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Home My WebLink AboutZ-20351FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20351 Date NOVEMBER 15, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 705 COX LANE_ CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 5 Lot 2.2 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-20351 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 WITH _ACCESSORY WOOD STORAGE BUILDING* 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 Inspector Rev. 1/81 .W. BUI�uI::% DE.P:tRT:•I' iT TO`PN OF SOUT;;OLD, N. Y. HOUSIi:G CODE. INSPECTION RE"PORT Location 705 COX LANE CUTCHOGUE, N.Y. �numoer & street) �i•iunicipaiity) Subdivision Map No. Lot(s) Name of Owner (s) LEANDER GLOVER, JR. Occupancy R-1 TENANT (type) owner -tenant) Admitted by: MR- GLOVER Accompanied by: MR. GLOVER Key available Source of request MELLI�IG : Suffolk Co. Tax No. 97-5-2.2 Date Type of construction WOOD FRAMED Tstories 2 Foundation STONE Cellar PARTIAL Crawl space Total rooms, 1st. Fl 6 2nd. F1 4 3rd. Fl Bathroom(s) 1 Toilet rooms) Porch, type CLOSED IN Deck, type Patio, type Breezeway Garage_ Type Heat OIL FIRED alarm Air_ Fireplace(s) No. Exits Domestic hotwater GAS Other ACCESSORY STRUCTURE'S: Garage, type const. - Swimming pool Other Utility room XX Hotwater XX Aircor_ditioning Type heater ELECTRIC Storage, type const. Guest, type const._ WOOD VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Remarks Inspected by. Date of Insp. SEPT. 16, 1991 RT-q1PT-q W. HORTO • Time start 10:00 end 10:30 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 $1/5.000, Commercial $15.00 Date .... 15-13. AV, ........................... New Construction........... Old Or Pre-existing Building ... f�.. / Location of Property........ / .at, _. .......e�X House No. Street Hamlet •. )nwer or Owners of Property ........ �fC. A H, R t: , ...er, ..lam :ounty Tax Map No 1000, Section.. 9 y7.,,,...B1ock.....3.........Lot..c�i, Subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. iealth Dept. Approval..........................Underwriters Approval......................... 'lanning Board Approval ........................ request for: Temporary Certificate........... Final Certicate... i__. , 'ee Submitted: $...... �.......... eo i103cJI APPLICANT BUILDI-,G DEP:�RT:•IE'1iT T0;o'N OF SOUTHOLD, N. Y. HOUSIIvG CODE INSPECTION REPORT Location �numoer & stree Subdivision Name of Owner(s)_ Occupancy ,funic Map No. Lot(s) (type) owner-tenanti Admitted by: I" Accompanied by: Key available Suffolk Co. Tax No. 9 %-� Source of request Date M,TELLING : Type of construction #stories A Foundation '4ellar4OSACY�C yawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat 'alarm Air Hotwater � Fireplaces) No. Exits_ Airconditioning Domestic hotwater ✓_Type heater Other ACCESSCRY STRUCTURES: Garage, type const. rl/� �' St age, type const. Swimming pool Other Guest, type const. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE M� Remarks Inspected by: Date of Insp. ♦/%� Time start end CONSENT TO INSPECTION LC /14 &- r 6) 0� e V,- V 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�1 ( c A o el,u C, /I - Y which is shown and designated on the Suffolk: County tax map as District 1000, Section , Block __�7 , 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: 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: fl�3 /2 (signature) D j6Qer jr (print name) (signature) (print name)