~CCESSORY STRUCTURES: Garage, type const. WOOD Swim. ming pool I CAR Other Storage, type const. Guest, type const. V_~.OLATiONS: -L-L~ c at i°n L .CI1APTER 45--N.y. STATE UNIFORM FIRE FImVENTION & BUILDING CODE Descriotion I Art. I Sec~ Remarks: BP ~6888 & 6889Z - CO Z-6061 FOR ADD & ACC¥ Inspected by: GAR~TJ. ~ISR ~Da. te of Insp. NOV. 18~ 1992 Time start 9:45 end 10:05 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector 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. 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. 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 ~r engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non;conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date -.v .................. \~ -...-..-- . ......... New Construction ........... Old Or Pre-existing Building .... ~.''''''''' House No.' Street Hamlet Ouwer or Owners of Property .... '.~aq~.'~h~PPA ............................................. County Tax Map No 1000, Section ..... ~.~ ..... Block .... ] ........... Lot ...... ~ ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ............... . Date Of Permit ................ Applicant ............................. llealth Dept. Approval .......................... Underwriters Approval ......................... Plann£ng Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... .~....~..~ ................ .................. ~-( ' [ APPLICANT CONSIT, ,T TO Uv'~nerts) ~m~ ~ do(es) hereby state: That the Undersigned (is) (are) the OWner(s) of thc premise:; in Ibc To~;m Of Southold located at /0~ 2~J~-. ~/43g,~:~_~Ag' C~ ~, which is ~hown and desi~nnted on the Suffoik County tax map as District lOOO, Section // ~ , Block That the undersigned (has) (haue) filed, or caused to be filed. ~n applica- tion in the Southcld Toxxm Building Insnector.s Office for thc foll~w~: That the undersi,Kned do(es) hereby give consent to the Bulldmg In'rs of the Town of Southold to enter upon ,h_ above described proper;-, iucluding an:.. and all build[ngs located thereon, to conduct such inspections as they may deem necessary w/th respect to thc aforesaid application, including inspections to dc~ermine that said premises comply with all of the laws; ordinances, .rules and re.~ulations of the Town cf $outhold. lotions of thc laws, The undersigned, in consenting to such inspections, do(es) so x~ith the kno',:'led~e and understanding that any infor.."nation obtained in tile conduct of such inspections may be used as evidence in subsequent ProsecUtions for vie- ordinances, rules or regulations of the Town of Southold. (si~ n a t~-r c) (print name) (print name) N PECONA ~~~,/,~.C. P. O. BOX ~'~ MAIN ROAD SOUTHOLD, N.Y. 11971 O,0 AREA = 1.0423 acres to tie lihes SURVEY FOR CONRAD AHRENS A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, IV, Y. 1000 -119- 01- 15 Scale: 1" = 40' Nov. 3,1992 Prepored in occordonce with the minimum stondords for lille surveys os eslobllshed by the L.I.A.L.$. ond opproved crud odopted for such use by The New York $tote Lond Title Associolion. LOT NUMBERS & PLOT NUMBERS HEREON ARE REFERENCED TO"AMENDED MAP A OF NASSAU POINT' F'IL~D IN THE OFFICE OF THE SUFFOLK CLERK AS MAP NO. 156 AND TO 'MAP OF SECTION B OF NASSAU POINT' FILF-.D AS MAP NO, 92-280