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Home My WebLink AboutZ-25103No Z-25103 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date JUNE 20, 1997 THIS CERTIFIES that the buildinq STRUCTURE Location of Property 555 BRIDGE LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements of a Structure built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25103 dated JUNE 20, 1997 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 8' x 10' FRAME PUMP HOUSE. The certificate is issued to RICHARD A. HORSTMANN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED B ding Ine for Rev. 1/81 rvtm 11V1 U TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1002' G % APPLICATION FOR.CERTIFICATE OF OCCUPANCY n ' ._rte N. This application must be filled in by typewriter OR ink and submitted to-Mia_GbIld_ing Inspector with the followings for new building or new use: 11 Final survey of property with accurate location of all buildings) property.iiuesi streetst and unusual natural or topogrophic features. �. 2/ Final Approval from Health Dept.•of,water supply and sewe rage-disposnl(S-9 form). 3{ Approval of electrical installation from hoard of Fire Underwriters{ 4. Sworn statement from plumber certifying that the solder used In system conta_ms .3. less than 2/10 of 1% lead. 51 Commercial building# industrial buildings 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. 1, 01 For existing buildings (prior to April 91 1957) non -conforming users or buildings and Ilpre-existing" land uses: la Accurate survey of property showing all property lines# streetst 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: CI Fees la Certificate of Occupancy - New dwelling $25.00s Additions to dwell1.11 $25.00. Alterations to dwelling $25.00. Swimming pool $25+001 Accessory building $25.UO1 4dditions to accessory building $25.001 Businesses $50:00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00'6ver 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 51 Temporary Certificate of Occupancy - Residential $15.001 Commercial. $15.00 Date 1.iMA;14 2�1'1997:..... :....1.:::........ New Construction. ++, 1 :.11.: old oldOr Pre-existing Building.:1+F"MF+Pj1QUSE Locption of Propertya. 1+. 55;.1.1+ 1. 1 +Q'+.Yae.+.1 6.++ 1. 1:-.6vr4 4e 1 Nouse tlo. Street Ih+mlet Onwer or Owners of PropertyiisiRi hajd County Tax Map Ho 10001 Sectioni11t1}�sgQa:a+Block/.0:�rpQ+c11.►11..Lot1110Q11v444.:::.c1,:. Subdivision..:{:i111{a1{/It11aa.+i111+1a 1:+a 40iFiled f•ta 13131.1„ 1.+.:LOt:.1.1+i{1+111:+.+{:. Permit Hoa+1/1s.1t.11vb/-,Uate Of Permits.4+611s..a1:11iApplicant4li+ia++:1/,11:::1,/...,,1+ /tealth Dept, Approval./:++a/ l:ai 16+11{1a1111aa.Underwriters Approval+.+/.:. 11a1a.af I Planning Board Request for: , Temporary Certif tcatea i { ++ t +a 11 , Final Certicatei 1 +UPd+a%%Cl i Fee Submitted) $.a..+alai1a11:io �01�i 11+11111+ { a 1 1. 1. 1 1+ 1 1 1 1 1 1 1. a 1:. 1 .. 1 1 .. • .. i {iia .:.::: 1. (�1Q--\630S8' APPLICANT �-o J ria 3 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CHARLES FRASER, being duly sworn, deposes and says: That I reside at 7325 Nassau Point Road, Cutchogue, New York; That my father, the late LELAND B. FRASER, owned and built a certain premises located at 555 Bridge Lane, Cutchogue, New York, also known as Suffolk County Tax Map Number 1000 - 118.000 - 03.00 - 001.000; That the dwelling on the subject premises was constructed in 1966; That a frame pump house was located on the subject premises at the time the dwelling was constructed, and to my personal knowledge has been located on that exact site since the late 1950's. That I make this affidavit to induce the Southold Town Building Department to