HomeMy WebLinkAboutZ-20350FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20350 Date NOVEMBER 15, 1991
THIS CERTIFIES that the building AGRICULTURAL BUILDING
Location of Property 405 COX LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97
Subdivision
Block 5 Lot 2.1
Filed Map No
Lot No.
conforms substantially to the Requirements for a Agricultural building
built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20350 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 AGRICULTURAL FARM BUILDING WITH TEN ACCESSORY STRUCTURES*
The certificate is issued to LEANDER B. GLOVER, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVALN/A
CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUIDIDEP, ,
T0'9N OF SOUT:iOLD, N. Y.
HOUSING CODE IPiSPECTION REPORT
Location 405 COX LANE CUTCHOGUE, NEW YORK
�numoer & street) �i.iunicipaiity)
Subdivision Map No. Lot(:,)
Name of Owner(s) LEANDER B. GLOVER, JR.
Occupancy
(type) owner -tenant)
Admitted by: L.B. GLOVER, JR. Accompanied by: SAME
Key available
Suffolk Co. Tax No.
Source of request L.B. GLOVER, JR.
Date
97-5-2.1
MAY 3, 1991
rk0i3b&ir=xxx LARGE STORAGE BUILDING 120' s 60'
Type Of construction WOOD FRAMED Tstories ONE
Foundation CEMENT Cellar Crawl space
Total rooms, lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits Aircor_ditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES: TEN ACCESSORY STRUCTURES
Garage, type const. Storage type ype const.
Swimming pool Guest type const.
Other
VIOLATIODIS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
i,nca-c on DescriiDtion
Art.
Sec.
SEE ATTACHED HOUSING REPORT PAGE "2"
I
Remarks:
Inspected by:2 Date of Insp. SEPT. 15, 1991
URTIS HORTON Time start 10:00 end 12:00
I
� 4
MAY - 31991
f
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 $15.00, Commercial $15.00
Date ..... A-. 1:4 /.� .................
Jew Construction........, Old Or Pre-existing Building..........
Location of Property..... � a.�............G.& A %C?A4 ........... C. U t C
House No. /Street Hamlet �•
)nwer or Owners of Property ...... !��.9).'?.d.Cr.....a ve-
...........................................r
,ounty Tax Map No 1000 Section .,.,,,�.,., nn ./ .,
.,........Block. ....Lot..d�....
i
;ubdivision....................................Filed Map ............ Lot ......................
'ermit No................Date Of Permit ................ Applicant .............................
[ealth Dept. Approval..........................Underwriters Approval.........................
'lanning Board Approval ........................
request for: Temporary Certificate........... Final Corticate...
'ee Submitted: $,,,',(p(f� 0(%
. .. .................
(.yag5� ......�z9��...�� -.- ..........
1�axa r -o ;�' z 0350 APPLICANT
e-.7 K
Owners) Names)
do(es) hereby state:
CONSENT
TO
INSPECTION
Zbl✓&V yl�
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
Co
C-✓( e /1 o e
which is shown and designated on the Suffolk
County tax map as District 1000, Section qf, Block �_, Lot,
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:
v -
C �Pc7 Vt e.
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: 513121 -
(signature)
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BUILDII G DEPAPM-1 .iiT
TO:,IT,1 OF SOUTHOLD, N. Y.
HOUSIi G CODE INSPECTION REPORT
Location
�nunoer do street) �i-iunicipalit-
Subdivision Nap No. Lot(,;)
Name of O:-jner(s)
Occupancy
type) downer- cenant)
Ad,::itted by: Accompanied by:
Key available Suffolk Co. Tax
Source of request , Date —Jzjz
D''.ELLING:
O
Type of construction_
stories
Foundation Cellar Crawl space
Total rooms, lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breeze,.iay Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits_:]R:Airconditioni n -
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURE'S:
Garage, type const.
Stor e, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncati on-yL.Aescri -n-11--i nn _Art. Rpn _
Remar'.;s :
Inspected by: Date -of Insp.
.+ Time start 4 1 O end 1s
00
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AWN
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Remar'.;s :
Inspected by: Date -of Insp.
.+ Time start 4 1 O end 1s
00
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