HomeMy WebLinkAboutZ-22049FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22049
Date DECEMBER 21~ 1992
THIS CERTIFIES that the building. STRUCTURE
Location of Property 4355 NASSAU POINT ROAD
House No. Street
County Tax Map No. 1000 Section 111 Block 12 Lot 7.1
Subdivision Filed Map No. Lot No.
conforms substantially to t~ne Requirements for a Structure built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22049 dated DECEMBER 21~ 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 STORAGE GARAGE
CUTCHOGUE~ N.Y.
Hamlet
The certificate is issued to 158TH ST. REALTYr INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAC~F.B INSPECTION REPORT.
y Bui g I s ecto
Rev. 1/81
Location
I~DI:',G DEPP~,Ti. LE?iT
TO'.'FM OF SOUTHOLD, N. Y.
HOUSIifG CODE Irfo~zCTIOH REFORT
4355 NASSAU POINT ROAD
CUTCHOGUE, N. ¥.
~numoer ~ ssreer)
Subdivision
blap No.
~P~unlclpa±lsy)
Nmme of Owner(s) 158TH ST. ~EALTY INC.
Occupancy
Ad,mitred by:
STORAGE (GARAGE)
(~ype)'
MARION KING
OWNERS USE
[owner-uenanr)
SAME
Accompanied by:
Key ~vai!abl e
Source of request
Suffolk Co.
HENRIETTA SILVE]~4AN -
Tax No. i11-12-7.1
Date JULY 14, 1992
~J~T~a ' GARAGE
Type of construction
Foundation MASONARY
Total rooms, 1st. F1
Bathroom(s)
Porch, ~fpe
Breezewa~
Type Heat
Fireplace(s)
Domestic hotwater
Other
Fi~ & STON~ MASONRY
#stories
Cellar Crawl space
2nd. F1 5rd. F1
Toilet room(s).
Deck, typ%
Garage xx
'Warm Air
No. ~its
Patio, type
Utility room
.Hotwater
Airconditioning
.Type heater
FLAGSTONE PATIO, MASONARY BURNER
ACCESSORY STRUCTURES:
Garage, type const.
Swim. ming pool
Other
Storage, type const.
Guest, type const.
VIOLATI0blS:
Location
.C[L~PTER 45--N.Y. STATE ~NIFORM FIRE PREVENTION & BUILDING CODE
Descmiution }-Art'.'} Sec.
Remarks: / /~,
Date of Insp. JULY 28, 1992
Time start I I :45 end 12:00
Form No. 6
TOWN OF SOUTllOLD
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 i% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate cf 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-c~nforming 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 cpnsent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the ~u~pector 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.
Certificate of Occupancy on Pre-existing Building - $100,0~0_
3. Copy of Certificate of Occupancy - $5~ 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Construction. Old Or 1
~cation of Property .........................................................................
Ilouse No. Street Hamlet
wer or Owners of Property.. .._
unty Tax ~ap No 1000, Section..ZZ~ ........ Block...K~., ......... Lot..~,~.f ...............
bdivision .................................... Filed Map ............ Lot ......................
rmit No ................ Date Of Permit ................ Applicant. '
alth Dept. Approval .......................... Underwriters Approval .........................
arming Board Approval ........................
~uest for: Temporary Certificate ........... Final Certicate ...........
TO
INSP~C'F[ON
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premise:; in thc Totem
of Southold located at
· which is shown and design.atcd on the Suffolk
County tax map as District 1000, Section _/_~//., Block ~f__~__~, Lot._~. (' .
'That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Toxxnn Iluildin,~ Inspector'5 Office for the followLng: _
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, inc!udin~ inspectic~s
to determine that said premises comply with all of the laws; ordinances, rules
and regulations of the Town cf Southold.
Thc undersigned, in consentin~ to such ~spcctions. do(es) so t~dth the
knowledge and understandin~ that any ~formation obtained [n the conduct or
such inspections may be used as evidence in.subsequent prosecutions for
lations of thc laws, ordinances, rules or re~lations of the Town of Southold.
.... (p~'fnt hame)
(si~nntut'e)
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