issue an updated certificate of occupancy covering both the one -family dwelling and frame pump house. Sworn to before me this 16th day of June, 1997 CHARLES FRASER FRANK J. SLANGIARDO Notary Public, State of New York No.4959024 Qualified in Suffolk County ot Commission Expires November 20,19— L �' 5RI:�(�7E LANE 'Unauthorized alteration or addition to a surrey sap bowing St s licensed landLo aurrayar'a deal fa e violatlon of section 720% sup-dlvlafen 2. of the York State Education EDGE OF ASPHALT *Only copies free the orlWk afLee.' Yy Worked Withanoriginal lgin cond.lthhee lanndd o illoInal of this rtrua be copies' POST AND RAIL FENCE F£NC£ S TOCKp�£ survey rwas preeparedlIn a ohMrdaoce :tier noh:. this by the Now York State Association of Professional O 0 feting Coda of Practice for Land Surveys adopted Land Surveyor/. Sold certifications shall run only 5p . o�, to the R?a company. or.rnsen- N58 "33 ' 40 " E 2 70 ' behalf toothihtitle ��6 reon. and ca- ;ntlists . toe agency utioal e�e, of p0' ,i;ending we Institutions q2 ^/\ NOTE: Y BEARINGS AND DISTANCES ARE ALONG TIE -LINES WHICH TIE UNDESCRIBED CURVES AS SHOWN ` ON THE FILED MAP APPROXIMATE AREA - 0.74 ACRES 0 aY GO 9q SURVEY OF PROPERTY t�� To 2 aQti AT NASSAU POINT OR LITTLE HOG NEGK 2° �.0 ys y '°°. P TOWN OF SOUTHOLD i- Aq�� s° F Z, SUFFOLK GOUNTY, NEW YORK 26NZ,ti PROPERTY SHOWN ON MAP ENTITLED "AMENDED "A" MAP OF NASSAU POINT, OWNED BY NASSAU POINT CLUB PROPERTIES, INC., 2 SITUATE IN THE TOWN OF SOUTHOLD, LONG ISLAND, NEW YORK, SURVEYED JUNE 28,1922 BY VAN AND SURVEYOR, �— tioS�G� GREENPORT,NEWYYORK"E. A ° �O)O� Q��' ° /� FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUGUST 16, 1922 AS MAP NUMBER 156 SUFFOLK COUNTY TAX MAP NUMBER 1000-11800-0300-001000 Z SURVEYED MAY 8, 1997 GUARANTEE ADDED MAY 22,1997 l 13 g3a26 \� \ FRANKNTEED D. SOUTTHARD LAURA M. SOUTHARD 29 \ \ SUFFOLK COUNTY NATIONAL BANK 1Q� ATI TITLE AGENCY OY STEWART- TITLE -_,INSURANCE COMPANY \ •_ O v O - CU Fl :- .ljl~ \ �/ GRAPHIC SCALE N 1 =30 Y.S. LIC. N0. 50202 JOMN-C EHLERS LANO•SURVEYOR 6 T -.MAIN STREET RIVERHEAD. N -Y-. I-igw: \ 0 30 60 90 369-8288'F.ax,864-8287 L �' v TOWN OF SOUTHOLD PROPERTY RECORD CARD i /V- V )WNER STREET < VILLAGE DIST. SUB. LOT o0 -ORMER OWNER N i3 E ACR.iool / S W / TYPE OF BUILDING a Tei--—iJc/l/C i�'F�e4rNe $d4� 0ini^ v '�iV. �� b��I- oad. :S. �p SEAS. VL. FARM COMM. CB. MISC. Mkt. Value 74, LAND IMP. TOTAL DATE REMARKS ado �! O 6 v 216 dzr/e, ?—d o p / -- AGE BUILDING CONDITION SEW NORMAL BELOW ABOVE =ARM Acre Value Per Acre Value L o� <)d T E1 Ani► illable 1 illable 2 r� illable 3 roodland wampland FRONTAGE ON WATER ushland _ FRONTAGE ON ROAD J o` Sy ouse Plot DEPTH -----, 6—..---� BULKHEAD :)tal DOCK IW,7 777,` . ........ .............. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) RICHARD A. HORSTMANN, being duly sworn, deposes and says: That I reside at 31 Boulderwood Drive, Bernardsville, New Jersey; That I am the owner in fee of certain premises located at 555 Bridge Lane, Cutchogue, New York, also known as Suffolk County Tax Map Number 1000 - 118.000 - 03.00 - That the dwelling on the subject premises was constructed in 1966; That a frame pump house was located on the subject premises at the time the dwelling was constructed. That t make this affidavit to induce the Southold Town Building Department to issue an updated certificate of occupancy covering both the one -family dwelling and frame pump house. Sworn to, efore me this day of May, 1997 11�2 P�V_"Qo Notary blit FRANK J. 13LANGIARDO Notary Publli 9t5tte0of New York Qualified in Suffolk County Commission Expires November 20, 1 9— ZO'd 0£10-LLV-9T9 ac aDLad H LUM d90=Zt L6-ZZ-XPW