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Home My WebLink AboutZ-31008 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- 31008 Date: 06/27/05 THIS CERTIFIES that the building DWELLING Location of Property 430 WEST CREEK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 0013 Lot 003 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- 31008 dated JUNE 27, 2005 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 ATTACHED GARAGE The certificate is issued to DONALD J MACLEOD (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. a Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 430 WEST CREEK AVE CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : DONALD J MACLEOD OCCUPANCY: SINGLE FAMILY DWELLING DONALD J MACLEOD ADMITTED BY: DAVID KAPELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAIL MAP NO.: 103.-13-3 SOURCE OF REQUEST: DAVID KAPELL 6/16/05 DATE: 06 27 05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: CEMENT DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES (1) GARAGE: ATTACHED DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE BEAT: HOT WATER WARM AIR: YES HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY. ATE ON INSPECTION: 06 21 05 GEORGE GILLEN TIME START: 10:00 AM END: 10:30 AM 0Oq Form No.6 TOWN OF SOUTHOLD 4� 1 BUILDING DEPARTMENT 6 2005 ~�.�, TOWN HALL 765-1802 DEPT. 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. 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. �)Copy Certificate of Occupancy on Pre-existing Building- $100.00 of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. G New Construction: Old or Pre-existing Building: (check one) Location of Property: 93.0 �r,� \Z aL. House No. Street Hamlet Owner or Owners of Property: . 9-c-L D Suffolk County Tax Map No 1000, Section ills Block Lot 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: $ �� iA lrar,� 0 � r- Applicant Signature C0 316o CONSENT TO INSPECTION ' Y the undersigned, do(es)hereby state: Owners)Names) That the undersigned(is) (are)the owner(s) of the prem' es in the Tow of Southold, located at `' o ��N G�� which is shown and designated on the Suffolk County Tax Map as District 1000, Section `O ,Block k3�, Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold To n Building Inspector's Office forl the followi 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: (Signature) d CI (Print Name) (Signature) (Print Name) 163 _/,F :3 TOWN OF SOUTHOLD- PROPERTY RECORD CARD OWNER STREET -/ VILLAGE DIST. SUB. . LOT 6 FORMER OWNE II nn 1 N E ACR � ss L Gi s Cf?e tic /+L) 3 I S '1 r �d� �R� � TYPE OF BUILDING 1 �`ck Ic- ZEPJp SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS o 0 o 7 47S�t�ado►- 2 DDd l/ J2 .2 �. a /a ldlgdldP fd 77,m d 740.1& �� i-le Td AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 P, a = / d Q7 I/ tillable 3 Moodland ;wampl.and FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD . -louse Plot DEPTH(,q .Vol it BULKHEAD total DOCK { -_�.. . NOON■■ ■■■■■■■■■■■■■■■■■■■ ,� " . .• NONE■■■ MMMMM■MMM■■M■MM■■M■ � . �MEMO■■ ■■OM■M■N■ONEE■EN■■■ ■E■NE■ ■■■E■M■MME■■■MENE■E ��". •T a _ ®NOON■■ �■■■■■■■■■■■■E■NE■■ gINMEM ONE EmmompimmOMEMEM MEMO' MENEM MEN OMOWN NEINFoundation ■NEM■O■MOi■O■■O■NO I wee Driveway LOCATION: if 3 o W SST C`e e k /f Ve r ) CLtTc Ko G Lk E (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): E es O/VAI- D T, /1,f<,- L�0 OCCUPANCY: ON�-:- g S/b 7"/mil- \/4C4,C1T (type) (owner-tenant) ADMITTED BY: �C� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- O 3- 13-3 SOURCE OF REQUEST: _ ai..�=c� DATE: h -I6---a::s- DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: FOUNDATION: cem£IJ7 L®c K CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: RD FLR: •� BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: LEM-81J T DECK, TYPE: PATIO, TYPE: BREEZEWAY: r--- FIREPLACE: 1 GARAGE: y-1Z-S DOMESTIC HOTWATER: TYPE HEATER: E? L- AIRCONDITIONING: — TYPE HEAT: WARM AIR: 5_ HOTWATER: OTHER: ACCESSORY STRUCTURES: /1►OAAE GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION I ART. SEC. 41 - c REMARKS: INSPECTED BY: 4a& DATE OF INSPECTION: TIME START: /0 ' 00 'P( END: h '3° SURVEY OF PROPERTY � > SITUATED AT CI-I -� F � yOCt y E C U TOWN OF SOUTHOLD C. SUFFOLK COUNTY , NEW YORK S . C . TAX No . 1000 - 103 - 13 - 03 Ov �,�� - • ° ' ° SCALE 1 " =30' g FEBRUARY 7 , 2005 AREA = 32,228.35 sq . ff. (TO TIE LINE:) 0.740 ac, G 6 2 o SS°°P tlfl °� a lo. • ° o� PF s d J 1 Q ' 00 / I cR O O PS r G Oa�G 9 vim' .9 T $ 4 tit C,^ .� P1 Y{P j I ` I°• I C) Ora ��VE a � Crl o. oRwAv W �? 1•eCD I Q i I �Y I i i I, Z PREPARED IN ACCORDANCE WtTH -iF, V N!'UM 1 STAND,RDS FOR TiTLE SURVEYS S STA&j { pv BY THE L.i.A. ..S. AND AP PRO\T AN.? ADOPTED TiF FOR SUCH USE BY THE NE,M' Y .Rx.STATc 4ND 00 .. _ "TIE ASSOCIATION / °h' Y 0 o ti ^,'LjQ. W o�/ S 83°42 30 2 3.52 p>, N.Y.S. Lic. No. 49668 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF EDUCAOTONZL09 AWOF THE NEW PORK STATE i g meo A. In COPIES OF THIS SURVEY MAP NOT BEAR'NG THE LAND SURVEYOR'S INKED SEAL OR Land SurveL r EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN -- - ONLY 10 THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. RI'dERHEAD, New York 11901 Riverhead, New York 11901-0965 -- --------- - --- - -- ------- - ------------ --- 2 5—0 21