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Home My WebLink AboutZ-26636FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF O~C~PANCY No Z-26636 Date AUGUST 18, 1999 THIS CERTIFIES that the buildin~ ACCESSORY STRUCTURE Location of Property 250 CROWN LAND LANE UuTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 12.9 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for an Accessory Structure built Prior To: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-26636 dated AUGUST 18, 1999 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 A~CESSORY WOOD F~%ME STORAGE SRED * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION REPORT. JANET T. SWANSON & DOR(F£~Y I. ABBOTT N/A N/A N/A Rev. 1/81 LOCATION: 2~50 CROWN LAND LA SUBDIVISION: NAM~ OF OWNER (S): JANET T ~WANSON & ANO. OCCUPANCY: NONE ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT CUTCHOGUE MAP NO.: -- LOT (S) -- JANET T SWANSON & ANO. ACCOMPANIED BY: __ SUFF. CO. TAX MAP NO.: 109.'2-12,~ DEBORAH DOTY. ATTY 8/12/~ DATE: 08/18/99 TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR.: __~ BATHROOM(S): O,O PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OTHER: # STORIES: Q,Q # EXITS: CELLAR: __ CEAWL SPACE: 2ND FLR.: ._~ 3RD FLR.: TOILET ROOM(S): Q,Q UTILITY ROOM(S): DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: TYPE HEATER: AIRCOND ITIONING: WARM AIR: HOTWATER: ACCESSORY STRUCTURES= GARAGE, TYPE OF CONST.: SWI]~4ING POOL: STORAGE, TYPE CONST.: WOOD FRAME (NO ELECTRIC) GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ] DESCRIPTIQ~ , ART. SEC. REMARKS: BP ~8213-Z-COZ-9443 DWELLING & STUDIO INSPECTED BY: DATE ON INSPECTION: 08/17/99 TIME START: 10~15 AN END: 10:20 AM Form No. 6 , ~ ~ ~ ~~ ~'- TOWN OF SOUTHOLD BLDG D£PY. 7 i CAT N ...... m gBU{~OLD A~PLI IO 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 ~ines, 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 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 (priqr to April 9, 1957) non-conforming uses, or buildings and '.'pre-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 appiicant. If a Certificate df Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 8/11/99 New Construction ........... Old Or Pre-existing Building.Y~. fO~. Mh~ .... Location of Property...~q..C~.°..w~...I~..~.r.m.]~,...Cu>y~..°~.~7..N?. .................................... House No. Street Hamlet O~er or Owners of Property .... ~12.~.~,..S~..~..o.q .~..Do.r.o..thy.~..?~..h?~ ........................... County Tax Map No 1000, Section 109 ..Block 2 . 12 9 ............................ mot..! ................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~e~ ...... Fee Submitted: $-.1~R).~ ..................... APPLICANT'~ W~'~,~r--% ANY AL iI~R,4 TION O~ A~TI~ TO THIS ~J~V~Y I~ A VKN.A Ti~ON OF ~-CTION ?ZO~ OF THEIr'Y/ YORK STA TE EDUCa TION L,~V/, EXCEPT AS PER ~ECTtON ~09-,~l~lYlFil~ ~. ALL CERTFICa TIOI~ HEREON ARE VALID FOR THIS MAP ,~ID COPIES SAID MAP OR COPIES BE~R ~ ~=R~$&E~ SEAL OF' THE SURVEYOR ~I~05E SI$NA TURE APPEARS ~ODIIIONALL Y TO COMPLY ~IIIH $A~ LAIF TME TET~ MUST BE USED BY ANY AI~ ALL St~VEYOR$ UTILI~N6 A COPY OF ANOIT~E~ SU~VEYOR~ IMP. ~ SUCH AS 'II~¢TEI~ 'BROUgHT-TO-DATE" ARE NOT ltv COMPI_MNCE ~TH ~ LAI~. LOT ,~. AREA = 40,035 sq. ft. tllOif C~ "' SURVEY OF LOT 19 '~/IAP OF CROWN LAND LANE" FILED AUG. ET, 1975 FILE NO. A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N 1000- 109- 02- 129 SCALE. 1" = 30' JUL Y 8, 1998 $0£ ~' ~} ~ll~; 'k LIC. NO. Zl9618 CONSENT TO INS PI~C'FION J_~_et T_ ._~o_n, _~on ~ nnrc,~-hy 'r_ ~h~tt , the undersigned, Owner(s) Name(s) do(es) hereby state: That the u.derslgned (is} (a~'e} the owner(s) of the premises in the Town of Soutbold located at 250 ~ rand ~o, ~tch~e, ~ , which is show. and desif~nated on (he Suffolk County tax map as District 1000, Section ~09 , Block 2 , Lot 12.9 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion tn the Southold Town Building Inspector's Office for the following: ~ , pra-~istin9 C/O for ~ That the undersigned do(es) hereby give consent to the Bnildi.g Inspectors of tile Town or Southold to enter upon tile above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid applicalion, including inspections to de[ermine that §aid premises comply with all,of the laws, ordinances, rules and regulations o£ the Town or Sou[hold. The undersigned, in conseotlng to such hlspections, do(es} so with the knowledge and understanding that any information obtained In the conduct o£ such inspections }nay be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town or Sou[hold. Deborah Doty, as attorney for owners (print name) (sil~natt, re) (print .ame)