HomeMy WebLinkAboutZ-26873FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26873
Date: 01/06/00
THIS CERTIFIES that the building
DWELLING & ACCESSORY
CUTCHOGUE
Location of Property 1010 DEAN DR
(HOUSE NO.)
County Tax Map No. 473889 Section 116
(STREET) (HAMLET)
Block 0005 Lot 011
Subdivision Filed Map No. 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- 26873 dated JANUARY 6, 2000
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 SEASONAL ONE FAMILY DWELLING WITH WOOD DECK AND ACCESSORY ONE CAR
GARAGE. *
The certificate is issued to HARRY P TAYLOR
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
'~th~~gnature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: lQ10 DEAN DR
SUBDIVISION:
NAbfE OF OWNER (S) : ~qRY P TAYLOR
OCCUPANCY: A-1 RESIDENTIAL
ADMITTED BY: EAR!RY P. TAYLOR
CUTCHQGUE
MAP NO.: __ LOT (S) __
HARRY P TAYLOR
ACCOMPANIED BY:
KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.~ 116.-5-11
SOURCE OF REQUEST: GARY F. OLSEN. ATTY. DATE: 01/06/00
TYPE OF CONSTRUCTION:
FOUNDATION: C.B. PIERS
TOTAL ROOMS: 1ST FLR.: -0
BATHROOM(S)~ 1.0
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER: YES
TYPE HEAT: _~WARM AIR:
OTHER:
WOOD FRAME
# STORIES:
CELLAR: --
2ND FLR.: -0
TOILET ROOM(S): O.0
DECK TYPE: WOOD
FIREPLACE:
TYPE BEATER: ELECTRIC
HOTWATER:
1.0 # EXITS:
CRAWL SPACE:
3RD FLR.: __0
UTILITY ROOM(S): --
PATIO TYPE:
GARAGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~{ING POOL:
OTHER:
ONE CAR. WOOD FP. AME STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ~ ART.
SEC.
REMARKS: BP~4463 ADDITION CO#Z-3842:
BP#i146S ADD/ALT CO#Z-ii019
DATE ON INSPECTION:
TIME START: ~0:00 AM END: 10:20 AM
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all
streets, and unusual natural or topo~raphzc featur s. t ~
2. Final Approval from Health Dept. of water supply and sewerag~sal~S-~ form)
3. Approval of electrlcal 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 build~
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
Vpre-existing" land uses:
1. Accurate survey of property sho~i~g all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applican
If a Certificate of 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, Sw~ing pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15f00, Commercial $15.00
D a t e ..~ ~ q e~n .%! ,..1A%% ..................
Jhouse and detached gauge)
New Construction ........... Old Or ~re-existing Building .................
Location of Property...%Q%q~e/A~/JY~.,. ~p~pgp~..N~. .....................................
House No. Street Hamlet
Onwer or Owners of Property. Harts ~.. ~Y~PY. · .......
County Tax Map No 1000, Section..J~ ......... Block..O~ ............ Lot..Ol[ ............
Subdivision .................................... Filed Map ............ Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................ ~
Request for: Temporary Certificate ........... Final Certi~te~..~ ~/ ' ~ ........
GARY FLANNEJ~O[,~EN, ESQ,~ ' / -APPLICANT
P.O. BOX 706
CUTCHOGUE, NY 119,,%5
CONSI5NT
TO
INSPI£CT1ON
Harry P. Taylor , , the undersigned,
Owner(s)
do(es) hereby stat,::
That the undersigned (is) (are) tile owner(s) of the promises in the To,an]
of Southold located at 1010 Dean Drive, Cutchogue, NY 11935
· which is shown and designated on thc Suf£olk
County tax map as District 1000, Section 11~ , ]3lock 05 , Lot
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in"th,~ Southold Town L{ullciing lllSpuu~..a Or£~.oo to.~ *h, rnllmvinff:
House and detached garage
That tile undersigned do(es) hereby give consen~ to tile Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thcrcon, [o conduc~ such inspections as they may
deem necessary with respect to [he aforesaid application, including~'inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulatione of ibc Town of Southold.
Tile undersigned, in con.~;enting to such i~spections, do(es) so with thc
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 regulations of the Town orSouthold.
Harry P. Taylor
(print name)
(signature)
0
O'
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