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Home My WebLink AboutZ-23005 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. PRE E%ISTING CERTIFICATE OF OCCUPANCY No 8-23005 Date MAY 23, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 29330 MAIN ROAD CUTCHOGDE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 6 Lot 23.1 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-23005 dated MAY 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 ie ONE FAMILY DWELLING WITH ACCESSORY BARN WITH ATTACHED S® The certificate is issued to SVSLYN S.FLBET (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. ..C.~ ilding Inspector Rev. 1/81 • BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 29330 MAIN ROAD CUTCHOGUE, NEW YORK number 6 street municipality SUBDIVISION MAP NO_ LOT(s) NAME OF OWNER (s) EVELYN S. FLEET OCCUPANCY A-) RESIDENTIAL OWNER type owner-tenant) ADMITTED BY: ELIZABETH VISSER ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TA% MAP NO. 100 - - - SOURCE OF REQUEST• GARY PLANNER OLSEN DATE: MAY 4, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2-1/2 # EXITS 4 FOUNDATION CONCRETE BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: 1ST PLR. 6 2ND PLR. 3 3RD PLR. BATHROOM (s) OME TOILET ROOM (s) OME UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE 2 GARAGE DOMESTIC HOTWATER yES TYPE HEATER OFF BOILER AIRCONDITIONING TYPE HEAT OZL WARM AIR HOTWATER ~ OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. CARPORT STORAGE, TYPE CONST. WITH ATTACHED SHED SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC_ ROOF OF THE ROOF DOES NOT APPEAR TO BE LEAKING AT THIS TIME BUT DWELLING IT IS IN NEED OF REPLACEMENT. REMARKS: BP #19421-Z CO Z-19505 FOR ACCESSORY CARPORT. INSPECTED BY `~~~7FRj~ DATE OF INSPECTION MAY 16, 1994 S TIME START 10:05 AM END 10:30 AM Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT O ~ lr TOWN HALL j'~ ' 765-1802 MAY i 11994 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DE v _ TOWN OF SOU H A. This application must be filled in by typewriter OR ink and submitted to 1 ng 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 Deft. 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 Appxuval 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 Euilding - $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 $15.00 Date ..May.4:.1994 New Construction........... Old Or Pre-existing Building.,X Location of Property.......Md1q,ROdd,.GUtGb09Ue..Ne~d.York House No. Street hamlet Onwer or Owners of Property...Evely4.$..Fleet County Tax Map No 1000, Section.,102,00,,,,,,Block..Q~.QQ.........Lot..Q2~.QQ1 Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters A rov 1......................... Planning Board Approval i Request for; Temporary Certificate........... Final Ce ate%' Fee Submitted: $,,,100:00... ' " . , . ' i~~ f..d ~ a3 00.5 _ Gary Flanner d~s~tlG~~. P. 0. B. 706, Cutchogue p • . ,Y. CONSENT • TO • • INSPECTION Gary Flanner Olsen, Esq. as Attorney for Evelyn S. Fleet ,the undersigned, Owner(s) Name(s) do(es) hereby state: • Tl}at the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Main Road, Cutchogue, New York ,which is shown and designated on the Suffolk County tax map as District 1000, Section 102.00, Block 06.00 ~ Lot 023.001 ~ • That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in~'he.Southold Town Buutiing lnspc:c~... •o orrz.. ra.. •ti.. fnllotvin~: 2 1/2 story frame house carport, and barn • • That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above descrlbed property, including - ...__any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws. ordinances, rules and regulations of the Town.of Southold. • The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained !n the conduct of • such inspections may be used as evidence in subse ent rosecutions for vio- • lations of the laws, ordinances, rules or regal ons o he T, w of Southold. Dated: May 4, 1994 ~ • ~ (signature Gary Flanner Olsen, Esq. as (print name ~ attorney for Evelyn S. Fleet ~ 3 ~ °i ~ ~ ~ signature) w.. ~ (print name) 0 o e. ~ L ~ L , p@ ~ mfr ~ ~s O ~3 0~$ 4 g¢a G~ • ~ sal ~3 U ~ ~ ` i w .i,,, l , ~ - itSf. .emu i - [ ~ n • 1 ~ y: W d ~Y { Its J ( ~ Y y' 4 ~ l ~ w" ;~~~r:. S M y ~ i j.~j.1U v 1. { ~x r't7 ._.,_.~~tV ~ Sq _ ~ '1~ 5 ~ ~ ~ w w ~ ~ ~a ~ ..,r ~U ~q ~ - 4 ~ ~ ~ 4 n Q ~ ~ iu ~ ~ 1 . U4?. p b~ qt, N Z a w rL 4~ Iri 0 fZ 1 -