The URL can be used to link to this page

Home My WebLink AboutZ-22526FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22526 Date AUGUST 17r 1993 THIS CERTIFIES that the buildin~ Location of Property 575 SHIPYARD LANE House No. County Tax Map No. 1000 Section 38 Subdivision ONE FAMILY DWET,T,TNG Street Block 1 Filed Map No. EAST MARION~ N.Y. Hamlet Lot 5 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22526 dated AUGUST 17~ 1993 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 DW~.T,T,ING * The certificate is issued to HARRY D. MOTT$ JR. & EFFIE H. BeMoAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PT,RASE SEE ATTACME. D INSPECTION REPORT. Rev. 1/81 //ldi~g Inspector LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTHENT TONN OF SOUR[OLD {lOUSING CODE INSPECTION I~PORT 575 SHIPYARD LANE EAST MARION, N.Y. (number & street) (municipa£tty MAP NO. LOT (s) ItARRY MOTT JR. & EFFIE H. BOZEMAN OCCUPANCY A-I RES. OWNER (type) (owner-tenant) ADMITTED BY:. KEY AVAILABLE SOUKCE OF REQUEST: RODNEY BRONN BARRY D. MOTT, JR. ACCOMPANIED BY: SAME SUFF. CO. TAX MAP NO. 38-1-5 DATE: JULY 29, 1993 DWELLING: Tx~E OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: BATHROOM (s) ONE PORCH TYPE ENCLOSED BREEZEWAY DOMESTIC HO~ATER TYPE HEAT LILCO GAS O~IER: 1ST FLR. 4 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE TYPE HEATER ~WARMAIR # STORIES ONE # EXITS 2 CELLAR PARTIAL CRAWL SPACE 3RD FLR. NO OFF BOILER UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HO~ATER IIX ACCESSORY STRUCTURES: GARAGE, IY~E OF CONST. S~IMMING POOL O~R: WOOD BIN STORAGE, TYPE CONST. I, fl~TAL SHED · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~MRT. ~ SEC. REMARKS: BP #9319Z-CO Z-10063 FOR ACCY INSPECTED BY: DATE ON INSPECTION AUGUST lO, 1993 TIME START 9:30 ENIJ 9:45 ! ~ i!~ TOWN OF SOUTttOLD BUILDING DEPARTMENT j i;l~ - ,~ , ~, 765-1802 tL.J ~ .... ~ ' ~PLICATION 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, s~reet~, and unusua~ natura~ or topographic features. .' 2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 fo~). 3. Approval of electrical installa~ion from Board of Fire Underwriters. 4. Sworn state~en~ from plumber certifying tha~ the solder used in system '~ less than 2IlO of 1% lead. 5. Co~ercial building, indus, trial building, multiple residences and s~ilar buddings and installations, a certificate of Code Compliance from;architec~ 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 bulldogs and ~ "pre-existing" land uses: 1. Accurate survey of property showing all property lines, ~treets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate oC Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees I. 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 - $[00.00 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 New Co struction ' Old Or Pre xisting Buildi X 575 Shipy rd .M.a,, r..z p.n. Loc~tion of Property ...................... a Lane East ' House No. Street Hamlet Harr~ 9 Mott, Jr. and Effie ~ Bozeman Onwer or 0wners of Property .......... :. ........... ......,...... : ........................... . County Tax Map No 1000, Section.. 03§ ........... Block .............. Lot .................... SubdiVision ' .................................... Filed Map ............ Lot .............. ; ........ Permit 'No Date Of Permit Applicant ~[ealth Dept Approval ,, ........................... Underwriters Approval ......................... Planning Board Approval ........................ Request for:.Temp°rary Certlficate.~ ......... Final Certicate .... ~. .... Fee Submitted, $ 100.00 · ,.~~~..~...~.~ / APPLICANT/ CONSENT TO. INSPECTION ___70wN OF SOU ' · HARRY D. MOTT, JR.7 O~~ do(es) hereby state: ----~.____. the undersiEned' That the undersigned (is) (mx~k the owner(s) of the Premises ~n the Town of Southold located ~L 575 Shipyard Lane East Marion ~. which is sho%~ and designated on the Suffolk County ~ax m~p as District 1000, Section _038 . Block 01 , Lo~ 005 That the undersifned (h~s)~xkfiled, or caused ~o be filed, an applies tion in the Southold To~ Buildinf Inspector,s Office fo~ the follow.g: _ -- Certifibate of Occu anc 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 property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary ;vi~h respect to the aforesaid application, includin~ inspections to determine that said premises comply with all of the laws, ordinances, rules and reRulations Of the Town of Southold. The undersigned, in consentin~ 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. Dated.._ July ~'~ , 1993 (print name)