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HomeMy WebLinkAboutZ-27999FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27999 Date: 10/05/01 T~IS c~TIFIES that the building DWELLING Location of Property 26550 MAIN RD (HOUSE NO.) County Ta~ Map No. 473889 Section 109 CUTCHOGUE (STREET) (HAMLET) Block 0004 Lot 008.001 Subdivision Filed Map No. __ Lot No. confo~ms su]~stantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICA~ OF OCCUPANCY NI~4BER Z- 27999 dated OCTOBER 5, 2001 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 FD24ILY DWELLING WITH ACCESSORY 1-1/2 CAR GAP~AGE & 3 CAR ACCESSORY G~LRAGE WITH STORAGE * ~e certificate is issued to FP3~NK B. & FP~ANCES ROGERS (OWNER) of the aforesaid building. SUFFOLK COU/F~Y DEPARTMENT OF ~R~LTIq APPROVkL ELEChf~ICAL CERTIFICATENO. PLL~4BERS CERTIFICATION DA'£~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A /fh°~zed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I&)CATION: 26550 MAIN RD CUTCHOGUE subDIVISION: MAP NO.: LOT NAME OF OWNER (S): FRANK B. & FRANCES ROGERS OCCUPANC~{: SINGLE FAMILY FPJ~NK B. & FRANCES ROGERS ADMI'~rI~U BY: MRS. ROGERS ACCOMP~I~DBY: SAME K~Y A%L~II~iBLE: SI]FF. CO. TAX W~P NO.: 109.-4-8.1 SOURCE OF I~URST: GARY FLANNER OLSEN, ATTY 9/28/01 DAT~: 10/05/01 DWELLING: T"fPE OF CON~TRUCTION: WOOD FRAME # S~gRIES: 2.0 ~ EXITS: 4 FOUNDATION: CEMENT BLOCK CEIJ~AR: P~LRT. ~ SPACE: PART. · ~)TAL ROO~S: 1ST FI,H.: 6 2ND FLR.: 4 3~D FLR.: 0 BATIfl(OON (S): 2.0 TOILET ROOM (S): 1.0 UTILITY ROO~ (S}: PORCH TYPE: DEC~( TYPE: PATIO TYPE: BP~I~EZEW~Y: FII~EPI~kCE: NONE C~%RAGE: DOMF~TIC HO~A'£F~K: YES ~"fPE~A'£M/(: OIL /~IRCONDITIONING: TYPE HEAT: 0IL WARM AIR: HOTW~r~: XX ACCESSORY STRUCTURES: C~d%GN, TYPE OF CONST.: (2)-1.5 CAR&3CD~R W STORE. ST~Pu%GE, SWIPING POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSP~L-~'F~ BY: DATE ON INSPECTION: 10/04/01 START: 10:10 AM END: 10:40 AM bUILD±i~G DEF~(THLN'f TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the-~uildir 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 buildi 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 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 consent to inspect signed by the appiicam 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, SwJ~.ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - = .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..$~p~b~r.Z~,.2OO~ ................. X New Construction ........... Old Or Pre-existing Building ................. Location of Property...2655QR4ai~ ~,~.C~t~%og~D .......................................... House No. Street Hamlet Onwer or Owners of Property...Emanc~.~ ~o~o~ _r_~ ........................... . .................. County Tax Map No 1000, Section.,.l~9 ........ Block. 4 .............. Lot..$.k ............ Subdivision .................................... Filed Map ............ Lot ................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Underw-riter~proval .................... Planning Board Approval ........................ , ....... Cutcho e, NY 11935 CONSENT TO INSPECTION Frances Rogers by Gary Flanner Olse~, as Attorney · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town 26550 Main Rd., Cutchogue, of Southold located at , which is shown and designated on the Suffolk County tax map as District 1000. Section 109 , Block 4 , Lot 8.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in"th~ Southold Town 13ullcling lnspe~L~,~ .~ ort~oo to,- +h.~ rnllowLn~: Two story frame house, Frame Building and Frame Garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto enter upon the above described property, iucluding 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 ot such inspections may be used as evidence in subsequent pf,,~ions for // lations of the laws, ordinances, rules or regulations o~/the_~o~vn~ of Southold. Dated: September 27, 2001 ~'/~~ure , (~g n at ) Gary Flanner 01sen as ~ttorney for (print name) Frances Rogers (signature)