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Home My WebLink AboutZ-29014FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29014 Date: 10/25/02 T~IS CERTIFIES that the building ACCESSORY Location of Property 465 OLD HARBOR RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 117 Block 0003 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY N~BER Z- 29014 dated OCTOBER 25, 2002 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 ACCESSORY WOOD FRAME TWO CAR GARAGE* NEW SUFFOLK (HAMLET) Lot 011.005 T~e certificate is issued to MARY BENBOW & ORS. ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOF~ALTEAPPROVAL ELEt-£RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ~t~ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT IDCATION: 465 OLD HARBOR RD SUBDIVISION: NAME OF OWNER (S): MARY BENBOW & ORS. OCCUPANCY: NON-HABITABLE ACCESSORY GAP~AGE ADMI'~£FJ~ BY: NEW SUFFOLK MAP NO.: LOT (S) MARY BENBOW & ORS. ACCO~P~/~IED BY: KEY AVA~LABI~: S~FF, CO. TAX ~ NO.: 117.-3-11.5 SOURCE OF REQUEST: ABIGAIL A. WICKHAM, ATTY 10/02/0 DATE: 10/25/02 DWELLING: TYPE OF CONStrUCTION: # STORIES: 0.0 # EXITS: 0 FOUNDATION: CEIJ~a~R: CRAWL SPACE: TOTAL RO0~S: 1ST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0 BA'K~OOM (S): 0.0 TOILET RO0~ (S): 0,0 UTILITY R00~ (S}: PORCH TYPE: DECK TYPE: PATIO BREEZEWAy: FIP~PLACE: GARAGE: DOMESTIC HO~A'£~K: TYPE HEA'£~: A~RCONDITIONING: TYP~ HEAT: WARM A~R: HOTWATER: ACCESSORY STRUCTURES: GAP~%GE, ~"fPE OF CONST.: WOOD FP~AME 2 CAR STORAGE, T%'PE CONST.: ATTACHED TO GAP~AGE SW/3~4ING POOL: (~JEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON INSPECTION: 10/23/02 TIME START: 9:40 AM END: 9:55 AM mo Form No. 6 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPAN~To~ This apPlication must be filled in by typewriter OR ink and submitted to the buS~d~g 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 ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 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.~.7.~.~{~me garage 465 Old Harbor Road, New S.~folk, pew Yo~ Location of Property.. House No. Street Hamlet Onwer or Owners of Property.. Estate of Mary Baxter Benbow County Tax Map No I000, Section...lJ~ ......... Block..~ ............. Lot.!!:~ ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final ~e2icate....X ....... Fee Submitted: $. 1.q0... ........................ f~J~JX/~/ 0 ~F~ CO '~;~O'Lf Abigai( A. WickhAPaPmL, Ii~eNTnt ESTATE OF MARY BAXTER BENBOW CONSENT TO INSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 465 Old Harbor Road, New Suffolk, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 117 , Block 3 , Lot 11.5 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: __ detached frame garage , , 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, Sn 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 laws, ordinances, rules or regulations of the Town of Southold. [y/ (sighature) ~fbisail A. Wickham, Asent '(print name) BUILDING DEPT, INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~7~ //~f_ 3 -- //, ,.~'~ DATE/~//~~ INSPECT~ WAy 470.00' N/P KOENL£R N'/F ClVEN HEOGES 0.025 ACRES/ APPROX, NEW DEBCRIBED PROPERTIES SUFFOLK, TOWN OF SUFFOLK COUNTY, SOUTHOLD N.Y. SURVEYED FOR: ANNE MARINO BERNARD TELBEY 10 OCTOBER 2002 50' ;SHOWN SURVEYED BY STANLE~ d. ISAKSEN, JR.