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Home My WebLink AboutZ-20703 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20703 Date MAY 6, 1992 THIS CERTIFIES that the building ONE FAMILY DV~IELLING Location of Property 855 KIMOGENOR POINT RD. (#9) CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 6 Lot 24.1 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-20703 dated MAY 6, 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 DV~TET•T_TNG * The certificate is issued to KIMOGENOR POINT CO. (MARTHA FISHER) (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. Building Inspector Rev. 1/81 _ TC',~~( Cc ~CUT;iOLD, N. `r- EGU~I::G CODS Iii?~CTI0;1 iZ~PC<iT Location 855 RIMOGENOR POINT ROAD CUTCHOGUE, N.Y. ~r;;.:.:.oar Esc ~cree~) ~;•iu:.~cipal~-~y/ Subdivision tap 1`!0. Lot(s) Na„le of Ot•rner(~) RIMOGENOR POINT CO: (MARTAA FISHER) R_t OWNER Occupancy l ~yP° 1 o~:rner- ~enanz Adaitted by: MRS. FISHER Accompanied by: SAME Key available Suffollt Co. Ta:c ATo. t t6-6-24. 1 GARY FLANNER OLSEN, ATTY MAY 4, 1992 Source of request Date Dr~r-~LI,T~rG . Tyne of construction WOOD FRAMED ,-;`stories ONE Foundation CEMENT BLOCK Cellar Cra~.al space Total rooms, lst. Fl 7 2nd. Fl - - 3rd. F1 - Bathroom(s) 2 Toilet roori(s) Porch, type WooD Deck, type Patio, type-BRICK Breezeeray Garage utility room • Type Heat NONE 'rlarm Air E?o t~:rater Fireplace(s) ONE No. E:cits ~ Aircorditioairg YES Tyne heater PROPANE Dc:~estic hot:oater Other ACCSSQR`r ST'?UC^'*~Tcl~'S: NONE Garage, type const. Storage, type const. S~•ri,:..-~ing pool Guest, type const. Other VIOL.4TIOt1S : _GEIAPTER 45--N.Y. STATE UNIPOI~1 FIRL•: PIZL•'VENTION Zti BUILDING CODE Lncation DPscrintion IArt.I Sec. NO VIOLATIONS OF CHAPTER 45 WERE FOUND. I I I I I I 1 I _ ) I I I Re~:ar'.a. THIS PRE CO IS FOR LOT ~9 . / MAY 6, 1992 Insaccted by:~ ..~J~L, ~/~(~+_Date of Insp. CURTIS W_ H RTO .Tine start 9:30 end 10:00 i >f -;+4 CONSENT TO INSPir\C_TION M G~'~'~ ~\h N. 1J ~hG•1.1 the undersigned, Owner(s) Name(s) T~ h~ do(es) hereby state: That the undersigne~d`(is) (are) the own\er(s) of the premises in the Town of Southold located at `~OVh.e_.h~, ~ 1'~~~~~~LV~6~-~Ql~~ A,vJ S.nQ~ ,which is sho~+r., and designated on the Suffolk 1 County tax map as District 1000, Section ~~~t ,Block ~ ,Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in`~ha.Southold Town 13uiluing lnspecw. c+rr~~e ce,. •ho f~llewing: That the undersigned doles) 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 undersigned, in consenting to such inspections, do(es) so with the u knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prose io s for vio- lations of the laws, ordinances, rules or regulations of th ow of Southold. Dated: ~ ~ • (sign ture) GARY PLANNER OLSEN, ESQ. / E G ~iX 706 (print name) CUTCN+iGUE, L.I.• N.Y. 11935. (signature) (print name) • ~C C~ Li\L~ ~ I ; ; FORM N0. 6 70WN OF SOUTHOLD MAY ' Q Building Department Town Hall Southold, N.Y. 11971 z;. 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ rr...~a to the Building Inspec- torwith the following; for new buildings or now use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equaq. 3. Approval of electrical installation from Board of Fira Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa• tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. -For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Oate of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $-25:00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over S years $ I 0 00 4.Vacant Land C.O. $ 20.00 ~ ~ S. Undated C.O. $'"50.00 Date ....r New Construction,,,,,,01do0r~Pre-existing Building ....~.V-acant~t\and I~ .A Location of Property ..~>P.~....\ . ~~Y10 ~CY1t5~ .~p ~v??. . R^!'f . ~N1'~,0~~ , House No. Stree[ r Hamlet Owner or Owners of Property ~~:a ~ . . County Tax Map No. 1000 Section ..1. Block Lot ..1':~. 4~~~p~ Subdivision .................................Filed Map No. ..........Lot No. l~ Permit No........... Date of Permit ..........Applicant . Health Dept. Approval .........................Labor. Dept. Approval . Underwriters Approval .Planning Board Approval . Request for Temporary Certificate .....................Final tificate..~l:x...~......... Fee Submitted $ . Q~~~ . Construction on above described building and permit me ppli b~le code and regulations. .y Applicant .yl~~i~~r:.~.:r: nw. to-to~~e GARY Fl-ANNER OLSEN, ESQ. Q~~-`!3??5 P.o. pox cos - - - erU. C0~` oZ0? 0 CI ITCUnr_ur ~ ~ ~ • -