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Home My WebLink AboutZ-20064FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20064 Date JULY 10~ 1991 THIS CERTIFIES that the building 1765 VANSTON RD. & Location of Property 1500 HAYWATERS RD. House No. ONE FAMILY DW~IJ,ING CUTCHOGUEr N.Y. Street Hamlet County Tax Map No. 1000 Section 111 Block 6 Lot I Subdivision NASSAU PT.CLUB PROPFiled Map No. 806 Lot No. 351 conforms substantially to the Requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-20064 dated JULY 10r 1991 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 DWRIJ.ING WITH ATTACHED GARAGE * The certificate is issued to WILBURA. BALDWIN & LORRAINE SCHULER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Building ~Ir~ctor Rev. 1/81 Location BUILDI.'.:G DEP.~RTi. LE?iT T0'.'~,I OF SOUTHOLD, N. Y. HOUSIJG CODE IHSPECTION REPORT 1765 VANSTONRD. & 1500HAY~ATERSRD. (numoer ~ s~ree~) CUTCHOGUE, N. Y. Subdivision NASSAU POINT CLUB PROP. Map No. 806 Name of Owner(s) WILBUR A. BALDWIN & LORRAINE SCHULER Lot(=)_ 351 Occupancy R-I [type) A~mitted by: SELF UNOCCUPIED (owner-Eenanr) Accompanied by: Key available OPEN Suffolk Co. Tax ~o. !11-6-1 Source of request HENRY BERNE, Date ~LY 1, 1991 DYfEW~LIMG: Type of construction Foundation CE~ENTBLOC~ Total rooms, 1st. F1 Bathroom(s) 2 Porch, type Breezeway 6 WOOD FRAMED #stories ONE Cellar MARTIAL Crawl space.. REST 2nd. F1 3rd. F1 Toilet room(s) Deck, type. Patio, type~EMENT Garage ONE CAR Utility room Type Heat OIL FIRED 'Warm Air .Hotwater xx Fireplace(s) I Mo. F~cits 3 Airconditioning. Domestic hotwater YES Type heater TANKLESS Other FINISNED RECREATION ROOM IN CELLAR. P~LL DOWN STAI~ ATTIC ACCESSORY STRUCTURES: RONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. V_IOLATIOMS: .C~APTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _Lncation Dezcri~tion -- ]-Ar%-.'} Sec. - NO VIOLATIONS ~RE FOUND Remarks: T~IS PRE CO INCLUDES BP ~5031Z-CO Z-5474 & BP ~6979Z-C0 Z-6414 Inspected by: ' te o£ Insp. J]/LY 10, 1991 Cff TrS FO TOR ' ' ' Time start 10:30 AMend 11:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bnilding 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. 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. 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. '~'q~_~~~~O~ng uses, or buildi.nss and L~--J~-L--~-.T~---~-~-.~xo~e~y~att property lines, streets, buildiag and C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additiohs to dwelling $25.00, Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 3. Copy of Certificate of ~ccupancy - $5.0~ over 5 years - $I0.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 D~e ........................... ........... ........ House No. ~treet Hamlet 3n 0 of Property ¢/~ ~X~ ' /// ~ / County Tax Map No 1000, Section ....... Block. - - ~o ~u~v~o.~ ~/~. ~/~ ~ g~<?~' ~ ~o ~ .~o~.. ~-/ ~/ .....................Filed Map .... ~ ......................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .................... Underwriters Approval ....................... Planning Board Approval .................... Request for: Temporary Certificate ........... Final CerCicate..~. ..... Fee Submitted: $ .... /~.¢, ¢ D CONSENT TO INSPECTION Ow-net(s) Name(s) do(es) hereby state: i>,: - 3 1991 TOWN soumm , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town /?~ of Southold located at /zef'/3.~o~ ~,g.~7-z,~/ ,~z/~/tV ~;rC/Z~ ~.~ ~ U ~-(~/D ~ ~)~ , which is shown and designated on the Suffolk County tax map as District 1000, Section /// , Block ~ ~' , Lot ~d~ / That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 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, including inspections to determine that said premises comply with all of th~ la'ws; ordinances, rule_~ 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Toxvn of Southold. Dated: (signature) (print name) (signature) (print name) BUILDIHG DEP>~RT~.LENT TO;'~! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT ~ _. u,~ ~" (,i iunzc zpa±.tty) Subdivision~.~ F ~/~/~ap No. ¢~ Lot(s) of A~mitted by: ~ Key available__~~ Accompanied by: Suffolk Co. Tax No. 17 l --~-- [ Source of request "- · X''/--_~/ DI'~LLIMG: 22z Type of construction ..._~/ ~ ~,_ ~. ~ ~..~ .... ~ - , . .~~ /~ Ce~ar~rawl spac~ 'zonal rooms, 1st. Fl. ~ 2nd. Fl.~' 3rd. F1 - ~ Bat~hroom(s) ,.~. Toilet room(s) Deck, typq Patio, type~~--- TyP ,~--, . Garage ~g~-~l Utility room e Heat~~ 'Wa~ Air .Hotwater / Fireplace(s) F / No. ~its ~ Airconditio~ing 'Domestic hgtwater' ~ T~ heater ~~_ Other .~~~~ ~~~ ...... ~ ~ ~CCE~SORY STRUCT~ES:~~ ~ ~ Garage, type const._. ''~"~ Storage, ~e const. Swim~ing pool Guest, t~e const. Other Porch, ~ype (-Breezeway V_VIOLATIOMS:~ L~cation .C~APTER 45--N.Y. STATE ~NIFORM FIRE PREVENTION & BUILDIN¢ CODE Descriotion I Art. I Sec. ':,,/OGEL