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Home My WebLink AboutZ-24507FO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIH~ CERTIFICAT~ OF OCCUPANCY No Z-24507 Date JULY 17, 1996 THIS CERTIFIES that the building Location of Property 16655 COUNTY ROAD ~48 House No. Street County Tax Map No. 1000 Section 101 Block Subdivision Filed Map No. ONE FAMILY DWELLING CUTCHOGUE, N.Y. Hamlet Lot 18 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-24507 dated J~LY 17, 1996 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 * The certificate is issued to LESLIE BATES & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAinteD INSPECTION MEPORT. Rev. 1/81 Ill! I I,I)l ti(: I)EI'^IUIHI~It r 'I'O~/N OF SOUI'IIOI.I) IIIIUSllt(J (X)I)F. IHSI'I~.CTii)J'i ii1~,1,0111' I,OCATION: SUIII)IVI ()it ONNEIt (~) ()C(]IIFAHC¥ 16655 COUtcl'¥ ROAD J48 CO'X'CHO~uJ~, N.Y. (,,,,,,,~,~,~ & .~:~e~t) ......................... {~l~.lp~i~{~-~) ............. HAP fl(). I,OT(~) ~SLIE BA~S & 0~. AI)H['I"I'ICI) BY: MRS. BA~ES ACCOHI'ANIJEI) Ir'f: IIATIIII()OH (~) O~ T(} I I.ET I'OI~CII 'I'Y I'E - - ~.1;?~:~'1'~0~ CII~I"I'EIt /~ ~.f. ~'l'~'rl~ II~IFOIIH FIIII( I'IH(II~'I'IO~ ~ IIII11,111~(~ CODE ........................................................................ m ........ I .... ~ ~ ~Y 12, 1996 I NSI'I[CTEI) IIY ~R A-I RES. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: fo~ new building or now use: 1. Final surve~ of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Final Approval from Ilehlch Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electricml installation from Board of Fire Underwriters. Sworn statement from/plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, mulciple residences and similar buildings and installations,\a certificate of Code Compliance from architect or engineer responsible for th~ building. 6. Submit Planning Board Approval of completed site plan requirements. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exiSting" lend uses: 1. Accurate survey of property showing all property iine~, streets, building snd unusual natural or topographic features. 2, A properly completed applioetion and a consent to inspect, signed by the applicant. If a Certificate of Occupancy is de~ied, the Building Inspector shall state the reasons therefor in writing to the applicant. i. 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 Pro-existing Buildin~ - 3, Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50,00 . 5, Temporary Certif%¢ate of Occupancy - Residential $15.00.~ Commercial $15.O0 Date ~u~e. ~.,..1.~ ............................. New Construction ........... Old Or Pre-existing Building .... ~ ........... Location of P~ope¢ty ...... ,.~ ............. ~q%~t~.~... A~ ............ qqt~hQg~¢ ............. ~ouse ~o. Street Hamlet Onwer or Owners ,Jr P[operty.. Leslie Bate~, ~q%a~.~a~9~,..~qr~.~qq ........ County Tax Map No Subdivision ............................ Permit No ................ Date Of Permit Health Dept. Approval .................. 1000 Sectio 101 ~ BI ck 01.00 Lot q~q QQQ ....... Filed Mnp ............ Lot ...................... ............... Applicant ............................. Underwriters Approv;~l -- ?lanning Board Approval ....................... ;equost for: Temporary Certificste. ~ee Submi}ted: $...i~..QQ .......... ...... Final CerticaX'o ........... Certificate of -~z; ~,~' .,~ . ~f§-Exi~ting Use Atto~n~'y"f~ ~feYZsc~ ~'- ~./"~' t -- CONSENT TO INSPECTION WILLIAM WICKHAM, Attorney for°owners · the, undersigned, Owner(s) Name(s) do(es) hereby state: the Attorney for That the undersigned (is)/mtru~ the owner(s) of the premises in the Town of Southold located at 16655 County Rd. 48, Cutchogue, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 101 , Block 01 , Lot 018 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Buildlng Inspector's Office for the following: A Certificate of Prm-extm~n_~ llmm 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 the laws. ordinances, rules and reRulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained Ln the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws· ord/nances, rules or regulation; of. the Town of~ Dated: June 9, 1996 ////~/~ old. (print name) (signature) (print name) LOT COAST Pf/.Ol:~[ I~TI E S" 5UFE CO. NAP ~0.9225 N,61'19 20'E. 136.68 C.l~J8 HAP OF Pr~OPEPTY sur~VEYEL) FOE STEVE ~ HOLLY,~AX/^ L ! E [7~v~ TOW~ OF ~UTHOL~, .9..~. ag. TAX~ ) LOOO-IOl- ids S:ALE-40' i A.12EA · 2 ~,022 5.E C), t~- I'IONUMENT C~,~ilZA,NTE E P 'to F[J~ELLTY H~TIOI~I,~L TITLE IkI~U12ANCE CQ4/