The URL can be used to link to this page

Home My WebLink AboutZ-23380 1f_ 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-23380 Date NOVEMBER 30, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1905 PRIVATE ROAD #11 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 3 Lot 2 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-23380 dated NOVEMBER 30, 1994 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 STRUCTURES The certificate is issued to ETHEL E. WORTIS (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 BUILDING 'DEPARTMENT TOWN OF .SOUTHOLD HOUSING CODE INSPECTION. REPORT LOCATION• 1905 PRIVATE ROAD #I1 SOUTHOLD, NEW YORK number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ETHEL• E. WORTIS OCCUPANCY A-1 RES. OWNER type owner-tenant ,. ADMITTED BY: FRANK ARNOLD ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1O - - - SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: OCT. 26, 1994 DWELLING: "MAIN HOUSE"- TYPE OF CONSTRUCTION BRICK # STORIES 2-1/2# EXITS 6 FOUNDATION CEMENT CELLAR FULL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 8 3RD FLR. 1/2 STORY 3 ROOMS BATHROOM (s) 6 TOILET ROOM (s) ONE UTILITY ROOM PORCH TYPE COVERED DECK, TYPE PATIO BREEZEWAY FIREPLACE 9 GARAGE DOMESTIC HOTWATER YES TYPE HEATER SOLAR w/ELECTRIC AIRCONDITIONING BACKUP TYPE HEAT OIL WARM AIR HOTWATER STEAM WITH SOME ELECTRIC OTHER- SUNROOM, SMALL 2ND KITCHEN, TRELLIS BASEBOARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR STORAGE, TYPE CONST. 2 STORY BARN WITH S�D SWIMMING POOL , GUEST, TYPE CONST. OTHER- CO�pREDsDECCK SCRREEENED IN BP #6786, GAZEBO CAB , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION• ART. SEC. REMARKS: BP 0.6786Z-CO Z-6327 INSPECTED BY DATE OF INSPECTION OCTOBER 31, 1994 Gr�f FISH TIME START 10:30 END 12:30 J Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL i.E�ii � T 7 765-1802 _ BLDG.DEPT. ` l _ TOkgN OF SOUTHOLD 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 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 a consent to inspect signed by the applicant. If a Certif icate 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. 2. Certificate of Occupancy on Pre-existing Buildinct - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date „ October, 1994 , , , , , , , , , New Construction. . . . . . . . . . . Old Or Pre-existing Building. .x . . . . . . . . . . . . • • . . Location of Property. . . . . . . . . . . . .SQUJ1.Qld. . . . . . . . . . . . . . - -------------- --------- House No. -_- —---Street -Hamlet - Ethel Wortis - Onwer or Owners of Property.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 10003 Section. .086 :00. . . , .Block.03: 00 . . . . . . , , ,Lot.02: 000. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.Char.l.eS. R.._ .Cuddy . . ESq... . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . �r,ce. � S3I . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT Charle R. Cuddy. . / C AFFIDAVIT STATE OF NEW YORK) ) ss. . COUNTY OF SUFFOLK) CHARLES R. CUDDY, being duly sworn, deposes and says: I am the attorney for Ethel Wortis, who owns certain premises off South Harbor Road, Southold, New York, known and described on the Suffolk County Tax Map as District 1000, Section 086. 