The URL can be used to link to this page

Home My WebLink AboutZ-25000FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCuu~AN~Y No Z-25000 Date APRIL 29, 1997 THIS CERTIFIES that the buildin~ Location of Property 30185 CABOTS WOOD ROAD House No. Street County Tax Map No. 1000 Section 73 Block 4 Subdivision Filed Map No. OWE FAMILY DW~TJ.ING PECONIC, N.Y. Lot 1 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z--25000 dated APRIL 29, 1997 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 OWE FAMILY DWELLING WITH ACCESSORY GARAGE & TWO WOOD FRAME STORAGE BUILDINGS & ACCESSORY BEACH STORAGE SHED The certificate is issued to WALTER ROSS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS. CERTIFICATION DATED N/A *Pr~SE SEE ATTAC~K~, INSPECTION HEPORT. Rev. 1/81 LOCATION: 30185 CABOTS WOOD ROAD (number & street) SUBDIVISION NAHE OF OWNER (s) WALTER,ROSS BUILDING DEPARTHENT TONN OF SOUTUOLD DOUSING CODE INSPECTION REPORT PECONIC, N.Y. :,. (municipality) MaP NO. LOT(s) OCCUPANCY SINGLE FAMILY (type) ADMITTED BY: VINCENT ANNABEL KEY AVAILABLE SOURCE OF REQUEST: WALTER ROSS (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAXMAP NO. 1000-73-4-1 DATE: APRIL 7, 1997 DNELLING: TYPE OF CONSTRUCTION FOUNDATION BLOCK TOTAl. ROOMS: IST FLR. BATDROOM (s) I PORCll TYPE BREEZEWAY DOMESTIC DOTWATER 'I~PE llEAT UTILE R: WOOD FRAME CELLAR 2 2ND FLR. TOILET ROOM (s)l (CELLAR) ELECTRIC ELECTRIC DECK, TYPE FIREPLACE YES TYPE HEATER ELECTRIC WARH AIR [ STORIES I FULL CRAWL SPACE 3RD FLR. UTILITY ROOM WOOD PATIO GARAGE AIRCONDITIONING DOTWATER ELECTRIC EXITS ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAI~ STORAGE, TYPE CONST. SWIMHING POOL , GUEST, TYPE CONST. OTDER: ACCESSORY BEACH STORAGE ~ItED (WOOD (2) WOOD F~ VIOLATIONS: CHAPTER 65 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION APRIL 18, 1997 TIME START 10:15 ~ E~D 11=00 A~ Form No. 6 TOWI~ 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 ware,' supply and sewersge--.disposa!(S-9 form). 3. Approval of electrical installation from Board of Fire U~dorwriters. a. 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: i. 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 Buildin~ - $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 ..... ~.7~ 7 ............................. New Construction ........... Qld Or Pre-existing Kuilding....~.. .......... Location of Property ........ ~.~.~. ~ .'~....~. ~.~..~. f..~...~..~. ........ .~...~?r.<5.Q~ ~ ............ House No. Street Hamlet County Tax Map No 1000, Section.~.2~:~ .... Block. ~'~'~ ..Lot. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ 'f '~' ": '~'~'~ 32{~-, ................... ~~ 5asoq ................... %. P 50 0 o CONSENT TO INSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (~-) the owner~of the premises in the Town , which is shox~ and designated on the Suffolk County tax map as District 1000, Section Block 0~,~, Lot That the undersigned (has) (~ filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the following: 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 ail 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 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. Dated: -(l~ffa¶u r e) ~ (print name) (signature) (print name) U