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Home My WebLink AboutZ-22620 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CORRECTED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22620 Date FEBRUARY 23, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1350 WEST COVE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 5 Lot 2 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-22620 dated FEBRUARY 23, 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 DWELLING WITH ATTACHED "SHED" (GENERATOR COVER) ACCESSORY DECK "LANDING° & PUMPHOUSE The certificate is issued to THOMAS & ROBY GLUCKMAN (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 ATTACf~D INSPECTION REPORT. NOTE: THIS CORRECTS PRE CO DATED SEPTEMBER 9, 1993 / ilding Inspector Rev. 1/81 - BUILDING DEPARTMENT TOWN OF SOUTItOLD HOUSING CODE INSPECTION REPORT LOCATION- 1350 WEST GOVE ROAD CUTCHOGUE, NEW YORK number S street municipality SUBDIVISION 'MAP NO. LOT (s) NAME OF OWNER (s) ADAM fi CHARLOTTE FINNEY OCCUPANCY A-1 RES. OWNER type (owner-tenanC) ADMITTED BY:. MRS. WHEELER ACCO.`IPANIED BY: SAl!IE KEY AVAILABLE SUFF. CO. TAX MAP NO. 111-05-02 SOUL,:::: OF REQUEST: PAUL A. CAMINITI, ATTY DATE: SEPT. 16, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORKS ONE # E%ITS 5 FOU`1DATION CEMBNT BLOCK CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR_ 9 2ND FLR. 3RD FLR_ BATHROOM (s) 5 FULL TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE .RAISED FRONT BREEZEWAY FIREPLACE ON6 GARAGE DOMESTIC HOT1+lATER YES. TYPE HEATER OIL AIRCOI3DITIONING TYPE HEAT OIL WARM AIR ~ HOTWATER OT11ER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. SWIZ•IZIING POOL GUEST, -TYPE CONST. OT1~R: 1 ROOM APARTMENT WITH BATHROOM ATTACHED TO GARAGE, DECK "LANDING" 5 PiRg'HOUSE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION DESCRIPTION ~'1RT. SEC. REMARKS: BP #37582 CO Z-3129 BP #47322-CO 23999 INSPECTED BY: DATE ON INSPECTION SEPT. 24, 1993 GARY SH TIME START 9:3OAM END 10:00 AM r ~ Form No. 6 °r!~ r s I ` TOWN OF SOUTHOLD u. BUILDING DEPARTMENT - ~ TOWN HALL 7 765-1802 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 17 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 $15p.00, Commercial $15.00 Date ........,l .'.l ,~o, = 9 3 . New Construction........... Old Or Pre-existing Building.,~~.,/ Location of Property....... 350. , , yY~3t . CO Uf_, .~OAD. , , , , ,~!~~5~ ,~7, , , ~U j ; v L- House No.. .St~rjeeta ~ Hamlet Onwer or Owners of Property......Cn,4,E~p rT. , g p'! /L~5 " n/Nfy~ . . . . . . County Tax Map No 1000, Section....~~~.......Block...:5...........IL'ot..~? Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Ilealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... ree Submitted: $.........r.~?;Y APPLI .T ~-b ~ p COA`SI~NT TO INSPI;CTIUN ~i4L~0 / / E f /d/~?E ~ ~ ~ /fG°L'JP/~ the undersigned, Otvtier(s1 Name(s) do(es) hereby state: That the undersigned (is) (are) the ow1ner(s) of the pDremises ,ipn~ the Town of Southold located at f3s~ ~~,57 ~ ~-~A fjj-~ ~p~,U Cv ~ ~%CLOC~ J2, ~ ~rhich is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~~m Building Inspector's Office for the following: C 0 f/sai .Qf o ,ec~ iva.~ ct/~Lof.E'v Cl~,SEf A~/ ~D~cGr ~iP~eue ~ ~ o Sv'~v~c~ ~ sl,•o ~ a CR2 q,4fA6E 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 tivith 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 cf Southold. The undersigned, in consenting to such inspections, do(es) so tivith 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 th wn of S hold. - Dated: Q 77 ' (sign re) ~ctL • C~ ~,v, (print name) ~alU7 G~ (signature) V ~DAvE ~a~peCL (print name) ~ X77-~~~~ {~cces5 u, a. YJ ~ J ~s, 6~,~.~ ~I . ~ - i ; I ~ w~ W ~v a-1~ ~ ~ U ~ lt1 r ~ W'N~ i °am ~`~dvi~ O~ _ Q~~!_ U) + \ . ~p~ t~ i ~ ~ J p~d071 NOSSivW7~. ~ r ~ ~ I~ N p ~ j u, a, - o'' /r 2 ' ~ ~ r~~ U Q4 ~ .a _ - _ O r ~ - . ~ z tL.le N ~ ~ Y 'ati 4fi - fl: J ' ~ ~s~ - a V% / ~ a ~ ~ ~ ~ ~ ,a~\ 1 - . q0. ~ - K riy~~ r a. r _ ~ . X7~ . ~ - v4 a J ! t~;\ . `ry 6 } N ~ t 1 W ~ ~J ~ ~ ~ I ~ a y`I a I z r ~ ,a W~ i c i put.KHEAO p~ N1~1 Q m 1 I i~.w~ aQ ~ ~ ~ t__ ~ °0~^ S- J-...-.d'e~--~~-- f~.~tr~~ ~ 03.16 " ~ : _ HAtLBGjZ. a # " j ~ - E,. T. - 7j$~ ~ ~j~i yS9