The URL can be used to link to this page

Home My WebLink AboutZ-24689FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Mall Southold, N.Y. PRE EXISTIN~ CERTIFICATE OF OCcuPAnCY No Z-24689 Date OCTOBER 16, 1996 THIS CERTIFIES that the building Location of Property 4430 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 111 Block 8 Subdivision Filed Map No. ONE FAMILY DWindLING uuTCHOGUE, N. ¥. Lot Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24689 dated OCTOBER 16, 1996 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 GARAGE UNDER * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *P?~SE SNEATTA~D INSPECTION RMPORT. EDWARD & EVANGELINE MEYER N/A N/A N/A / ~ild ng Inspector Rev. 1/81 Htl f I.IJ I I1(: I)lil'^lt I IIEII I' I ()T;I! ()F II()UI,~III(: C()I)I~, I II!iPI~I;I I()11 I(1~,1'()1~1' I(ICA'ilIUI: /t/430 NASSAU POINT ROAD CUTCH~, N.Y. IIAI' Ii(). ()(;(:I~['AI~C y A-] ~S. ' SA~ ~)^'l J~ ~ AUGr.. 22, 1996 ...... ~r II'IOILIICII I-]/2 t I,:X,I I!~ 2 F()UIII)~I Iorl CEPlENT BLOCK (:I~I.I.AIL FULL mm(:n 't Yi'J~ SC~EN PORCH ......... .................... : ~1~(~1~ , '1 YPU I)(lill~l lC II()l~)AIl~lt ~ 'IYI'I~ IIl~dll~l{ 0~ ~0~ ............... ....... AIItC()III)I'I I(llllll(~ I~1'1~ II1~1' 0[~ UAItli AIR II()ITIAII~I~ ~ ' ' ()llll~l~ ~ " - ~;~1 IHIII I1(~ U(IOI. .......... : J . -. GARY J. FZSH '[' i~ ~;IAirr 10:30 I~ll) 10:~0 Form No. 6 f ~__~ TOWN OF SOUTHOLD BUILDING DEPARTMENT /~ ;- .,'" /7._ ? TOWN HALL ,_ ~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 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. 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 ]. 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - · .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~../~.~ ~/~ .~.~. .......................... New Construction ........... Old Or Pre-existing Building..~)~A .......... Location of Property.. ~. ~.~.q ............ .F~.~. ~..~....~.~/[~/--~.....~. ......................... House No. Street Hamlet Onwer or Owners of Property.../~../~./~..~%.~,.../~.~..-~ .................................... County Tax Map No 1000, Section .... I~J ....... Block ..... ~.. ........ Lot .... ~ ................. Subdivision .................................... Filed bfap ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..,/.~.~... ~2, f-~ ................. · ............... ~'/' APPI,ICANT CONSENT TO INSPECTION ,~'4 ~C c/ ~ /~f-c2 ¢-/-'( ~ , the undersigned, Owner(s) ~me(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southotd located at · which is shown and designated on the Suffolk County tax map as District 1000, Section , Block , 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 of Southold. The undersigned, in consenting to such fl~spections, 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: (~i~natur e) nan]e) (signature) (print name) AUG-20-1996 14:58 BRACKEN ~', MARGOLIh~ 516 234 8585 P.02 LOT ~ ~. i,I. T8.~62°' ~.o'r C]~ $. T8'36'~0' tV. AREA = 4 ~531 sq. ft. to tielines BRACKEN ~ MA~GOLIN 516 234 8585 SUR VE Y OF P/O LOT 159 & P/O LOT 160 A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 111- 08 - P/O 05 & P/O 06 Scale: 1" = 50' July 16, 1993 CERTIFIED TO, NANCY L,. MEYER STG A$$OCIA TE$~ INC. FIDELITY N,4 TION,4L TITLE INSURANCE COMPANY OF NEFf YORK TOTAL P.03