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Home My WebLink AboutZ-30341 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30341 Date: 08/09/04 THIS CERTIFIES that the building ACCESSORY Location of Property 2386 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 054 Block 0001 Lot 004 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- 30341 dated AUGUST 9, 2004 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 ACCESSORY GAZEBO.* The certificate is issued to JANET WOCKENFUSS - TRUSTEE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. L. A orized Si nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2386 HYATT RD SOUTHOLD SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S) : JANET WOCKENFUSS - TRUSTEE OCCUPANCY: ACCESSORY JANET WOCKENFUSS - TRUSTEE ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 54.-1-4 SOURCE OF REQUEST: PATRICIA MOORE, ATTY DATE: 08 09 04 DWELLING: TYPE OF CONSTRUCTION: # STORIES: 0.0 # EXITS: 0 FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 0.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: GAZEBO VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP30542 REPAIRS COZ30340 IN SpgCTgp By: ` DATE ON INSPECTION: 04 06 04 MICHAEL J VERITY TIME START: END: Form No.6 { TOWN OF SOUTHOLD MAR 2 9 M BUILDING DEPARTMENT TOWN HALL t: . 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. B. 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 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. G�rtificate 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. `a2�/—0 New Construction: Old or Pre-existing,Building: (check one) Location of Property: 02� 4 goad , House No. Street Hamlet Owner or Owners of Property: an,t,6-- WDCfce-rT&!5 S Suffolk County Tax Map No 1000, Section `JAI Block 6/ Lot d Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: �� Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �j(p(od-1 Applicant Signature _ _,z _ f_ TOWN OF SOUTHOLD - PROPERTY* RECORD CARD �oC, OWNER STREET Q 3� j VILLAGE DIST. SUB. LOT ?RMER OWtsIER N n E ACR. �A A m S �7 js� W TYPE OF BUILDING �sv R . SEAS. VL. ,%3, FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 11343 5 7- oels��i�Fccss �locken rss 4xUAsz �v)� 3 !3 p 88 04 f)P.w cGwe�P i nq - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 \ dVoodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD douse Plot DEPTH BULKHEAD Total DOCK COLOR TRIM M. Bldg. Foundation Bath Dinette Extension Basement Floors K. Extension Ext. Walls Interior Finish LR. Extension Fire Place Heat DR. Type Roof Rooms 1st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage Patio O. B. Total E; ; I'AAR 2 9 ; �; j PATRICIA C. MOORE } Attorney at Law �--— -- �, 51020 Main Road U L DG. 0 '. Southold New York 11971 T ''kfd'd OF SOUTHOLD ' Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary March 29, 2004 Michael Verity Building Inspector 53095 Main Road Southold, NY 11971 (BY HAND) Re : 1000-54-01-04 Pre-C.O. for Gazebo Janet Wockenfuss Dear Michael or Damen: Enclose is a application for pre-C.O. and consent to inspect for a gazebo on the above referenced property. Attached is my client' s picture of herself (she is now in her 601s) and her sister with the gazebo in the background. The gazebo was constructed in the 1940 ' s by Mrs . Wockenfuss' s father. Ve ru yours, 7tricia C. Moore CONSENT TO INSPECTION /2/Oo-21It r , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is { )ve Pow ) of the premises in the Town of Southold, located at A k k4 y0t( aaA , 50it i6(d which is shown and designated on the Suffolk County Tax Map as District 1000, Section / , Block �� , Lot 0� That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: FrY- 6aze6o 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 afor�.gaid application, including inspections to determine that said premises comply with all 9r the laws, ordinances, rules and regulations of the Town of Southold. l 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: --29 .0 (Signature) c (Print Name) (Signature) (Print Name)