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Home My WebLink AboutZ-23439FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OOUumANCY No Z-23439 Date JANUARY 4, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property. 490 WINDY POINT LANE BOuT~OLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 6 Lot 11 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-23439 dated JANUARY 4, 1995 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 ON~ FAMILY DWELLING * The certificate is issued to PATRICIA BI~%NT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/a UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *pr.~aSE SEE ATTAc~U~D INSPECTION REPORT. Building )I~ne~ctor Rev. 1/81 BUILDING DEPARTHENT TOWN OF SOUTIIOLD IIOUSING CODE INSPECTION REPORT LOCATION: 490 WINDY POINT LANE (number & street) SUBDIVISION NANE OF OWNER (s) PATRICIA BRANT SOoIflOLD, NEW YORK (municipal itY~ NAP NO. LOT(s) OCCUPANCY SINGLE FAHILY DI~ELLING (type) (owner-tenang~ ADHIi-I'gD BY: HARY ANN FEAVEL ACCOHPANIE~ BY: SAHE K]gY AVAILABLE SUFF.CO. TAX HAP NO. 1000-7~-6-ii SOURCE OF REQUEST: GARY OLSEN, ATTORNEY DATE:DEC. 16, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: ~ATERO0~ (s) PORCH TYPE BREEZEWAY NONE DOI~STIC HO'I~ATER T~E HEAT OIL OTIS;R: WOOD FRAHE CEMENT BLOCK IST FLR. 6 2 CELLAR 2ND FLR. 3 TOILET RO01~ (s) DECK, TYPE FIREPLACE ONE YES TYPE HEATER ELECTRIC lES WAPOt AIR 2nd FLOOR ELECTRIC HEAT # STORIES 2 ! FIII~ NONE CRAWL SPACE YES 3RD FLR. IrrlLIT~ ROOH ATTACHED OUTSIDE ~OOD REAR I~ATIO GARAGE NOHE AIRCONDITIONING ItOTWATER ACCESSORY STRUCTuKES: GARAGE· TYPE OF CONST. SWII~IING POOL OT~R: STORAGE· TYPE CONST. · GUEST· TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REIiARKS: BP ~5098-CO Z-23440 (ADD) BP t6076-C0 Z-4853 (ADD), .BP tl2958-C0 Z-12434 (DECK) OP BP ~22564 Issued for, Wood Burning Stove T H. Boutis ' f TINE START 9:30 DEC. 21, 1996 END 10:00 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 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. 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. B. 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 December 1994 ,,:- . Date " ............ New Construction ........... Old Or Pre-existing Building..~ .............. 490 Windy Point Road ..................... Location of Property ................... House No. Street Hamlet Patricia Gorman Brant .... Onwer or Owners of Property .............................................................. ~ Bi ck ~ Lot !! ......... County Tax Map No 1000, Section ............ o .......................... Filed Map Lot .. Subdivision ' '' Applicant ........ Date Of Permit ................ ' .................... Permit No · Health Dept. Approval .......................... Underwriters Approv~ ................... Plannzng Board Approval ........................ ~ Request for: Temporary Cert~.jt ..... .%~. Fmnal Cert~cat~..z~' ....... ~,~,~ ~ii!~,FR,OIJEN, ES~. /,,~' /,-~ 7 Fee Submitted: $... !9~ ........... ~'-' .....g 20~-- /~)~.~/:~ :' cu c O UE, LL ............. , . ...... ..~. :. ~.~..~ ............ ~ APPLICANT ' CONSENT TO INSPECTION Gary Flanner Olsen, as attorney fo~' Patricia Gorman Brant, the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 490 Windy Point Road, SoUthold, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 78 , Block 6 , Lot 11 That the undersigned (has) (have) filed, 'or caused to be filed· an npplica- tion in'th. Southold Town l~u~l(ling lnsp~uLv~ .~ c~r~i.o £o~, +h. fnl]nwinf: One story frame house That the undersigned do(es) hereby give consent to the Building Inspectors of the Town o[ Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may decm 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 Southold. Thc undersigned, in consenting to such inspections, do(es) so with thc knowledge and understanding that any information obtained in the conduct o~ such inspections may be used as evidence in subsequent prosec~/ti~h~ for vio- lations o~ the laws, ordinances, rules or regulations of the.~l~own of Southold. Dated: December 16, 1994 '-' Gary Flanner Olsen (print name) (signature) (print name) 1 ,1