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Home My WebLink AboutZ-22929No Z-22929 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY Date APRIL 4, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 855 FISHERNANS BEACH RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 1 Lot 30 Subdivis 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-22929 dated APRIL 4, 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 SEASONAL DWELLING * The certificate is issued to GERALD I. GELBWAKS (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 INSPECT Rev. 1/81 BIIILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 855 FISHERMANS BEACH ROAD CUTCHOGUE, NEW YORK number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) GERALD I. GELBWAKS & WIFE OCCUPANCY SEASONAL SINGLE FAMILY DWELLING type owner -tenant) ADMITTED BY: MEN HOMAN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 100 - - - SOURCE OF REQUEST: Kevin J. Homan DATE. Mare 28,.1994 DWELLING: TYPE OF CONSTRUCTION 1/2 BLOCK WALLS -1/2 WOOD CONSTRUCTION # STORIES 1-1/2# EXITS 3+ 2* FOUNDATION CEMENT BLOCK CELLAR NOME CRAWL SPACE NONE TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM 2 PORCH TYPE SIDE COVERED DECK, TYPE NONE PATIO BRICK 3 AROUND BREEZEWAY FIREPLACE NONE GARAGE NONE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT NONE WARM AIR HOTWATER - - - OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BIIILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: 2 EXITS Q INSPECTED BY DWELLING *GARAGE ALTERATION WITH (1) ROOM h (1) UTILITY ROOM WITH TO MAIN DWELLING BP #3681 CO Z-3035 DATE OF INSPECTION TIME START 9:45 APRIL 1, 1994 END 10:10 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Q0 N 29 1994 4 ` 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 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 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 _Rxe x_P�i z�ti " land uses: -- 1. Accurate_ surve of pro�_showing_al-l-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 uirding 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. C.\ Certificate of Occupancy on Pre-existing Buildine - $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 $15.00 Date . Ma.xcb. 2-a.. 19.9.4 ....................... New Construction........... Old Or Pre-existing Building .... X............ Location of Property.... REL YVAt,e*zg,JR0,4Cutchogue........................................ House No. Street Hamlet Onwer or Owners of Property... Kenneth James.Homan. (Contract Vendee) .. ........... .. County Tax Map No 1000, Section..JA1, QP.....Block.....91:00 ..... Lot. .Q30.AQQ............ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted- $. 1QQ,Q0 .................. ZOO . • Ll ANT.KENNETH. JAMBS. HOMAN CONSENT TO INSPECTION KENNETH JAMES HOMAN the undersigned, 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 Ha waters Road , which is shown and designated on the Suffolk County tax map as District 1000, Section 111 Block I , Lot 30 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: Certificate of Occu)ancv for Pre-existing Building 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 undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that 5tfig 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: March 28. 1994 U (sia ture. KENNETH J ES H MAN print name (signature) print name) BIIILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: �s'-Ir S &0( i r & street &1-4fexle municipal SUBDIVISION MAP NO. �LOT(s) NAME OF OWNER (s) &2,8 zd f oe!�-71 A�lq eS �G<1/! OCCUPANCY �� I S �h� J9 / SjN �' 1-e %3 ol"l I-V ol6WCJ A s - (type) owner- nant) ADMITTED BY:QiV1.. �/¢'� ACCOMPANIED BY:� KEY AVAILABLE SUFF.CO. TAX MAP NO./D00 - - - b SOURCE OF REQUEST: f f��/ r1) f DATE: 2 - DWELLING: -?r- TYPE OF CONSTRUCTION STORIES EXITS342, FOUNDATION C L'. CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 2- 3RD FLR.r^ BATHROOM (s) Q rv4 TOILET ROOM (s) O JVVIQ- UTILITY ROOM !� PORCH TYPE!5/be (f DECK, TYPE %1,PA&.Q" - PATIO �Q BREEZEWAY _ FIREPLACE j�a yV�--�-- GARAGE J-J,ev-A, DOMESTIC HOTWATER ,Q TYPE HEATER 'G. AIRCONDITIONING TYPE HEAT E) P-4._ WARM AIR OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: HOTWATER STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: IS" L'14�n—fy-A