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Home My WebLink AboutZ-25711FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25711 Date: 05/07/98 THIS CERTIFIES that the building DWELLING Location of Property 95 MIDWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 110 Block 0003 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- 25711 dated MAY 7, 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 WITH ATTACHED GARAGE * (HAMLET) Lot 032 The certificate is issued to JOHN P HENRY of the aforesaid building. (OWNER) 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 LOCATION: SUBDIVISION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 95 MIDWOOD RD CUTCHOGUE MAP NO.: LOT (S) -- NAME OF OWNER (S): JOHN P HENRY OCCUPANCy: SINGLE FAMILY ADMITTED BY: SUSAN POPE JOHN P HENRY ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 110.-3-32 SOURCE OF REQUEST: ~-BIGAIL A. WICKHAM. 2/19/98 DATE: 05/07/98 DWELLIMG~ TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FLR.: ~ BATHROOM(S): 1.0 PORCH TYPE: FRONT COVERED BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL-BASEBD WAP, M AIR: OTHER: 2ND FLR.: ~ TOILET ROOM(S): 1.0 DECK TYPE: FIREPLACE: YES TYPE HEATER: OIL FURNACE HOTWATER: STORIES: 1.0 8 EXITS: ~ CELL~%R: FULL CRAWL SPACE: 3RD FLR.: __~ UTILITY ROOM(S): CELLAR PATIO TYPE: CONCRETE (REAR) GARAGE: ONE CAR AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIF~4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~M FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~24799-Z-CO Z-25710 (NEW HEATING SYST~4 & BATHROOM REMOVATION~ INSPECTED BY: DATE ON INSPECTION: 03/02/98 MICHAEL J. VERITY TIME STANT: 11:15 AM END: 12:10 PM Form No. 6 TOWN OF SOUTIIOLD BUILDING t)EPARTHENT TOWN I1ALL 765-180~ APPLICATION FOR CErTIFiCATE OF OCCUPANCY A. ?his applicatioa must be filled in by typeuriter 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 %opographic features. 2.Final Approval from }{e.htth Dept. of water supply and sewerage-disposal(S-9 form). 3.Approval of electri~m[ installation from Board of Fire Underwriters. Sworn statement from~plumber certifying that ~he solder used in system contairs less than 2/[0 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 ~h~ 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 ~he applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons the~e£or in writing to the applicant. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions ~o d~elling $25.00, Alterations to dwellinE $25.00, Swimming pool $25.00, Accessory building $25.O0, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ guildine - $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 ...... ~F~FY.J~.J~)~ .................. ildi X New Construction ........... Old Or Pre-existing Bu ng ................. ~p Midwood Road, Cutchogue, Ne York, j19~ Location of Property ................................. ~ ................................. Rouse No, Street Hamlet Onwer Owners f Property Rev. JoHn P. Henr~ County Tax Map No 1000, Section. 110 Block, 3 .Lot. 32 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. iiealch Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ ~equest for: X Temporary Certificate ........... Final Cer~icace ...... . ..... . oo.oo , - ~ee Submf.cted: ~ ............................. ; //,. ~ // ...// 4./ ..... ~' 5q3 ? 7 A~o~y for ~ev. ~hn P. Henry CONSENT TO INSPECTION Rev. John P. Henry by Abigail A. Wickham, Esq. Ox~ner(s) Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 95 Midwood Road, Cutchogue, New York 11935 · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section 110 , t~lock 3 , Lot 32 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld To~,-n Building Inspector's Office for the following: Certificate of Occupancy on 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 pr. operty, including any and all buildings located thereon, to conduct such inspections as they may deem necessary xvith 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 cf 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. ,, .,'/~ ,-~ ~,,. /I,? ' Dated: February 19, 1998 ~ ' ' " '"~/ (signature) Rev. John P. Henry by (print name) Abigail A. Wickham, Esq.