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Home My WebLink AboutZ-24859FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24859 Date JANUARY 21, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5655 NASSAU POINT RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 13 Lot 03 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a one Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24859 dated JANUARY 21, 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 ACCESSORY SHED WITH ATTACHED DECK BEHIND BULKHEAD NEAR BEACH* The certificate is issued to JOHN & SHERRILL McMAHON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *THIS UPDATES PRECO Z-19257 DATED AUG. 1, 1990. "�� la4-co / 2� it ng Inspector Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 Buildins - $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 J �nuary. % - J 9%7 ..................... . aw Construction........... Old Or Pre-existing Building. ACCES SORY SHED Dcation of Property. .1°?r.5..... Nassau Point Rd. Cutahogue................... House No. Street Hamlet Formerly: Harold V. & Gloria M. McCoy ,wer or owners of Property. Currently. John .& Sherrill.McMahon ........ . . . . . . . . . . ........ ........ . aunty Tax Map No 1000, Section .... 111....... Black ....... 1? ....... Lot.....03............... Map of Sec. A bdivisionNassau PO int.....................Filed Map...745 ..... Lot.....38............... rmit No.. 219257 Date Of Permit August 1 , 199O1pplicant ............................. �alth Dept. Approval..NA.....................Underwriters Approval Nk...................... _anning Board Approval. NA .................... ,quest for: Temporary Certificate........... U d ate Pre C. of 0. Fi Certicate..p........ ,c Submitted: x...50.00 .................... �� rincipal Brennan Design Works, Inc. ,. z tPN �� ,.plc Cx Z y AFFIDAVIT To whom it may cOncem: ....., r�..+e.. r _ft NY hereby authorize of 11—� (Owner) (Address) W to act on my behalf in front of the (Architect/owneft Agent) following ; Building Department, Planning Department and Zoning Board of Appeals in the Town of Southold, NY Southold Town Trustees Suffolk County Health Department NYS Department of Environmental Conservation with regard to my property located at: 56 assau Pont R Ghrheeue. NY (Address) and described as; Section 11 Block 13 Lot a Sworn to before me this `,,L_ ,,L day of acn," 1996 I OTARY PUBLIC KNIN a�� 98 OWNER TOTPL P.02 CONSENT TO INSPECTION l / RAfla 19 U. M c caner s) Name(s) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at §'6 5r p/,¢ SS,9 Wo A0 which is shown and designated on the Suffolk County tax map as District 1000, SectionBlock ��, 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: ®, % O'Q "T-ff� Sb Wr<�R GL✓J N S'.l.L�� GdCA i nD That the undersigned do(es) hereby give consent to the Building Inspector's 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 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. Dated: (signature) /{a4iPoco U. /41 c Cay (print name) (signature) print name) THE iNEW YORK BOARD OF FIRE UNDERWRITERS PAC- B. 1: 1001093BUREAU OF ELECTRICITY I 85' JOHN STREET, NEW YORK, NEW'YORK, 1003$' OCTOBER 0.3,.I`9819 6.1,303780 pd 095707 Date Application No. onfile 1 THIS CERTIFIES THAT the electrical equipment' as described' below and in�troduaced by the applicants named on the above application number in the premises o ,, c�.ROL INICC x x v NASSAU i7.� U ��`. 1V ROAD, �'��tg ROs 7.9 �Si' 128 r CUTC x;'�.