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Home My WebLink AboutZ-20352FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20352 Date NOVEMBER 15, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 805 COX LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 5 Lot 1 Subdivision iled 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-20352 dated NOVEMBER 15, 1991 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 * The certificate is issued to LEANDER B. GLOVER JR. (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 Inspecto Rev. 1/81 BUILDI::O DEP:uRT:L=",iT TO', i'i OF SOUTEOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 805 COX LANE CUTCHOGUE, NEW YORK number do street) �i•iun.icipality) Subdivision Map No. Lot(;,) Name of Owner(s) LEANDER GLOVER, JR. Occupancy R-1 OWNER (type) olvn er-tenant ) Admitted by: MR. GLOVER Accompanied by: MR. GLOVER Key available Suffolk Co. Tax No. 97-5-1 Source of request LEANDER GLOVER, JR. - DWELLING: Date MAY 3, 1991 Type of construction WOOD FRAMED ;-Ustories 2 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 4 2nd. F1 4 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type SCREENED IN Deck, type Patio, type - Breezeway Garage Utility room Type Heat OIL FIRED Warm Air Hotwater xx Fireplace(s) No. E:cits 2 Aircor_ditioning Domestic hotwater YES Type heater OIL FIRED Other ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: _CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE THISPRE-CO INCLUDES BP #53227 issued 5/26/7':1 CO Z-4350 issued Remar'.-cs : Inspected by: I Date of Insp. SEPT. 16, 1991 Time start 9:45 end 10:00 Nr MAY - 31991 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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 "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 $115.000, Commercial $15.00 Date .... 1-13.1'411 .1. ........................... Qew Construction......... Old Or Pre-existing Buil//ding.. �......... .. 7- / ocation of Property..... Q ........... �� X.....�.. ........... 4� !.1 .S.`i.V.�. f f.. 1.��•7 House No.// Streeet // Hamlet )nwer or Owners of Property........! O A I .dr'k , , , , S 7. h4: e 9 .... �, J...................... ;ounty Tax Map No 1000, Section .... IV,~l•..... Block. ...45 ......... Lot ....... 14, ........... ;ubdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. iealth Dept. Approval..........................Underwriters Approval......................... 'lanning Board Approval ................. .equest for: Temporary Certificate........... Final Corticate..`......... 'ee Submitted: $............................. i............. 352: APPLICANT BUILDI7, I DEP:�RTI•IEiiT TO',li`I OF SOUTHOLD, N. Y. HOUSI', G CODE IivSPECTION REPORT Location990s— r::�e zld� number & street iunicip ty) .,'�� Subdivision Name of O%.jner(s) Occupancy Map No. Lot(s) l tyP e) owner --tenant Admitted by:—'MA Accompanied by: Key available Suffolk Co. Tax �J No. (/ r Source of request �,�,,, ,/A-, ��,,..�, Date �.- DWELLI�,TCr, Type of construction _ r`stories Foundation ellar Crawl space Total rooms, lst. F1 2nd. Fl 3rd. Fl Bathroom(s) Toilet rooms) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplaces) No. Exits_ Airconditionin, Domestic hotwater Type heater �__ Other —�' ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: -i v Inspected by: Date of Insp. Time start-Yy end CONSENT TO INSPECTION e a y! dct ✓ 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 (f -C, x X a 0,;77 A which is shown and designated on the Suffolk County tai; map as District 1000, Section q !Z_, Block _,r , Lot I 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: 76 G ✓-' L"') r- C - man C4 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 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: 6—/3, (signature) (print name) (signature) (print name) /1. Y