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Home My WebLink AboutZ-22708FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22708 Date NOVEMBER 5~ 1993 THIS CERTIFIES that the building Location of Property 8500 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 118 Block 5 Subdivision Filed Map No. ONE FAMILY DWELLING CUTCHOGUE ~ N.Y. Hamlet Lot 4.1 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-22708 dated NOVEMBER 5~ 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 WITH ACCESSORY GARAGE WITH CARPORT ATTACHED & ACCESSORY GUEST COTTAGE* The certificate is issued to ROY A. SCHMIDT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAC~-~.~ INSPECTION REPORT. /~uilding Inspector Rev. 1/81 LOCATION: BUILDING DEI'ART}~NT TOWN OF SOU~IOLD }lOUSING CODE INSPECTION REPORT 8500 NASSAU POINT ROAD CIJTCHOGUE, N.Y. (number & street) SUBDIVISION NAi~ OF OWNER (s) .tOY A. SCI~IIDT MAP NO. (shun/c/parity LOT (s) OCCUPANCY A-I RES. (type) (owner-tenant) ADMII-rED BY: HENRIETTA CHITUK ACCOMPANIED BY: SALVE KEY AVAILABLE SUFF. CO. TAX HAP NO. 118-5-4.1 SOUKC~ OF REQUEST: PAUL A. CAMINITI, ATTY DATE: OCT. 15, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION ~NT TOTAL ROOMS: IST FLR. '5 BATUROOM (s) I FULL BATH PORCH TYPE BREEZEWAY DOMESTIC UO~qATER -YES TYPE HEAT gLECTRIC O~IER: PANTRY OFF KITCHEN WOOD FRAME 2ND FLR. TOILET ROOM (s) DECK· TYPE FIHEP~%CE ONE TYPE HEATER ELECTRIC WARM AIR ~ STORIES I ~ EXITS 4 CELLAR PARTIAL CRAWL SPACE 3RD FLR. UTILITY ROOM PATIO· TYPE BRICK GARAGE AIRCONDITIONING HO~ATER ACCESSORY STRUCI~RES: GARAGE, TYPE OF CONST. S~IIMMING POOL OTHER: WITH CARPORT ATTACItED STORAGE, TYPE CONST. · GUEST, TYPE CONST. I RO(O WOOD F~ WITH 1/2 BATH. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ART. SEC. REHARKS: BP #803Z-CO Z-526-'ADD. & BP li434Z-COZ-1079 ADD . -~X J/ff. FISH TIME START 9:40 ENIJ 10:00 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY mo 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 l% 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-exis~ing" land uses: i. Accurate survey of property showing ail 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 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 New'Construction ..... Old Or Pre-existing Buildi ................. Location of Property ' House No. Street ~Hamlet ..................................... County Tax Map No 1000, Section ............ Block ................ Lot ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................ Health Dept. Approval .......................... Underwriters Approval ................ ; ........ Planning Board Approval ............. ; .......... · Request for: Tempo. rary Certificate ........... Final Certlcate ........... -- Fee Submitted: $ .................... " /'"-- /' c ,:z _ -- ,75, TO INSPECTION Name(s) do(es) hereby state: · [he undersigned, of Southotd located at ,~,'~ ~ff !~,~'~l~J/ //~//6// ~/~ C~)~-~0 ~7~ , which is sho~m and designated on the Suffolk County tax map as District 1000, Section . Block ~ . Lot . That the undersigned (has) (have) filed, 'or caused to be ~iled. an applica- 'tion in the Southold Town Building Inspector's Office for the ~ollowing: That the unders~ncd do(es) hereby give consent to the Build~g Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereoni to conduct such inspections as they may deem necessary xvith 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 of 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 vio- :lations of the laws, ordinances, rules or 'reg'ulations j the Town of Southold. (print name) (signature) (print name) 734 .-