�G5' B r N, Y . I HAROLD Il v GAMUT ❑ meat ist F[. ❑ 2nd Fl. Section Block Lot - Base in the fol[orcin'g itrcation; �� 1` ro �'a'�'e�I'r �.f3 was examined on and found to'be in.cornpl[ance with the retluirentents q(eliis.Board. FIXTUREFIXTURES RANGES' COOKING DECKS OVENS I DISH' WASHERS EXHAUST FANS FLUORESCENT_ ! OTHER AMT. - K: W. AMT. K. W. AMT., CW. AMT. K. W.. AMT., H. P_ OUTLETS ECEPTACLES' SWITCHES INCANDESCENT 6 57 52 43, 5 11 14.4 L 1..2 4 L'. DRYERS FURNACE' MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL 'UNIT TRANS.' HEATERS MULTI -OUTLET SYSTEMS NO. 00 FEET DIMMERS: AMT. K. W. . OIL H: P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS: AMT. H. P. ,AMT:.. WATTS a DISCONNECT SERVICE LSC ECT N0.OF S E' R. V 1 C E , AMT. � AMP:. TYPE. METER EQTER 1 0 2W 1'.0 3W'' -� 3.;0"4W 3 0 `3W! ! NO. OF CC'., ONDR A W: G. PER, %' ' �' OF CC. CONM — NO.�OF HKEG, - A. W. G. OF' HI•LEG NO. OF NEUTRAlS'�, A. W. G. NEUTRAL ,).. _ fa Veil -.: , ryryAy aP av8l �X .S f.OF, ! 0 OTHER' APPARATUS: 2 TON A/C U14IT--1 WHIR 1&60L UNYT-3, SMOKE DMECTM-1 GARY DORM! LIC . #294. 2 420 NOOSE .11► law. CUTCHOGU , MY, 13,935 GENERAL -MANAGER! Per P Y y`r certificate must not be altered in any manner; '..return to. the office sof the :Board if incorrect:. Inspectors may be Identlfied� li , their ered'entiuls. COPY FOR BUILDING OFPARTMENT. THIS COPY OF CERTIFICATE MUST I40T BE ALTERED IN ANY MANNER. �oS�EFOLA-��1 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 r TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N TEL. 765-1802 ✓ufv G') F,4LLU Date Building Permit No. 0 z Owner c lease_ print � Plum :er�C'� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befor: mo this day of , 19 6 - c (plumber's s' nature) Notary Publi ttota'i Public, County Z TFlEOYlVf LOST. N9tJ}9 hlorLis LICENSED LANG Sti3R'VWF'OR! 6RBENP0RT NEW YORK to be satislaetory. t SUFFOLK COUNTY DEPARTt,1Ftd��l��Tf�� .�� . SiNGIE FAMItY DVJr DATEJ�_ � s REF. NO. .!Q E � The sewage disposal and ovate; srjprlv f:ri'ies for this location have beeninspecird by t`�is �"artment aod/or other Rencis. and found � �4 MAP 0F.PROPERTY 1 HO, L, i 5T'Eps \� JUN -'s 1990 S.s. DEPT OF - NFALgi Sa- MES t V r � � r 11 t3. Z Lu Rl��.att Y E.,N MA,ppEp SF_PT. gg . f986 Zeut$E�-Q I.tpV. 1, GuA�ae,1`' � �_ IQSTy,�tCA>�7CTt,�,,lAdrqi.,t_.ANC VAN SUFFOLK �O F'Efi.L TM 1EP7 Af'f'P,;L•l.' STATEMENT QF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: 88-50-15.3 APPROVED: SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT, BLACK PCL IQO(j I r 1 13 � OWNERS ADDRESS: _ _ 565� NASSAQ_ PQ1 DEED: L. P. SANL`, i 2� SEAL i 4 SEAL _ 4 No Z18306 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of•the Building Inspector Town Hall Southold, N.Y. PRE CERTIFICATE OF OCCUPANCY Date AUGUST 23, 1989 THIS CERTIFIES that the building ACCESSORY- SHED Location of Property 5655 NASSAU POINT RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 13 Lot 03 MAP OF SEC. A Subdivision NASSAU POINT Filed Map No. 745 Lot No-. 38 conforms substantially to the requirements for accessory building built before ARPIL 9, 1957 CERT. OF OCCUPANCY Z18306 pursuant to which dated AUGUST 23, 1989 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 SHED LOCATED BEHIND -BULKHEAD NEAR THE BEACH. The certificate is issued to HAROLD V. & GLORIA M. MC COY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ALSO OPEN B.P. #17702 FOR ONE FAMILY DWELLING. Building Inspector Rev. 1/81 i►[.7 219257 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATE PRE CERTIFICATE OF OCCUPANCY Date AUGUST 1, 1990 THIS CERTIFIES that the building ACCESSORY SHED Location of Property 5655 NASSAU POINT RD. CUTCHOGM House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 13 Lot 03 MAP OF SEC. A Subdivision NASSAU POINT Filed Map No. 745 Lot No. 38 conforms substantially to the requirements for accessory building built before Cert. of Occupancy Z18306 APRIL 9, 1957 pursuant to which dated AUGUST 23, 1989 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 SHED AND ATTACHED DECK BEHIND BULKHEAD NEAR BEACH. The certificate is issued to HAROLD V. & GLORIA M. MC COY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A UPDATE OF PRE COZ18306 wilding Inspector