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Home My WebLink AboutZ-25560FORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25560 Date: 03/02/98 THIS CERTIFIES that the building DWELLING Location of Property 5425 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 111 Block 0013 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- 25560 dated MARCH 2, 1998 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 * (HAMLET) Lot 001 The certificate is issued to PAUL J. & MARIAN GOODMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5425 NASSAU POINT RD SUBDIVISION: NAME OF OWNER (S): PAUL J. & MARIAN GOODMAN OCCUPANCY: SINGLE FAMILY ADMITTED BY: RUDOLF HIRTH CUTCHOGUE MAP NO.: __LOT (S) -- PAUL J. & MARIAN GOODMAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 111.-13-1 SOURCE OF REQUEST: MARIAN GOODMAN - JAN. 8. 1998 DATE: 03/02/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FLR.: ._~ 2ND FLR.: --3 BATHROOM(S): 1.0 PORCH TYPE: COVERED SCREEN SIDE ENTRY DECK TYPE: WOQD BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC TYPE HEAT: OIL FHA WARM AIR: EOTWATER: OTHER: TOILET ROOM(S) : 1.0 # STORIES: 2.0 # EXITS: 3 CELLAR: FULL CRAWL SPACE: -- 3RD FLR.: --0 UTILITY ROOM(S): CELLAR PATIO TYPE: CONCRETE UNDER DECK GAP~AGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: NOTE: ACCESSORY STORAGE BUILDING REMOVED-STORM DAMAGE. VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ~ ART. SIDE STOOP RAILING REQUIRED SUB. F BEACH STAIRS UNSAFE SUB. F SEC. 1242.6 1244.1 REMARKS INSPECTED BY: MICHAEL J. VERITY REINSPECTED DATE ON INSPECTION: 01/15/98 TIME START: 10:15 END: 10:55 Au 765-1802 ~ ~e- ~/~-' : ~OF t;O~H ~PLICATION FOR C~TIFICATE OF OCC~ fO~ O~ ~ ~Y' This application must be filled i~ by t~e~iter OR i~k a:d submitted to ~i~ //s ~ inspector with the following: for new build/rig 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 i% 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. Sbbmit Planning Board Approval of c6mpieted site plan requirements. 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, SwWmm~ng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-ex!stin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate'of Occupancy -'$50.00 5. TempoFary Certificate of' Occupancy - Residential $15.00, Commercial $15.00 Date .~.A..q/~ ............................. New Construction ........... Old Or Pre-existing Building. X Location of Property.. ~..~@PP~q. ~q~. ~q@~.,..~qgp~ .............................. House No. Street H~]et Onwer or Owners of Property...Marian Goodman County Tax Map No i000, Section. .% }~.'f? ..... Block. 13.00 .Lot.. 001.OO0 Subdivision ..Filed Map #156 .Lot 36 ............. a..~.... Marian Goodman Permit No. ..Date Of Permit ................. ~ .................................... Health Dept. Approval ......................... :Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~ ....... Fee Submitted: $ 100.00 ~ozf , J~0 ~ ~ APPLICANT CONSENT TO INSPECTION Marian Goodman Owner(s) Name(s) do(es) hereby state: · the undersigned· That the undersigned (is) (are) the owner(s) of the premises in Lhe Town of Southold located at 5425 Nassau Point Road, Cutchogue · which is shown and designated on the Suffolk County tax map as District 1000, Section 111.00~9 Block 13.00, Lot 001.00O 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 Occupancy on pre-existing building (prior to April 9, 1957) 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 th~ Town of Southold. The undersigned, Sn 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: !signature) ~ Marian Goodman (print name)