HomeMy WebLinkAboutZ-24331FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24331 Date MAY 3, 1996
THIS CERTIFIES that the buildin~ ONE FAMILY DWi~?3.ING
Location of Property 7625 NASSAU POINT ROAD C~I~HO~UE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 4 Lot 4
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-24331 dated MAY 3, 1996
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 A ONE FAMILY DWELLING*
The certificate is issued to ALICE QUINN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
SEE ATTA~D INSPECTION REPORT.
Rev. 1/81
BUILDING DEPAR'I~ENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7625 NASSAU POINT ROAD
(number & street)
SUBDIVISION
NAME OF Ok~qER (s) QUINN, ALICE
CUTCHO~o~
HAP NO.
(municipality)
LOT(s)
OCCUPANCY A-I RES.
(type)
ADMITTED BY: TOM OHLINGER
KEY AVAILABLE
SOURCE OF REQUEST: ABIGAIL WiCKHAH
O~NER
(owner-tenant)
ACCOHPANIED BY: SANE
SUFF.CO. TAX HAP NO. 1000-118-~-4
DATE: 4/19/96
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS:
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOHESTIC HOTWATER
TYPE HEAT OIL
OTHER:
WOOD FRAME
CEiqENTBLOCK CELLAR PARTIAL
IST FLR. 7 2RD FLR. 3RD FLR.
3 FULL BATHS TOILET ROOM (s)
BECK, TYPE
FIREPLACE ONE
YES TYPE HEATER OIL
WARM AIR YES
~ STORIES I t EXITS
CRAWL SPACE PARTIAL
UTILITY ROOM WASHER & DRYER
PATIO RAISED FRONT PATIO
GARAGE i CAR UNDER DWELLING
AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DATE OF INSPECTION 4/25/96
TIME START 10:00 AN END 10:15 AN
l:orm No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTJ'IENI
TOWN IIALL
765-1807
APPLICATION FOR CERTIFICATE OF ocCUPANCY
A, This aPPlicatio~ must be gilled in by typew[iter OR ink and submitted to the building
inspector with the following: for new building or new uso:
1. Final surve~ of property with accurate location of all buildings, property lines,
streets, and unu:;ual natural or topographic features,
2.Einal Approval from Hehlth Dent, of water supply and sewerage-disposal(S-9 form).
3.Approval of electricmL installation from Board of Fire Underwrite[s.
Swo~n statement from lplumber certifying that the solder used in system contairs
lesa than 2/[0 of 1% lead.
5. Commercial buildinB, industrial building, multiple ~esidences and similar buildings
and ins~allations,,a~ certificate of Code Compliance from architect or engineer
responsible for ~h~ building.
6.Submit Planning Board Approval of completed site plan requirements.
B, 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 n~ural 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 sh~ll state the
reasons ~here£or in w~iting to the applicant.
Co
Certificate of Occupancy - New dwelling $25.00, Addition~ ~o d~elling $25.O0.
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 P~e-existing Buildin~ - Sl00,O0
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 .... Ap=i1.19,,199~ .......................
New Construction ........... OZd Or Pre-existing Building ..... X ...........
Location of P~oper~y ..... ~.~B.~gi~,gq~4 ....................... ¢~¢h~g~ ..............
~louse No. Street Hamle~
Onwer or Owners ,.,f Property ........ $~i~.~D~.Qp~DU .........................................
County Tax Hap No 1000, Sec~ion...%18 ........ Block ..... Q4 ......... Lo~..004 ................. Amended Map A of Nassau Point, owned
Subdivision.b~,~a~q,~O~.glqb,E~oper~ies,lncFil. ed Map..No,,l~fi.,.Lot.,58 ..................
and also Lot 58 on Filed Map No. 745 - Map of proposed Subdidivion Section B, Nass. Pt. Club
Permit No ................ Date Of Permi~ ................ Applicant .... ~g~$~.~,.~$q~h~.~s ....
Attorney for Owner
ilealth Dept. Approval .......................... Underwriters Approw~l .........................
Planning Board Approval ........................
~equest for: Temporary Certificate ........... Final Certica~e..qfi,~=Existing Use
I~(;~Submitted:~l ................... //// , , , .
- ....... U'"
CONSENT
TO
INSPECTION
Abigail A. Wickham, Attorney for owner
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 7625 Nassau Point Road, Cutcho~ue, New York 11935
· -, , which is shown and designated on the Suffolk
County tax map as District 1000, Section 118 , Block 04 , Lot 004
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: __
A Certificate of Pre-Existin8 U§e
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and re.~ulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained tn the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Abigail A. Wickham
(print name)
(sianature)
(print name)
0
0
TITLE NO.
may
lOC). *.3~ '~,',c..c,
MEASUREMENTIN U.S,$TANDARD
THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED.
THE DIblE~$1ONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPER~ UNE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE
NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES, S'~RUCTURES OR ANY OTHER IMPROVEMENT.
UNAUTHORIZED ALTERATION OR
AD~ITION TO A SURVEY MAP SEARING
A LICENSED LAND SURVEYOR'S SEAL
IS A VIOLATION OF SECT[ON 7209, SUB-
DIVISION 2~ OF THE NEW YORK STATE
EDUCATION LAW,
KULHANEK &
W~TCHF.,~ZEfl OFF~C,~
POUND RIDOE, NY P.O. BOX 17~
TELEPHONE;
FAX;
ONLY COPIES FROM THE ORIGINAL
OF TNl8 SURVEY MARKED WITH AN
ORIGINAL OF YHE LAND SURVEY-
OR°S EMSOSSED SEAL SHALL SE
CONSIDERED TO SE VALID TRUE
COPIES.
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPAREO~
AND ON HIS BEHALF TO THE TITLE COMPANY
GOVERNMENTAL AGENCY AND LENDING INST TUT ON
LISTED HEREON AND YQ THE ASSIGNEES OF THE
LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO ADDI-
TIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
SECTION J BLOCK
GUARANTEED TO
DATE
u F./= o - ~.
COUNTY
JOB NO.