HomeMy WebLinkAboutZ-24204 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-24204 Date MARCH 12, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2300 HOBART ROAD SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 3 Lot 5
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-24204 dated MARCH 12, 1996
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 A ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME SHED IN REAR
AND ACCESSORY ONE CAR AND TWO CAR GARAGES IN FRONT YARD*
The certificate is issued to HELEN YOUNG
(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 RE T.
Building Inspecto
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUT1OLD
IIOUSING CODE INSPECTION REPORT
LOCATION: 2300 HOBART ROAD SOUTHOLD NY
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) HELEN YOUNG
OCCUPAFCY SINGLE FAMILY
tgpe owner—tenant)
ADMITTED BY: KATHRYN MAZZAFERRO ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-64-3-5
SOURCE OF REQUEST: KATHRYN MAZZAFERRO DATE: 2/28/96
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME I STORIES 1 i A EXITS 2
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL. ROOMS: IST FLR. 5 2ND FLR. 2 3RD FI,R.
BATIIROOM (s) 1 TOILET ROOM (s) _ UTILITY ROOM
PORCII TYPE FRONT & REAR MUD ROOM DECK, TYPE PATIO
BREEZEWAY FIREPLACE ONE GARAGE
DOMESTIC IIOTWATER TYPE HEATER OIL AIRCONDITIONING
TYPE HEAT. OIL WARM AIR 11OTWATER
OTIIER:_
ACCESSORY STRUCTURE'S: (BOTH IN FRONT)
WOOD 'FRAME- 1 CAR &
GARAGE, TYPE OF CONST. WOOD FRAME 2 CAR STORAGE, TYPE CONST._SMALL WOOD FRAME IN REAR
SWIMMING POOL GUEST, TYPE CONST.
OTIIER:
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: SURVEYOR MISSED REAR SHED ON SURVEY.
INSPECTED BY 6ATi-,, OF INSPECTION 3/5/95
o M. BOUFIS TIME START 9:30 AM END 9:50 AM
TOWN OF SOUTHOLD 1 -
BUILDING DEPARTMENT
TOWN HALL
765-i802 �' � FEB 2 9 1996 -
APPLICATION FOR CERTIFICATE OF OCCUPANCY BLt�C�, f�� 'T-
A. This application must be filled in by typewriter OF, ink and submitted to the building
inspector with the following: for new building or new use:
I. 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 olumb.er certifying that the so lder' used in system contains
less than 2/10 of 1Z lead.
5. Commercial building, industrial building, multi ale residences and s��lar 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
`.'pre-existing" land uses:
1 . Accurate survey of property snowing all property lines, streets, ju- gi ang and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
I_ a Certificate of Occupancy is denied, the Building Inspector sna_l state the
reaSOL15 therefor in writing to the applicant.
C. Fees
1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling S25.00,
Alterations to dwelling S25.00, Swimming pool S25.00, Accessory building S25.00,
Additions to accessory building $25.00. Businesses S50.00.
2. Certificate of Occupancy on Pre-existing Buildins - 5100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, rCommercial S15.00
Date . . . . . . . . . . .� J g�.9 . . . . . . . . . . . . . . . . . .
.New Construction. . . . . . . . . . . Old Or Pre-exxistingmBuilding .�. . . . _ . . . . . . . ` /
Location of Property. . .as�.�OC?. . . J7Q1"*. . . .+:�0.a•:cl . . . . . . . . . . . . . . SU.t;c lA91G . . . . . . . . . ..
House No.�f Street Hamlet
�/
Onwer or Owners of Property. . . ./•1-E'E%.1°1. . .5�. . .I.o ✓}- . . . . . . . . . . . . . . . • - - . . .. . . . . . . . . . . . . . . . .
Count,,, Tax yap No 1000, Section. . T. . . . . . . .Block. . .P3 . . . . . . . . .Lot. . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ae=lth Dent. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
?Ianring Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Cer=icate. . . . . . . . . . .
Fee Submitted: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pL5uaJ _
x-V
g -17
..� J�� /=BANE" /z� to.'fi���
Al Z-17'1Z4L-
NJ
- `N
N
T
liZ9a/�'
Unauthorized a, ration or ace..._
to this survey is a violation of
Section 7208 of the New York Stat..
lL lu Education Law. ap
V v Copies of tWo survey m not bearing
the lam surveyors inked seal a
p embossed seal WW not be considered
%4 ST�,�y \ to be a valid tr opy w c .
Guarantees IndkMOd h0e0n shah run
only to the person for wham the survey
is prepmed,sod on Ns WWI to dts
1V title company,govemmentW agenq and"
lending Institution listed herdw sod
to the assignees of the lending kudtudorf.
V Guarantees are nottranslerable
V to additional institutions or subsegtwnt
0 owners. L
N ��E rom
p
Z: Piz
pa` 4�C1 cr.
Qom\ La NC• tv- .
f//Gis NG9Te e LiN�/Z3 qe /F ®
roWn/ r.C.e,��C,eFe,<
LoT- .a,Q.eroFlaT�/2o�'�/1�''s9�OrCf�GI�S/.G'E.P✓E�T/ITE� moo.fox-�J�/8
,Coc�rray�oUrya�vFrc��eCv/y,^/.)! r.�vto,N.
Oi9TE�./i9Nc/r9.eY23j i�lo
Tiyl�/acro-6S/-D3 cnS
CONSENT. ,
FEB 2 9 Jg)gs
.TO
I IMS)P L"CT 10 N
J
S. f(A 16 0 the Undersigned,
Umnier(s) N',lm(!(,q)
do(es) 11(,rej)v state:
That the undersigned (is) (are) the owner(s) of the premises ises in the Town
Of Southold located at r 0 CA-
\%'Ilich is shown and designated on 010 Suffolk
County tax map as District 1000, Section �_, Block Lot ps
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold ToN%:i-i Building Inspector's Office for the following:
0 cc_ I'le o'
That the undersigned do(es) hereby give consent to tile 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
deern necessary with respect to the aforesaid application, including inspections
to determine that said premises conil)13' with all-of the lags, ordinances, rules
and regulations Of the TOWII Of SOLIHIOUL
The undersigned, in consenting to such inspections, do(es) so with the
kno«vledge and understanding that any infornlation obtained In the conduct of
SLICII inspections irlay be used as evidence in subsequent prosecutions for- Vio-
lations, of the laws, ordinances, rules or regulations of the rom, of Southold.
Dated:
__g)�Xg/q6
(signature)
(print name)
(sA n,-ItUrO
U,
(prilit name)
p K OLCt
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPO !
LOCATION: _
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) Vo C` _d
OCCUPARCY
( y e (owner-tenant
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO.164�) —.3
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION lE STORIES EXITS
FOUNDATION L - CELLAR ��� / _ CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. Z_ 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM —�
PORCH TYPE ., _/ �# ► DUCK, 'TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC UOTWA'rER TYPE HEATER AIRCONDITI.ONING
TYPE BEAT WARM AIR �^ IIOTWATER
OTHER: _
ACCESSORY STRUCTURES: C� , L,e b �` %? %�® ' ,�, ,�. � is�A•�s
GARAGE, TYPE OF CONST. ecaq al TORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST_ -
--
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: J 1197X�
INSPECTED BY DATE OF INSPECTION
TIME START j�� ENI) ISO