HomeMy WebLinkAboutZ-20606 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20606 Date MARCH 23, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2125 TOWN HARBOR LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 66 Block 1 Lot 31
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 195 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20606 dated MARCH 23, 1992
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 2 STORY GARAGE, WITH
GUEST ROOM ABOVE GARAGE BATHHOUSE ON BEACH, BRICK BBQ_*
The certificate is issued to STUART B.GLOVER & MARTIN ZELNER, SURVIVING.
TRUSTEES OF MARGARET S. KATZENBERG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPO
uilding Inspector
Rev. 1/81
- . - -
' JV Lu?L-.a. Dl. i~..l
ll~.~.~~1
TC'~~ii Cc SCUT:iCLD, id. Y.
EOUIi:G COD.:. IiiSPLCTIOi•! Ri;?CRT
Location 2125 TOWN HARBOR LANE SOUTHOLD, N.Y.
~nu.;:oer c5c s~reec) l~•iu:,~cipallcY)
Subdivision P-ia~ PIo. Lot(:,)
Name o2' C~•fner(~) STUART B_ GLOVER 5 MARTIN ZELNER, TRUSTEES OF MARGARET RATZENBERG
Occupancy A-1 RES.
hype) (otiiner- cenanz)
Ad.::itted by: EDWIN DONLIN Accompanied by: SAME
Key available Suffolk Co. Tea Dlo. 66-]-31
Source of request STUART B. GLOVER Dat` 2/14/92
D?:~T LI~iG:
J
'Type of construction WOOD FRAME ;,`stories 2 STORY
Foundation ~~NT Cellar FULL Cra~ol space
Total rooms, 1st. F1 3 2nd. F1 6 3rd. Fl
Bathroom(s) 2 FULL BATHS, Toilet room(s) ONE
Porch, type ENCLOSED Deck, type Patio, type_
Breezetray Garage Utility room
Type Heat LILCO GAS ?]arm Air Hot:•~ater ~
Fireplace(s) oNE No. Exits 3 A.ircor_ditio:~ing
Domestic hot:vater YES Type heater
• Other
ACC=SSOR`I STpUC'^URES
Garage, type const. 2 STORY 2 CAR Storage, type corst. ATTACHED TO GARAGE
Swi,,.ming pool WOOD FRnME Guest t
yp e c on s t . ABOVE GAGE - I ROOM
ITH BATH.
Other BATH HOUSE (CABANA) ON BEACH, BRICK BBQ, b gRICR PATIO NERT Tp GARAGE.
~1 ~ OL.4TIO~iS : -CHAPTER 45--N.Y. STATE UNIFORM FIRE PKI:VENTION S 13UILDING CODE -
Lncation D?°cri~ation IArt.I Sec.
I
I ( I '
I
i ~ ~
I .
I I I
Remar'cs
Inspected by• Date of Insp. MARCa 4, 1992
GAR FISH ~ Time start 9:30 AM end 10: l5 AM
~;J _ Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL FEB ~ $~~~z
765-1802
_s
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 17 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.
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 $15.00, Commercial $15.00
Date .,,February 14=.1992 .
New Construction........... Old Or Pre-existing Building. X
Location of Property. 2125 Town. Harbor .Lane, Southold, New York
House No. Street Hamlet
Stu rt gg Glover n Marttin Z lnex g1 i n Trustees
Onwer or Owners of Property., u~a. wlth. Margaret atzenberg ~atep ~/1/~y i~/~ Margaret S.
~~~Katzen~erg
County Tax Map No 1000, Section. 066: OO..,.,Block..,O1..00...,,,,Lot...031:000 .
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Cer%'ti~cate... X......
Fee Submitted: $,100: 00 ~ :~I2,.Cr~
~'T~c..~13501 ..........,l~! .....:.Trustees...
~ ~ ~ O ~ 6 ~ ~ APPLICANT
coNSZ;NT DEB ~ ~ 1997_
TO
INSPECTION
Stuart B. Glover and Martin Z~lner, Trustees the undersigned,
Uwner(s) Name(s)
do(~a) hereby state:
That the undersigned ~i;§) (are) the owner(s) of the premises in the Town
of Southold located at 2125 Town Harbor Lane ~ Southold, I3ew York
which is shown and designated on the Suffoll~
County tam map as District 1000, Section 066.OQ,Bloclc 01 .00 Lot 031 .000, ,
That the undersigned (have) filed, or caused to be filed, an applica-
tion in the Southcld Town L'uilding Inspector's Office for the following:
Final Certificate of Occupancy
That the undersigned do(~~) hereby give consent to the F3uilding Inspectors
of the Town of Southold to enter upon the above described property, including
an}~ 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{~:~) so with the
knotivledge 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: February 14, 1992 ~,!Lfaa _
• (signature)
Stuart B. Glover
(print name)
s
' (si~nat 'e)
Martin Zelner
{print name)
Trustees
_
S 92 / 789
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