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Home My WebLink AboutZ-23232FORN NO o 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING UA~TIFICATEOFOC~umAN~ No Z-23232 Date SEPTEMBER 15, 1994 THIS CERTIFIES that the buildin~ O~ F~MILY Location of Property 1650W~BT ~KK~ AVE~U~ ~U'~X~O~U~, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 11~ Block I Lot 5 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-23232 dated SEPTEMBER 16, 1994 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 SEA~NAL D~3.ING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SMB ATTAu-K!] INSPECTION REPORT. JO~N ~.r. IOTT DAWSON & MA~Y D. HO~.T.AND N/A ' /~uilding Inspector Rev. 1/81 LOCATION: SUBDIVISION NAI~ OF O~q~gR (s) BUILDING OEPART~ENT TO~N OF SOUTDOLO IIOUSING CODE INSPECTION REPORT 1650 WEST CP~EK AVE. CUTCHOGlrg, NEW YORK (number & street) (municipality) z~e No. LOT(s) JOHN ELLIOTT DAWSON & MARY D. HOLLAND OCCUPANCY A-I RES. (SEASONAL) (type) (owner-tenant) ADMI-n'~D BY: JOHN ELLIOTT DAWSON ACCOHPANIE~ BY: SAME KEY AVAILABLE SUFF.CO. TAX FLAP NO. 10uo-iio-I-) ~ SOURCE OF REQUEST: W1ur, IIAH, WIc~ & BRESSLER, P.C., KI-I'I DATE: SEPT. 13, 1994 FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY D~'ELLING: TYPE OF CONSTRUCTION CEMENT BLOCK IST FLR. 5 ONE FuLL BATH SCREEN PORCH WOOD FRA[~ ~ STORIES OWE [ EXITS 3 CELLAR FULL CRAWL SPACE 2NDFLR. 3RD FLR. TOILET ROOH (s) DOMESTIC HOT~ATER TY~E It]gAT NORE YES UTILITY ROOM DECK, TYPE FIREPLACE TYFE HEATER PROPANK WARN AIR GARAGK PATIO CEmeNT FRONT OF HOUS AIRCONDITIONING HO'I'~ATER Ol'liliR: ACCESSORY STRUC~uggS: NONE GARAGE, TYPE OF CONST. SI~I}tMING POOL OTHER: STORAGE, TYPE CONST. · GueST, TIPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION SEPT. 15, 1994 TIME START 10:15 END 10:35 CONSENT TO INSPECTION Abigail A. Wickham, Attorney for Mary D. Holland & John Elliott Dawson Owned(s1 Name(s) state: That the undersigned of Southold located at Which is shown Section liO , Block That the undersigned (~'as) tion in the Southold Town Building Inspector's Office Certificate of Occupancy of Pre-existing Use · the undersigned, do(es) hereby (is) (are) the owner(s) of the premises in the 1650 West Creek Avenue, Cutchogue, New York 11935 Town and designated on the Suffolk County tax map as District 1000, 01 , Lot 05 (have) filed, or caused to be filed, an applica- 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 inspec- tions to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Tcwn 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 Town of Southold. Dated: September 13, 1994 e E~t t Dawson I BLDG. DEPT. [ TOW. OF Signature Print name BLDG. DEPT. TOWN OF SOUTHOLD A. Form No. 6 TOI~L.OF-~0UTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 A~PLICATION 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 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 buiIdings 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:. i. Accurate survey of property showing ali property lines, Streets, building and unusual natural or topographic features. 2. A ~roperly 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 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 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 $15.00 Date September 13, 1994 onstructlon ..... ' ............. .. L g Buzlding .... Z ............ ocat~on of Property...l~SQ.West.¢~eek.A~anua ...................... Cutchogu~.. House No. Street Hamlet Onwer or Owners of Property. ' John Elliott Dawson .a.n.d..~...ry. p... Ho~$~nd County Tax Map No IO00, Section 110 ~ .Block. .01 ...... Lot .... 0.~. Subdivision ....... ' ............ ................... Filed Map Lot Permit No ................ Date Of Permit ................ Applicant. Abjgmjl. Health Dept. Approval. for owners ......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ......... Final Certicate. Pre-existin Use "SUNSET PA TH" So N/O/F IWARY S. Mc~AHAN S. 86~0~0"E b 247.04' 'o.:---- ~.P'~ SURVEY FOR ~ WlLL IA M HERMS TED . -~ & MAR Y HERMSTED ~ ~ ATCUTCHOGUE TOWN OF SOUTHOLD t ,,., - ~[ SUFFOLK COUNTY, NY. I~ - I~ - 01- 05 Scale: 1" = 40' Sept. 12,1994 3.6?' ~'~ NIOI F HARRIf-T CERTIFIED TO, WILLIAM D. HERMSTED MARY A. HERM~TF_~ FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK AREA = 1.4770 Acres to tie lines ANY `4L TER`4 TION OR A~DITION TO THIS SURVEY iS ,4 VIOLA TION OF ~C770N 7Z09 OF THE HEW YORK STATE EDUCATION LAW~ EXCEPT AS PER ~CTION ~09-StfBOIVISION g. ALL CERTIPICA TlilN$ HEREON `4RE V~LID FOR THIS MAP AND COP~S THEREOF ONLY F ~ M-4P OR C01~/~$ ~¢_AR T~ IIViP~$~ED GAL OF THE SURVEYOR F/HO~E 576N4 TURE APPEARS HEREON. A~ITIOf44LL Y TO COMPLY ~/ITH SAID L~F/ THE ~ 'AL TETr~) BY' MUST BE U~ED BY ~NY ~ ALL SURVEYORS UTIUZIN~ A COPY OF ANO~ SURVEYOR'S MaP. TE~4~ SUCH AS 'INSPECTEd' AND '~OU~HT-TO-DA TE~ ARE NOT IN COMPLIANCE WITH THE LAW. PECOMC ~U~VEYORS, P.C. (516) 765 - 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD, N. Y. 11971 94- 292