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Home My WebLink AboutZ-31466 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- 31466 Date: 03/03/06 THIS CERTIFIES that the building ACCESSORY Location of Property 1200 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 0009 Lot 003 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 31466 dated MARCH 3, 2006 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 ONE CAR GARAGE WITH APARTMENT ABOVE* The certificate is issued to KENNETH & NONA ROCK (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. Ir Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1200 BROADWATERS RD CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : KENNETH & NONA ROCK OCCUPANCY: SINGLE FAMILY DWELLING KENNETH & NONA ROCK ADMITTED BY: JASON SCOTT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 104.-9-3 SOURCE OF REQUEST: KENNETH ROCK 2/22/06 DATE: 03/03 06 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 BEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: ACCESSORY ONE CAR * STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: *WITH APARTMENT ABOVE. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP##1719Z-COZ-1421 (DWELLING) INSPECTED BY: DATE ON INSPECTION: 03 02/06 GEORGE GILLEN TIME START: 10:30 AM END: 11:00 AM Form No.6 y 'i, r•r n ? �' FEB 2 2 ,�J` `)� TOWN OF SOUTHOLD BUILDING DEPARTMENT !—.-- ------ — TOWN HALL 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 or existing buildings(prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing"land uses: 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. 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. 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$15.00 Date. New Construction: Old or Pre-existing Building: X&S (check one) Location of Property: 12 o z> '✓?oA k1��7d=R� d?l G y a W,5 6 0C— ouse No. Street Hamlet Owner or Owners of Property: f ^iv oe7W Suffolk County Tax Map No 1000, Section/Goes fO L't Block p Lot e:� S, Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval:.. Request for: Temporary Certificate.,: ; ._ Final Certificate: (check one) Fee Submitted:`$ pppicant Signature i CONSENT TO INSPECTION �E'BuNF TH Rxft the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold, located at 1 f op /3/t am-A t",}r F/Z AaI9-4 which is shown and designated on the Suffolk County Tax Map as District 1000, Section to!!?�'Block c�9 , Lot ao That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: gyp, - 6 G 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 aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. 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: of�� 1 /a 6 (Signature) ':S4'560':' Se-- i (Print Name) (Signature) (Print Name) ENE °`d. R ,F � soy* srw} ti� ' • • ■■■■■■■®■■■■■■■■■■■■■■■■■■■■ s a x sy$�n�lh�iY' 'daA +..a:M3" �� s�'j F�, , a: , / ■■■M�■F�■I��■■■■■■■■■■■■■■■■ ■■■■■■■ ■■■■■EMENN■■■■■■■■■■ j = _ ■■■■■�1■ ■■■■■■■■■■■■■■■■■■■■■ y : ■OMEN■■ MENE■MME■■E■■■MO■■E■ vel Rio ■■■E■■�_��■■■■■N■■■■■■■■■ 7d"I Foundation Basement- Ext. \A-11. Interior Finish Rooms 2nd Floor 00 ff r a . . as ,Y p TOE q: ' OF SOUTHOLD P"OPERTY RECORD CARD 7 OWNER STREET `7 r ; VILLAGE DIST. SUB. LOT -2e 01 rva 7`0,--r he, q U 0 /✓d s:r� v 0 d r. , FORMER OWNER N ` E ACR. S W TYPE OF BUILDING f/(/�} `(Q,r J./��-'' W d d C� c�"':i� eta. Eta S ,i,1 0 SEAS. VL. 7— FARM COMM. CB. MISC.- Mkt. Value LAND IMP. TOTAL BATE REMARKS 7r 660dwe YU 1.v AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 a } Woodland Swampland FRONTAGE ON WATER.. /YQ t Brushland FRONTAGE ON ROAD f House Plot DEPTH BULKHEAD Total DOCK v, ZU :3 a Y Nit MEMO■■■ ■■_ NONE .�.. ...�■ MEMO . _ - EEMMEE�■ Ems■ dl • S COVE 87 V�. . 7. 13'' 1 Heiroow 0 P GO N.88°36'40"E. 6 - 34.67 � 1 � �l D.7' J _ o - - o: OD OD O M. N LOT 25 2 LOT 253 LOT 254 I� a/ $1 1 ' sf o \ I A aa' 0 P'p° wnc,- 0 s/ab 0.3, - 35.2' � 3 .� 0 laous14 z Po[e. .4.s u� qa-r it AREA 37, 439 SQ.-FT: D.S i - 22.21 0. 2.7' \sue fp0 dean V / `O • +�a . Z. e SURVEY OF 44f 0 /, ?b LOT 253 e AMENDED MAP �A� OF NASSAU POINT,.�� 5' PO NASSAU POINT CLUB PROPERTIES; INC. �. FILED 16., 19 . 15,AUG 22 FILE N0 AT NASSAU POINT o AND �. TOWN OF SOUTHOL D SUFFOLK COUNTY, N.Y G o O 10O�O - 104 - 09 - 03 J `� * N Y S -L:IC. NO .. 49668 SCALE I" = 50� �-- APR . 23 , 1987 VEYORS & ENGINEERS , P.0 . ( i`d 5 0:2 0 Prepared inaccordance w6th 4h® Min3mum P 0 90 9' standards for title sure�eys as esta&a8ished by the L.B.A.L.S. and approved and adopted for such use by The Now York State Land SOUTHO`L.D N Y,- 1971 Title<Associatoon.. 87 - 2-8 8