HomeMy WebLinkAboutZ-29513 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- 29513 Date: 06/12/03
THIS CERTIFIES that the building DWELLING
Location of Property 510 LOCUST AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 062 Block 0003 Lot 030 .001
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- 29513 dated JUNE 12, 2003
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
The certificate is issued to ROBERT REILLY, JR.
(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.
t oriy6d Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 510 LOCUST AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : ROBERT REILLY, JR.
OCCUPANCY: SINGLE FAMILY ROBERT REILLY, JR.
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 62.-3-30.1
SOURCE OF REQUEST: ROBERT REILLY, JR. 1/10/01 DATE: 06/12/03
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2
FOUNDATION: EMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE: CONCRETE/COVERED
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD FAME 8' X 10'
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #28907-Z-COZ-29512 (ALTERATIONS) REINSPECTED 6/12/03
INSPECTED By: DATE ON INSPECTION: 01/22 01
GARY ISH TIME START: 9:30 AM END. 6:55 AM
TOWN OF SOUTHOLD
t 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 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 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.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - _ .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
o January 5 , 2001
Date ... .... - •...-- --.
New Construction. 9....... Old Or Pre-existing Building.'a$P. .............
Location of Property.. 4 7 0 _ L o c u s't Av eAgq.... .,,rS.qu h�,l.d:............ •..•..1•�'.'.......... •...• ... . .
House No. Street Hamlet
Onwer or Owners of Property.. Robert, xei11X�.. ...... .. ..... ... .. .. . ..... . .. . . ..
• 062 . 00 03 . 00 030 OOD 02V9� 000
County Tax Map No 1000, Section. ....
.....Block... ___..........Lo
.Subdivision Founders Estates ,,,,,Filed Map.#834 , .Lot.Lot 53 & 54
..... .. .. .............. ... .. . . .. .. .. .. .. ... . ..
5/10/27
Permit No. ... ........ .. ..Date Of Permit. .......... .....Applicant... . . .. . .. . .. . ...... .. . . .. ..
Health Dept. Approval. .........................Underwriters Approval... . . .... .. . ... .... :. . . . .
:,Planning Board Approval........... ........ .
Request for: Temporary Certificate. .... ... . Final Certi.cate. . .. . ... .. .
100.00
.Fee Submitted: $.
6sx- (a `� C� . . . . - APPLIC=
@ftq-C® -?-- a7513
Robert Reilly, Jr.
lvwd Vr SOU'1HULU
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street) municipality
SUBDIVISION MAP No,�_ LOT (s)
NAME OF OWNER (s)
OCCUPANCY •
type , owner-tenant
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO.
SOURCE Or, REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION STORIES /,% EXITS
FOUNDATION CELLAR CRAWL SPACE �-
TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FLR.
BATHROOM (s) � TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT_ WW AIR OTHER: HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CON
ST 14'0 ,met t j
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
-----—-----------------------—--—--
-----------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
LOCATION DESCRIPTION ART. I SEC.
REMARKS:
INSPECTED BY: DATE ON INSPECTION L1�
01
TIME START , ,� E
SURVEY OF
LOT 53 & - 5 4- LOT AREA DATA
SUBDIVISION MAP OF S.C. TAX No. 8,142.09 sq. ft.
FOUNDERS ESTATES 10.00-62-03-29 0.187 ac.
FILE No. 834 FILED MAY 10,- 1927 S.C. TAX No. 6,890.50 sq. ft.
SIT UA TE 1000-62-03-3.0 0058 -ac.
S OUTHOLD TOTAL 15,032.59 sq. ft.
0.345 ac.
TOWN OF SOUTHOL•D
SUFFOLK COUNTY, NEW. YORK
S.C. TAX No. 1.000-62-03-29
1000—.62-03-30
SCALE 1 =20'
FEBRUARY 5, 2000 °
a °
FEBRUARY 10, 2000 ADDED LOT 53
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PREPARED IN ACCORDANCE WITH THE.MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.IA.L.S. AND APPROVED AND ADOPTED
O FOR SUCH USE BY THE NEW YORK STATE LAND
TIT ASSOCIATION.
LOT
1 _
-1' tls ✓ ` 1
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N.Y.S. Lic. No., 49668
UNATHORIZED ALTERATION OR ADDITION
TO.THIS SURVEY IS A VIOLATION OF
EDUCATION
SECTION
72 OF THE NEW YORK STATE
EDUCAT Joseph, A. Ing.egno
ION LAW.
COPIES OF THIS SURVEY MAP-NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
CERTIFIED TO: EMBOSSED SEAL.SHALL NOT BE CONSIDERED Land Surveyor.
TO BE A VALID TRUE COPY.
AQUEBOGUE ABSTRACT CERTIFICATIONS INDICATED"HEREON SHALL RUN
ROBERT REILLY ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
LENDING INSTITUTION_ LISTED HEREON, AND
TO,THE'ASSIGNEES OF THE LENDING iNSTI— ,
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (516)727-2090 Fax (516)722-5093
THE EXISTENCE OF RIGHTS OF WAY OMCES LOCATED AT MAILING ADDRESS
AND/OR:EASEMENTS OF RECORD, IF One Union Square P.O. Box 1931
ANY, NOT SHOWN ARE NOT GUARANTEED. Aquebogue, New York 11931 Riverhead, New York-1 i 9bi
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