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Home My WebLink AboutZ-21112FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21112 Date OCTOBER 28, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 9680 NASSAU POINT ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 6 Lot 9 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-21112 dated OCTOBER 28, 1992 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 SHED IN FRONT YARD, BEACH HOUSE (CABANA) WITH SHOWER * The certificate is issued to SHIRLEY G. VALK (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 ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 ,T CF .:CUT:iOLO, c1. Y. FGUCI::G CC[ Ii;Cp-CTI0:1 R _ O:iT Location 9680 NASSAU POINT ROAD CUTCHOGUE , NEW YORK :ee�) fru:: c�P.11lr�J Subdivision Mao No • 'Lot(5) Nage of Owner($_) SHIRLEY G. VALK Occupancy A-1 RES. l Hype) Admitted by: GARY VALK Accompanied by: SAME Key available Suffolk Co. Tax No. 118-6-9 Source of request SHIRLEY G. VALK Data OCT. 22, 1992 ,Type of construction WOOD FRAME ,'stories 1-1/2 STORY Foundation CEMENT BLOCK CellarPte' Crawl space Total rooms, 1st. Fl 6 2nd. Fl. 2 5rd• Fl Bathroom(s) 3 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility rotor Type Heat OIL Warn Air II Fat:•rater Fi _ eplace(s) ONE No. Exits 3 Aircondi tic giro Dcnestic hot:•iater YES Type heater ELECTRIC Other ACCE-SE07Y ST7iUC^-TTR 'S: Gzraoe, type const. Storage, type const. SHED FRONT YARD Swi.:r:ing pool Guest, type const. Other*,. BEACH HOUSE (CABANA) WITH SHOWER VIOLATT07,TS: CHAPTER 45--N.Y. ST.1TE UNIF01*1 FIltEi PRLVENTION h ISUILDING CODE Rema r. s • BP #63582 (FENCE) BP # 15095Z-COZ 15055 (DECK) BP# 1 18622-COZ-12507 (ADD) Inzzccted by: ( FISH of In. -p.- OCT. 26, 1992 H Time start9:0`+end 9:3_ 0 _ 1 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR -CERTIFICATE OF OCCUPANCY A. 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 psed in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences anf 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.' 3. For existing buildings (prior 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 applicant. 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 05 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 Date . ccT Z2. Igg7z ........................ .'a ConstrucCion........... Old Or Pre-existing Building.' ............. ,cation of Property:... ...fu ...... ... ..«::...(.-cT�t�C� ..�'y.....1�� 5...... •i• . . House No. Street .•Hamlet wer or Owners of Property......�....t-L .................................................. unty Tax Map No 1000, Section .... 1i IS ...... Block ..... 6 .........Lot .. .................. -)division.....................................Filed Map ............ Lot ...................... mit No................Date Of Permit........ ........ Applicant ............................. filth Dept. Approval ...................... ..Underwriters Approval......................... inning Board Approval ........................ uest for: Temporary Certificate........... Final Certicate........... Submitted: $.. «' ......................... . R.0 y 36 yAPPLIC T CONSENT TO IIN IPECTIO`! 6++(✓2.t,C7 &P , V AL Uwncr(s) Namc(:;) do(es) hereby state: 0 t!w under i -m -d, That the undersigned (is) (4pr:e•) the o,-mcrl�-) of the premise:: in the Tov.-n Of Southold located at (?&eo (JAS AU Qb1#0 gra Cyl�A�• lchich is -hown and desirn:,ted on the Suffolk County tax map as District 1000, Section Block P Lot That the undersigned (has) 4+ta-ve) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the followirg: 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 afo.esaid application, incl::ding inspections to determine that said premises comm!;• math all of the laws; ordina^ccs, ,rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the kno4ledge and understanding that any info.mation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the lavas, ordinances, rules or regulations of the Town of Southold. Dated: Cr -:C- 2 Z la'( 2.. U (signal re) c SHzrc�t✓—y G, JAuC (print name) ( S I g I I ItUt•e) (print name) < El Lp SZICLQ IZ mi I [A J Ica tu ul < kU k, 4n !JTU_17Y� pczc"4, .�. x 1 -1 30 A rZ EEA f Lj L! p 7 C TA.Kl Lu r -T qc). Lf T' U-1 ac. FENCE, '.T 7 1 17 E EDGE 0F` Lx,li lk4 Y,11' LI rr P imell j4ml o: sm j not ba ccns:,�;n G'K VA -if vali&rtm c4r.yrt 'A rin MIA p r7'. c 1V tL!,,q UM`2 hi'= a L S 2 J1,7L p LqT L. Y T T L T(D MA5 S At P 'N EY 7D dl\! E Cl. 71&4 ��,AJP:_ D A7 P OC�3 — Ir'18 Ll I'T 7 t: Locc L-io FUILS : ?