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HomeMy WebLinkAboutZ-23699FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23699 Date JUNE 13, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 805 MEADOW BEACH ROAD CUTCHOGUE, N.Y House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 10 Lot 18.1 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-23699 dated JUNE 13, 1995 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 GARAGE The certificate is issued to E. KIRK HOLLAND & WIFE (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 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 805 MEADOW BEACH ROAD CUTCHOGUE, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) E. KIRK HOLLAND 6 WIFE OCCUPANCY A-1 RES. OWNER type owner—tenant ADMITTED BY: JEAN C. HOLLAND ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. IOUU-111—JU-18.1 SOURCE OF REQUEST: JEAN C. HOLLAND DATE: APRIL 14, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME it STORIES 1-1/2 # EXITS 3 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: IST FLR. 6 2ND FLR. 4 3tgpwqoLLOWER LEVEL — 2 ROOMS BATHROOM (s) 3 TOILET ROOM (s) ONE UTILITY ROOM WASHER 6 DRYER PORCH TYPE DECK, TYPE PATIO 3 STONE PATIOS BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING NO TYPE HEAT OIL WARM AIR HOTWATER OTHER- PLAYROOM 2 PANTRYS OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: GREENHOUSE, GAZEBO, OUTSIDE SHOWER VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION is BUILDING CODE LOCATION DESCRIPTION I ART. SEC. I REMARKS. BP 13253 -CO Z-3039,(ACCY), BP #3863 -CO Z-3131,(ADD), BP #4136-COZ-3455,(DORMER ADD), BP #6859Z&BP17321Z-CO Z-6360, (ADDS) , BP #94072-COZ-8069, (ACCP GREENHOUSE), BP' -#22816Z, INSPECTED BY DATE OF INSPECTION APRIL 18, 1995 GARX'Y. IfISH TIME START 9:40 END 10:10 AM Form No. 6 �GaL� 7 3 Y- 5 3` y, TOWN OF SOUTHOLD BUILDING DEPARTMENT ' � � TOWN1L4LL - 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: I. 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 electricaA installation from Board of Fire Underwriters. 4. Sworn statement fromiplumber certifying that the solder used in system contains I ess 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-existinP 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 Buildinc - $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 / S� Date .J0*'C�l4•....l.`j.�....l.�.rn. ............... New Construction.........©.. Old Or Pre Building..0/Yt�. Location of Property... R.G�....: !�!�%�; , l�i�C/7: ,Q,�u/QiyOt%_ ......... House No. Street /` Hamlet Onwer or Owners of Property... � A.f .,� 'e> ................................... County Tax Map No 1000, Section.../// .......Block.. /4�.,........Lot...149' Subdivision.... ................................Fil.c:d M:ip............ Lot ...................... Permit NO................Date Of Permit ................ Applicant ............................. health Dept. Approval..........................Underwriters Approval.. .................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $„� ze, .,C/1ZW,0 D Owner(s) Name(s) do(es) hereby state: CO7 INSPEC'T'ION 0 APR 14 W the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at BOs� A �iADoV--) RK4CI /ay cc. c1-ileC. U , which is shown and designated on the Suffolk County tax map as District 1000, Section /// , Block J,—, 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 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 vio- lations of the laves, ordinances, rules or regulations of the Town of Southold. Dated: 1 /,9fS / (signature) / gjeAr/ Z1,f)o`Z��Y,b (print name) (signature) (print name) �c- BUILDING DEPARTMENT TOWN OF SOUTI(OLD 11OUSING CODE INSPECTION IZEPORT LOCATION: number h street municipality SUBDIVISION MAP NO. IAT (:) NAME OF OWNER (s) /)//_/ %iS `� 1 OCCUPANCY 4 (type)/.�%�tili( (owner -tenant) ADMITTED BY:. T_ /�, �� ACCO WANIED BY: ��/tr✓J,E KEY AVAILABLE c SUFF. CO. TAX MAP NO. SOUL.:;.; OF REQUEST:_ _ ^/ C . ��� DATE:��� DWELLING: TYPE OF CONSTRUCTION STORIES ESITS FOUNDATION .✓j r CELLAR r CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. BATHROOM (s) TOILET ROOM (s) (%-k-�, UTILITY ROO:i FORM TYPE DECK, TYPE PATIO, TYPE 3 S �a-✓,E BREEZEWAY "'--' FIREPLACE (%?�^ GARAGE ---- DOAESTIC IIOTWATER AS TYPE HE ��, AIRCONDITIONING /gyp TYPE HEAT WARM AIR OTIiER: Ajl,31 ` - �� HOTWATER ACCESSORY STR CTURES: GARAGE, TYPE OF CONST.. �/ Jt? -%J /s-'�ZSTORAGE, TYPE CONST. SWI11MING POOL GUEST, TYPE CONST. OTIIER: J AE L VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION BUILDING CODE LOCATION DESCRIPTION ART. SEC. i S A �orJ REMARKS:/%?%2_-- ��" '�`S C6I 73.21 •'"-"" coz`3Go a 3C&S-v� INSPECTED BY: INSPECTED BY: ON INSPECTION_ V/�C19Sr c0�... TIME START 9� �O �,.L END le9.1' 5)365!i,'P To LOT uwE o -00 TOTAL TO 0. H.W. M. 16,350 -5.F W�oo PAqCL-L1A,-66 -55,0tF- 15,242 5-F TO LOT Lf NIE FILED 01wo PER. 4�1 Nk-- LINE /INCLL is Tes-r AV"' 48i 60''D - V PAQCgL. 9--QTC, VIE 5ET '4f7F) 40, '• Li, 44 tSL740* IA's so WETLAWD5± 40 VIAP (DFPQ0P0SEi,.) SETOPP'F OF PROPERTY SUQVE-YED F0Q m f-AZ"d A J P-�Dlt WT :)WN OF C"OU ,D L 1, L0T!k4,C(S- 56 157 U-'F.R�k -rJ 0 �W OF of 49 0WICE AS MAP NO IZS7 -'AMEN FVMAPAnf7f, Orl-tf%.' 0 4 VEY MAP awl'of- — -1— - -- — lot �o* A!i� "pow, 0 6 ;16�111 of p P E-, UY 15, 1 N -A mog— ji,'� NAVIYO* t* 11oft 'SV 7r,,x.-ation Ow. 3. �jUFF � �PQW -KAP COZA, C oj thir. surjry mcp q b,3&rlrtj av iiin su-veyor't ink, -4 wl Or l41A i, Tr LOT5 av4t� .4 I emba%wseal sWill not be csn*W*red tg be e valid truo w-PY. shf�" run TUYL P1. C (ORK 4,CQ NM& r,,&r,n*wft Intficet011 twwn to the W"n for vofwn the GWVSV -1 U "I"aam. is propwod, an: on los behalf to *0 owpihny, *evonnwftl Mf -W And 110941wro" and J� C) W"no insiftu* A to to 004 of LU cc aro Out Wwww"m K 0604owt �o* A!i� "pow, 0 6 V oil J� F i, 7�fx J V J