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Home My WebLink AboutZ-22773FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22773 Date THIS CERTIFIES that the building Location of Property 1663 BRIDGE LANE House No. County Tax Map No. 1000 Section 118 Subdivision DECEMBER 9~ 1993 ONE FAMILY DWELLING CUTCHOGUE~ N.Y. Street Hamlet Block 2 Filed Map No. Lot 3 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-22773 dated DECEMBER 9~ 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 DWR. LLING WITH ACCESSORY BEACH HOUSE~ BOAT HOUSE & GARDEN SHRD * The certificate is issued to of the aforesaid building. PUDGE CORP. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEl'ART}lENT TOI~N OF SOUTIIOLD IIOUSING CODE INSPECTION REPORT LOCATION: 1663 Bridge Lane (number & street) SUBDIVISION NAHE OF OWNER (s) PUl)GE CORP. NO. Cutchogue, N.Y, -- (municipality I.OT OCCUPANCY (type) ADMIYI'v:D BY:. Jllq GRAY SR. KEY AVAILABLE SOUr, C;.'- OF REQUEST: JIN GRAY SR. . (owner-tenant) S~4E ACCOMPANIED BY: SUFF. CO. T~K HAP NO. 1000-118-02-03 'DEC. 6, 1993 DATE: DWELI. ING: TYPE OF CONSTRUCTION WOOD FRAHE FOUNDATION BLOCK TOTAL R00HS: IST FLR. '6 2RD FLR. .3 BATBR00M (s) 4 TOILET ROOH (s) 6 ~ STORIES 2 # EXITS CELLAR pARTIAL CRANL SPACEPARTIAL ; 3RD FLR. ONE UTILITY ROOM · PATIO, TYPE 2 CAR GARAGE AIRCONDITIONING HO~ATER XX PORCH TYPE COVERED PORCH DECK, TYPE BREEZEWAY FIREPI~CE 3 DO}~STIC H0'I%,/ATER YES TYPE HEATER OIL TYPE IIEAT OIL WARM AIR OTIIER: FLAYROOM, LAomv~r KO~M, PANTI~ & wA~ ~ii CLOSET NO ACCESSORY STRUCTURES: GARAGE, TYPE OF cONST. S~]2~MING POOL OTIIER: BEACH HouSE· BOAT HOUSE STORAGE, TYPE CONST. · GUEST, TYPE CONST. WOOD FRAME GARDEN SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOC~TION ', DESCRIPTION ,~RT. SEC. REMARKS: BP ~6176Z-CO Z-20246 for addition, BP ~4376Z-CO' Z-3692 for ~arage addition BP #21723-Z CO Z-22675 for Accessory Shed INSPECTED BY: " DATE ON INSPECTION DECEMBER 9, 1993 · ' Cary ~.~ish TINE START 9:30' am ENO 10:15 am 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. Bo 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 Building - $100.00 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 Date ...P~;.~.J~P .......................... New Construction ........... Old Or Pre-existing Building ................. Location of Property,... 1663 BRIDGE LANE CUTCHOG~E, N.Y. House No. Street Hamlet Onwer or Owners of Property. PUPAE CORP. County Tax Map No 1000, Section .... ~ ....... Block...~ ........... Lot..~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant.~,.C~...~, ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... P..P~..E.X.I. STING CO Fie Submitted: $ ..... ,l~lO.l[Ig ..... ............ i[..~ .~~~L~4/~ ~. .................. CONSENT TO INSPECTION JAHES L. GRAY, SR. (PIID(~ CORP) · the undersigned, Ox~mer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) ~l]e owner(s) of the premises in the Term of Southold located at 1663 BRID~'E LANE" CIITCHOGU]i, ~ YORK · which is shown and designated on the Suffolk County tax map as District 1000, Section 1i8 , Block 2 , Lot 3 . That the undersigned (has) (have) filed, 'or caused to be filed· an applica- tion in the South01d Tox~m Building Inspector's Office for the ~ollowing: PRE ExISTII~IG CERTIFICATE OF OCCUPANCY That the u~dersigncd 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 aferesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules · and regulations of the Town cf 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. JAI~ES L. GRAY, SR. (print name) (signature) (print name)