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Home My WebLink AboutZ-22677FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22677 Date OCTOBER 26~ 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1050 WEST COVE ROAD House No. Street County Tax Map No. 1000 Section Ill Block 5 Filed Map No. Subdivision CUTCHOGUE~ N.Y. Hamlet Lot 1 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-22677 dated OCTOBER 26~ 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 DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHRD INSPECTION REPORT. Rev. 1/81 STEPHEN G. ROMAINE & ANO. N/~ N/a - /~/i 1 'di~g~inS~peCtor LOCATION: SUBDIVISION BUILDING DEPAR~NT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 1050 NEST COVE ROAD (number & sEreet) NAHE OF OWNER (s) STEPHEN ROMAII~ & ANO ClrrCHOGDE, N.Y. (munlcipaliry · MAP NO. LOT (s) OCCUPANCY A-I RES. OWNER . (type) (owner-tenant) ADMIi-r~D BY:. ROBERT SCALIA ACCOMPANIED BY: SAME KEY AVAILABLE STIFF. CO. TAX MAP NO. ]]1-5-{ SOULCE OF REQUEST: GARY FLANNER OLSEN~ ESQ. DATE: OCT. 15,' 1993 DNELLING: TYPE OF CONSTRUCTION WOOD FP~ FOUNDATION 'CF2i~NT BLOCK TOTAL ROOMS: IST FLR. BATHROOm(s) 2 PORCH TYPE BREEZEWAY DoHESTIC RO~ATER YES TYPE HEAT OIL OTHER: 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE TYPE HEATER WARM AIR XX # STORIES ONE # EXITS SIX CELLAR FULL CRAWL SPACE 3RD FLR. UTILITY ROOM WOOD PATIO, TYPE ONE GARAGE 2 CAR ELECTRIC AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SOIMMING POOL OTHER: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION [ DESCRIPTION ART. SECi REMARKS: BP {I?24-Z-COZ-1423- ADD - BP {5860Z-IIPDATED CO Z~22674 ALT.&ADDS DATE ON INSPECTION TIME START 9:30 OCTOBER 25, '1993 ENI~ 9:50 FORM NO, 6 TOWN OF SOUTHOLD · Ruilding Dnpurtment .' Town Hall Southoldo N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m am..mm~ to the Ouilding Inspec- tor with the following: for new buildings 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 of Health Dept. of water supply and sewerage dlsposal-{S-9 form or equal), 3. Approval of electrical installation from Board of Fire Unclerwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or En9ineer responsible for the building. 5. Submit planning Doard approval of comploted site plan requirements where applicable. .For existing buildings (prior to April lg57), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate suwey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. :3. Date of any housing code or safety inspection of buildings or premkes, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $.25;'00 -- ]~US[HESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of ceriificate of occupancy $ 5,'00. over 5 years $10.00 4.Vacant; Land C.O. $ '20.00 5 .Updated C .0. $"50.00 Date .... .O.c.t.o.b.er..1.5.,..1.9.9.3 ...... New C on s C r u c C i on ...... Old or Pre-existing Building . .X. ....... .. Vacant Land ............. Location of Property ...].qs.q, .w. qs. ..coz?. .............................. Hou;a No. Sf~er Ham/or Owner or Owners of Property ...S~.e,~.h.e.n..G..... ,R.o.m~.~.n.e..~.n.d..~.u.g.~.n.n.e..M:. ~.e.n.n.b.e.~.. :.: ............ County Tax Map No. 1000 Section .I.1.1 ............ Block . .5 ............. Lot..[ ............. Subdivision Filed Map No Lot No Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ................... . .....Labor Dept.x~q~roval ........................ Request for Temporary Certificate .................. .~.Final Certificate ....................... · ed 100 00 ' / Fee Submltt $ ........ ;'. ................... C~nstructi~n ~n ab~e described bu~d~ng and permit m~e~ a~r~p ~.~je~¢~ .es and~/ ~ // . .//// /~ regulations. ^ .... ........ pP { , LL.L~' ~ ~ ./+..~ .................................. G~r¥ F1~nner 01sen, Esq. n.v. lO.~o.?8 P.O. Box 706 ,~(~ ~C. ~')00~ Cutchogue, NY 11935 CONSENT TO INSPECTION ,Gary Fl~nner Olsen, as atterney ~ Owner(s) Name(s)'' do(es) hereby state: · the undersigned· of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Town 1050 West Cove Road, Cutchogue, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 11'1 · Block 5 , Lot 1 . That the undersigned (has) (have) tiled, 'or caused to be tiled· an appli,:a- tion in-'fha southold Town I:lullcling lnspeu~,,~ 'o ottr.,o to,. +~,~ following: one family dwellin§ 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 applicatiom· including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the ~own.of $outhold. The undersigned, in consenting to such inspec.'!ons, do(es) so with tee knowledge and understanding that any information obtained/!r~he conduct ot such inspections may be used as e~ldence in subsequent }grose~utions-- for / lations of the laws, ordinances, rules or reg~,lations o~t~ ~b~n ot Southold. Dated: October 15, 1993 i -- / (~fgoature) ~ Gary Flanner Olsen, EsQ_ (print name) (sl~natt, re) (p£int name)