HomeMy WebLinkAboutZ-24899 AFOPS4 NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
5outhold, N.Y.
pRE EXISTING
CERTIFICATE OF OC~u~CY
No Z-24899
Date FEBRUARY 7, 1997
THIS CERTIFIES that the building
Location of Property 5875 VANSTON ROAD
House No.
County Tax Map No. 1000 Section 118
Subdivision
ONE FAMILY DWELLING
Block 1
Filed Map No.
~U'~'CEOGRE, N.Y.
Street
Lot 1.3
Lot No.
conforms substantially to the Requirements for a structure build
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z--24899 dated ~gBRUARY 7, 1997
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 NON-HABITANLE ACCESSORY BOATHOUSE
Hamlet
The certificate is issued to JOHN A. CLARKE
(owner}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
Inspector
Form No. ¢~
TOWN OF SOUTIIOLD
BU i[,D lNG DSPARTHENT
TOWN IIALL
765-1802
APPLICATION FOt( CEflTIFICATE OF OCCUPANCY
This applicatiom must be filled in by typewriter OR ink and submitted to cae building
inspector with the following: for new building or ne~ use:
1. Final surve~ of property with accurate location of all buildings, property lines,
streets, and unu!;ual notural or topographic features.
2. Final Approval from tlehlth Dept, of water supply and sewerage-disposal(S-~ form).
3, Approval of electri~mt installation from Board of Fire Underw¢iters.
Swo~n statement from/plumber certifying that the solder used in system contairs
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 th~ building.
6. Submit Planning Board Approval of completed site plan requirements·
'B.
F~r 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 ~he applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
rmasons thete£or in writing to the applicant,
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-existin~ Bulldin~ - $100.00
3. Copy of Certificate of Occupancy ~ $20.00
4, Updated Certificate of Occupancy - $50.00
5, Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.O0'
Date .... Jsouar¥.3D..ggSJ .....................
New Cons~ructiom ........... Old Or Pre-existing Building..~..O..,~o.r,~tJ%ouse
Vanston Road ~t~o~e
Location of Property .... ~ ....................................................... ·
}louse No. Street Hamlet
Onwer or Owners ~f ~roper"y John A. C%arke
County Tax Map No 1000, Section.. 118 ~ ...~ .................
............ Block ............... Lot.. 1
Subdivision .................................... Fi[ed Mnp ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant...Ab;Lga~,l: ~..~Lc.ldaam ........
!{ealth Dept. ApproVal .......................... Underwriters Approval .........................
Planning Board Approval ........................
;equest for: Temporary Certificnte ........... Final C~rticatno.o£.Pre~g~isting Use
CONSENT
TO
INSPECTION
.~JOHN A. CLARKE, by ABIGAIL A. WICKHAM, ESQ. , th~understgned,
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 5875 Vanston Road, Cutchosue, New York 11935
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 118 , Block i , Lot 1.3
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: __
A Certificate of Pre-existin~ ~se for the boathouse
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 regulations of the Town of Southold.
The unde_Fsigned, 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 Town of Southold.
Dated: JanuarF 30~ 1997 ~M~gail
' (signatu e)
A.
Wickham
(print name)
(signature)
(print name)
1