The URL can be used to link to this page

Home My WebLink AboutZ-21095FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21095 Date OCCTOBER 15~ 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1079 BAY HAVEN ROAD SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 5 Lot 39 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-21095 dated OCTOBER 15~ 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE * The certificate is issued to CASSEL TRUCK LEASING CORP. (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. /f B~ilding Inspector Rev. 1/81 TO'Jr CF SCUTHOLD, ?I. ¥. Locatic~ Subdivision HGL'Si:iG COLE IUSPECTIOU 1079 BAY HAVEN ROAD SODTHOLD, NE~ YORK ;.mr t'~o. Lot(a) Key available Suf£olk Co. Ta~c Mo. 56-5-39 Source of request_ RUDOLPH BRDER, _Date OCT. 14, 199 D':~LLI3~: ,Type of construction Foundation C~mNTBLOCK Total ~ooms, lat. F1 Bathroom(s) 2 Porch, t)TeREA~CO~ERED Breezeway~ Type Heat OIL Fireplace(s)' ONE Dcmestic hotwater I4OOD FRAME -- ~ . 8'x12' SMALL AREA ,r,s~or!es CellarFO. R BOILERCrawl space 5 2nd. F1 2 5rd. Fl, .., Toilet room(s). ONE Deck, ~%rpe, .- Patio, type Garage I CAR U~_! ~y ro~m · %farm. Air Hot:vat er xx YES Type heate_~ OFF BOILER 2 Other ACCE£SC~y STRUCTURES · Garage, type conaP. Swir..uing pool Other ~ PLATFO~ IN REAR YARD FRONT ENTRY. SHALL FRONT ENCLOSED POliCH & LAUNDRY ROOM. Storage, type const. Guest, t!rpe const. CNZ. nAR C.I.OSF. T ?ND FLOOR V!OLAT!OMS: _~cation FLUE FOR BOILER .CIIAPTER 45--N. Y. STATE UNIFOI~! FIIU{ PgEVENTION & BUILDING CODE D .-.c~ l~,.lon }-Art.,.[ Sec. CItLI~IEYS, S~UKESTACKS, FLUES ETC. S~L BE [ ~. F [ NA~AT~U S~C~AI.I.Y S~ ~ ~TI~T SO TO S~LY CO~R ~ PRODUCTS OF C~USTION TO '1'~ I t I Re..,_r..s: BP ~2277Z-COZ-2098 for Addi'tion Inapccted by:~/F~s? .Date of Insp..OCTOBER 15, 1992 · Time Start 10:00 end 10:BO Form No. 6 TOWN OF SOUTHOLD C~ ~ 4 ..~ 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. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S_9 form). 3. Approval of electrical installation f~om Board of Fire Underwriters. · 4. Sworn statement from plumber certifying that the solder Bsed in system contains less than 2/10 of 1% lead. - 5. Commercial building, industrial building, multiple residences an~ 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.' 3., For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and · pre-ex,sting" land uses: , 1. .Accurate survey Of property showing all property lines, streets, building and unusual natural or ~pographic features. 2. A properly complet~aPplication an~ '~ consent to inspect signed b~the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO ~w Construction.. ..... . . -- ............... .... House No. /~ 8treet~ ~ '' · ........ ,wet or Oweers of Property ...... . .. unty Tax Map No 1000, Section ..... ~"',~ ..... Block .... ,~,~ ......... Lot.~.~. ................. bdiviaion ' ' ................ ~ ~ Filed Map rmit No ' ................ Date Of Permit ................ Applicant ............ ]lth Dept Approval ' · ' ......................... Underwriters Approval mning Board Approval .............. luest for: Temporary Certificate ....... Final Certicate ........... Submitted: $ ..... L ................. ~~ - TO do(e.~) hereby state: That the Undersigned (is) (are) the Owner(z) of tile pre~nise:; in Ibc Tov,m __ _, which is ~hown and deSign, areal on thc Suffolk County trax m~p as District 100~, Section~, Block__~ . Tha~ ~he undersigned (h~s) (ha~e) filed, or caused to be filed, an applic~- lion in the Southcld To~ ~uildin~ Inspector,s O~ice for the follow~: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon ~h. above described property, including an.',, and all bu£1d[ngs located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, · nnc !u ~ un5 '-nspections to delermine that said premises cornn!y with all of the laws~ ordinances, rules and re.~ulations of the Town of Southold. The undersigned, in Consentin~ to such inspections, do(es) so x~ith the Pno::'ledge and understanding lhat any infor,mation obtained in the conduct of such inspeclions may be used as evidence in subsequent PrOsecutions for vio- lations of the laws0 ordinances, rules or regulations of the Town of Southold. " Dated: ? ~ ~ ~ignature) (print name) - (sifnatur-e) (priut Uame) 0 1' . ~' LOT 3/ '0 LOT 28 FLAG POLE .~I~; '