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HomeMy WebLinkAboutZ-24080FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCcupANCY No Z-24080 Date DECEMBER 13, 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 19965 SOUNDVIEW AVE. House No. Street County Tax Map No. 1000 Section 51 Block 4 Subdivision Filed Map No. SOu'£uOLD, N. Y. Lot Lot No. H~let 5.1 conforms substantially to the Requirements for a Accessory Structure built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24080 dated DEu~4BER 13, 1995 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 TWO CARGARAGE & GAZEBO * The certificate is issued to KENT POEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.~SE SEE ATTA~u/~D INSPECTION ~ Rev. 1/81 N/A N/A N/A Building In~~ IJll ! I,I) I JIG IIEI'AIUI'HEIfI' T()Wtt OF SOUTIIOLD IIOLIS I ti(; CODE ItlSPECT ION IIEI'ORT SOUTHOLD, N.Y. (mu n i c i pa I i t y-) HAl) NO. l.OT(s) OCCIII'ANCY ADH I'I'TEI) BY: KEY AVAII,AIIIAt. · ~;OIJRCIr- ()F RI';(J_I. IEST: OUT BUILDINGS FOR SINGL~ FAHILY DVELLING ACCOHPANIED BY: SIIIq~.CO. TAX HAP HO. ~ POEY DATE: NOV. 10~ 1995 I)J4E 1.1,1 N(;: TYI'E OF CONS'I'IHJCTION FOIINI}ATI ON TOTAl, ROOHS: BATIIROOH is) PORCI1 TY I'F. II R E E ZIr.~,/AY I)OHEST I C IIO'I'I4A'I'IrA~, 'I'Y l'l~ lilt.AT O'['IIE R: CEI.I,AR IST Fl,l{. 2NI} FI.R. 3RI) lq,Il. TOIl,ET ROOM is) I? I REI'I.ACE TY I'lt. llEATI~I{ ~/All[l Alii BECK, TYPE I STORIES C RA~4I, SI;ACE Il'FILl'FY ROOH · PATIO GARACIg AI RCONI)1 T ION I NC, IIO'I~/ATE R' EXITS ACCESSORY S'i'IJlICTIJlilt.S: GAIIACE, 'I'YI'Ir. OF CONST. S~IlHHI N(; I'OOI. OTIIER: 2 CAR VOOD-(OLD) STORAGE, TYPE CONST. LO~ STRUCTURE (OLD GAZEBO) VIOI,ATIONS: CIIAI'TER 1~5 N.Y. STATE UNIFOIIH FIRE PREVENTION & llUILI)ING CODE I.OCAT ION DESCRI l"f 1 ON AliT. SEC. REHARK,q: I ll,t/l'~C'l'l'~l} BY DATF, ()ir 'INSPECTION DEC. 13, 1995 TIHE S'J'ART 10:30 END ! I :00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY I 5 1995 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 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . ~Y.e~. ~P.~c. ~ ................. New Construction ........... Old Or Pre-existing Building.~gP~Y~. ~. Gazebo Location of Property.. ~P~ ......... : .... ~M~.e~. A~.e~ ....... ~9~bQ~ .............. House No. Street Hamlet Onwer or Owners of Property .... .K.e..n.t..P.o..eX .................................................. County Tax Map No 1000, Section...0.5.1.'..0.0 ..... Block...0.4.-..0.© ........ Lot..0.qS,D.~l ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No...3.8.6.0...Z ....... Date Of Permit...4/.2.6../.6.8 ...... Applicant.. ~f~gt. l~.oel; ................ Health Dept. Approval...9f.2.6./..6.8 ................ Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... .X. ..... ~ 05 7 6 .................. Y:~~~ ~ Attorney in Fact CONSENT TO INSPECTION Kent Poey . the undersigned, Ox:me,'(s) Name(s) do(es} hereby state: That the undersigned (is) (l~) the owner(s) of the premises in the Town of Southold located at 19965 Sounovlew Avenue, Southold, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 051.00, Block04.00 , Lot005-001 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector's Office for the following: ~ Certificate of Occupancy on Pre-existing Buildings: · Barn/Garage and Gazebo That the undersigned do(es} hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, ineludlng any and ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includinginspeetions to determine that gaid premises comply with all.of the laws, ordinances, rules and regulations of the Town of Soutbold. The undersigned, in consenting to such flmpections, do(es} so ~th the knowledge and understanding that any i.nformation obtained such inspections may be used as evidence in subsequent prosecutions for vio- lations or the laws, ordinances, rules or regulations of the Town of Southold. Dated: November 10, 1995 Kent - (~gnat tTr~ Charles J. McPeik Attorney in Fact (print name)