00, Block 03 . 00, Lot 02 . 000. This premises contains a private residence for which a Certificate of Occupancy issued on February 10, 1975 (No. Z6327) ; there is also a garage, two barns and sheds at this site which have been in existence for more than 50 years, as indicated to me by owners of this and the adjoining parcel. Annexed hereto is a copy of a survey of the subject premises and an application for a Certificate of Occupancy (Pre- Existing Use Certificate) , together with the required fee. As the attorney for the owner, permission is hereby given for the building inspector to inspect the site and request is made for the issuance of a Pre-Existing Use Certificate. CX4'e 4z,�" (Charles R. Cuddy Sworn to before me this a7.a, day of October, 1994 . LINDA j•cOUPI-I flotary peebli I State of�6ee�'►YorEs ifolkCOUTAY No.4822563, mber'3, 1 ...� Term Expires f fnd 334.92, h O h ti 4i O O P EARSON NGY � NA ° 43, 40 •59,3° ARSON N. 56 ,W 5� N11 050� Q pNN P� N 0 1143 52 c0 / / 0•W• 5.5 2 p4,80 � J 03, 30• -�—/ 3p' W N. 53• i4 /// N 0 S• 53' 33moRTG513'83 `m°" �/ �L 22311, G. /// A050 r 4 10 N / s 5 004'E 00 30 N.. 22 55 N. � M z P FE \ . o n ,O► TEE � PGRE %/ 092 "� 0 D 4 01 6,03 � � ooQ,SGRE P REP /j �(D j � 00-EA Ig - PPTS � lvP oA o0 v co N JiO c I� 26 A2� ov 42 ? ShCd Shcor �/ i 11 a \\ ( D ` C) AN 37� fr ��bSHc,) � \` /�� I �, tOo• V��`� 0� o >f�9 Y _` 1y �O`\ ,QD' yarn �j. O // O N 54•29 b�' o , k2.��oI IV 4 �r, °r /f �'�• � �.l�o J c40 s� � ---/ / Nle 0 er 6"Lg\ ¢/ v �s `�� C, fit. to 0 Q ORES ��P P p Q o 03-�gg3 �' N o �0 Piyhsc �`°�� ' -06 , 6•LANES ti C91 1000 ARTS TEE NET N, 2 N ?B•3 `� �e�cc N,75.3877" E. 32.16 f�hse 231S8 It 00 wl 56001 r 0 - F Q1/ y 3>0w o P� S. N 6� 41pi,55•E. 0 \ / O SOUTh/ SU! l r i OF iA- (S,,>. O's PROPER T Y 6°4" °° 8�ssq.8 3 AT SOUTH,TOWN OF SO�UTh/OL D O AO c� oe 1 /�e SUFFOLHC COUNTY N. Y. - ° Zb % •p'�h�i 2A�9 1 ti o• �9 1000 - 86 - 03 - 1,2,E 1,3.3 & 3.4 1000 86 06 27 & 28. 1 s •5 `� Scale: 1" =10010- ' =� °2' N 86� sr "�' Oct 15, 1994 e Oct. 25, 19914 (revisions ) sii8. 39 3 Oil. 269 --1 5• DP m N,75°2755c- 16, S.66°36'40'W' 44.29• 72.g7 34.25• �s V o U N 24 35 46"E �0�� '�4 •lip h CER TIFIED TO! G ��• Pol BRADLEY M. ANDERSON \ey ��• FRANCESCA G. (0 COMMONWEALTH LANDS ON � TITLE INSURANCE COMPANY r � C GENERAL ABSTRACT CORP. BOSTON SAFE DEPOSIT AND TRUST CO. P` °0 Xe SCTIC, INC. ro 0 el .3320 .Sro P PP� PG 2 \a N• 52 QO ��OA�F�' 2 5• N, 96• Q P' 6. V. 366.20 �(on �p /O/ P\' P S' 59 ° Cl/SF J , O D4 0 2\, y f s 5 29\(�• G4 ®� MDT�c'4�� ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION A /" _ ~''• OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, v:`, p�` ,Y.S. L/C N0. 496/8 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS (y HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR PECONI #, c YOBS, P.C. A WHOSE SIGNATURE APPEARS HEREON. (5/6) 765 - 5020 O �•\� ADDITIONALLY TO COMPLY WITH SAID LAW T TERM 'ALTERED BY' P. 0. BOX 909 MUST BE USED BY ANY AND ALL SURVEYO UTILIZING A COPY MAIN ROAD / OF ANOTHER SURVEYORS MAP. TERMS SIRS 'INSPECTED'AND 5 'BROUGHT-TO-DA TE'ARE NOT IN COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 1197/ — -87 1"