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Home My WebLink AboutZ-23634FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23634 Date MAY 11, 1995 THIS CERTIFIES that the buildin~ Location of Property 6225 NASSAU POINT ROAD Mouse No. Street County Tax Map No. 1000 Section 11! Block 13 Subdivision Filed Map No. ONE FAMILY DWI~LLIN~ CUTCHO~UE, N. Y. Lot 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-23634 dated ~ 11, 1995 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 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~AS~ SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BARBARA J. SU~4ERS & ORS. LOCATION: 6225 NASSAU POINT ROAD (number & street) SUBDIVISION , MAP NO. NAHE OF OWNER (s) BARBARA J. SUERS & ORS. BUILDING DEPARTHENT TOI~I OF SOU~HOLD HOUSING CODE INSPECTION REPORT CUTCHOGUE, N.Y. (municipality) LOT(s) OCCUPANCY A-| RES. (type) ADMITTED BY: SELF KEY AVAII~LE SOURCE OF REQ~UEST: CAROLYN ATTARDI OWNER (o~ner-tenant) ACCOMPANIED BY: SELF SUFF.CO. TAX HAP NO. mo00-iil-i3-9 DATE: MAY {, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATHROOM (s) ONE PORCH TYPE WOOD FRAME CEMENT BLOCK PIERS SUN ROOM BREEZEWAY DOHESTIC HOTWATER YES TYPE HEATER TYPE HEAT RADIANT (ELECTRIC) WARH AIR CELLAR 3 2ND FLR. 4 TOILET ROOM (s) BECK, TYPE FIREPLACE ONE ELECTRIC { STORIES 2 { EXITS NONE CRAWL SPACE NONE 3RD FLR. ONE I]TILITY ROOM ATTACHED SHED r~OOD (War.er side) GARAGE AIRCONDITIONING BOWATER OTHER: ACCESSORY STRUCTURES: CJdIAGE, TYPE OF CONST. 2 CAR WOOD FRAME STORAGE, TYPE CONST. SIdIlqHING POOL , GUEST, TYPE CONST. OTHER: STAIRS TO BEACH VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION TIHE START 9:30 MAY 10, 1995 END 9:55 Form No. 6 TOWN OF sOUTIIOLD BUILDING I)EPARTHENT TOWN IIALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY I 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 Hehlth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electricad installation from Board of Fire Underwriters. Sworn statement fromfplumber certifying that the solder used in system contai~'s 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 th~ building. 6. Submit Planning Board Approval of completed site plan requirements. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 mpplicant. 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 Buildine - $100~00 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 New Construction ........... Old Or Pre-existing Building...>~.. .......... :oeat*o, of Property.. 2 ............. ,. £q.../7. .. ............ House No. Streeq Hamlet On.er or Owners ,?f Property .......................................... County Tax Map No 1000, Section../// ......... Block I3 ..Lot. 5 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. ilealth Dept. Approval .......................... Underwriters Approval...~ ..................... ~lanning Board Approval ........................ (equest for: Temporary Certificate ........... Final Certicate ........... -'et Submi.tted: $./! ................. Or. mcr(s) CO: INSPECTION Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (~r-~) the owner(~-} of the premises in the Town of Southold located at ~:~ ~5-- ~]~[~t.- J~f~/~- ~ ~ ~ ~]~ . which is shox~ and designated on the Suffolk 000. /3 . That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Toxx~ Building Inspector's Office for the follow,g: ~ That the unders~ned do(es) hereby give consent to the Build~f Inspectors of the Town of Southold to enter upon the above described property, includin~ any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~clud~g inspections to determine that said premises comply with ail.of the laws. ordinances, rules and regulations of the Town of Southold. The undersigned, in consentin~ to such h~spections, do(es) so x~th the knowledge and understanding that any ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for ladons of the laws. ordinances, rules or re~lations of the Town of Southold. " (p~t ~me) (signature) (print name) MAY 4 199,5