HomeMy WebLinkAboutZ-16668 FORM NO.4 .
TOWN OF.SOUTHOLD�
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
No. Z 16668 . . . . . Date . : Feb ruary. .25 , . .1988. . . . . .
THIS CERTIFIES that the building One f am i l y dwe l l i n g
Location of Property 195 LESLIE ROAD CUTCHOGUE
House No. Street . . . . . . . . . Hamlet
County Tax Map No. 1000 Section 97. :. : . .Block . . . . 4 . . . . . . . . .Lot . 15.
Subdivision . . . . :. . . . . . . . . . . . . : : .Filed Map No. . . . . . . . .Lot No. . . . . .. . . . . . . . .
REQUIREMENTS FOR" A PRIVATE ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to theNRI �p�{ �i} � R�gg { gBX
April 23 , 1957 CERTIFICATE OF OCCUPANCY
pursuant to which B ildf �Tt No. Z.1. .6 6 8. . . . . . . . . . . .
dated . : February 25 , 1988
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 and accessory . storage building .
The certificate is issued to , THOMAS G. LAMBERT AND DEBE T . LAMBERT
. . . . . . . . . . . . . . . . . . .
(owner,1!1< &ypx yVNwiVx X
of the aforesaid building.
Suffolk County Department of Health Approval . . . . N/A. . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . , N/A
PLUMBERS CERTIFICATION DATED: N/A
SEE ATTACHED INSPECTION REPORT
Building Inspector
Rev. 1/81
BUILDING DEPARTIIIENJT
TOV1N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 195 LE5LIE ROAD CUTCHOGUE
(number & . stree-c Municipality)
Subdivision Map No. Lot(s)
Name of Oi�jner(s) THOMAS & DEBE LAMBERT
Occupancy One family dwelling owner
(type) own er-fik�-K
Admitted by: H=enrietta Chituk Accompanied by: Henrietta Chituk
Key available ! Suffolk Co. Tax No. 97-4- 15
Source of request CARDINALE & CARDINALE Date 2/24/88
MTELLING:
Type of construction WOOD FRAME Astories 1
Foundation BLOCK Cellar FULL Crawl space
Total rooms, 1st. F1 512 2nd. Fl 3rd. F1
Bathrooms) 1 Toilet room(s)
Porch, type—.,-, Deck, . type Patio, type_
Breezeway Garage ATTACHED Utility room
Type Heat OIL Warm Air xx Hotwater
Fireplaces) NO No. Exits 2 Airconditioning No
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. 12 x - 18
Swimming pool
p Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention
Buildina Code
Location Description Art. Sec.
I
Remarks:
Inspected by: Date of Insp. 2/25/88
GARY F SH Time start 9 : 3o end 1o :_oo a .m.
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold; N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted aaw■� to the Building Inspec-
tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal=(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25 . 00
1. Certificate of occupancy New Dwelling,$25.0.0, Accessory ,$ 10.00 Business $50.00
Certificate of occupancy on pre-existing dwelling $ 50 . 00
Copy of certificate of occupancy — $ 5 . 0 0 , over 5 years $ 10 . 00
4 Vacant Land C.O. $ 20 . 00
f�&/ Undated C.O. $ 50 . 00 Date . . . . . .�-ff . . . . . . . . . .
NewConstruction. , , , Old or Pre-existing Building !: . . . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . r. . .. � ... . . ..'4`�. . . . . . _ .-. . . . . . . . . . . . . . . . . . . . . ... . . h'S`',e .
House No. Street Ham/et
Owner or Owners of Property . .Tn?'!4A"►_ . . yC T , , ,H"� De-6e . I : . . .- e;zi. . _ . .
County Tax Map No. 1-000 Section' . . . . . . . . Block . . . . .1r . °.°. . . . . Lot . , l.S,
,Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . JV1.6. . . .Lot No. . . . . 1.�1�,q`. . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . .Applicant . . . . . . . . . .. . . . . . . . . . . . . . . . ... . . . . . . .
Health Dept. Approval . . . . . . . . . .Nl : . . . . . . . .Labor Dept. Approval . . . �.°'c. : . . . . . . . . . . ..
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . .. . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . .
Fee Submitted $ . ��. . . . . . . . . . . . . . . . . .
Construction on above described,buildingand permit meets all applicable codes and regulations. ' ..
Applicant . . . .... . .. . . . .
Rev.10-10-78 � r' �•
V
CONSENT
TO
INSPECTION
the undersigned,
Owner(s) Name(s) .
do(es) hereby state:
That the undersigned (is) (are) the owners) of the premises in the Town
of Southold located atl A
�G��
1
which is shown and designated on the Suffolk-
County tax map as District 1000, Section ��, Block —Z-/ , Lot
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
v �
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
D ate d: Y oo
/ (signature)
(print name)
(signature)
(print name)
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BUILDIINIG DEPARTIIJENT
TOMN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
(number & street) (Municipa ity
Subdivision Map No. Lot(s)
Name of Owners)
Occupancy F W M I I-
(type owner-tenant
Admitted by: � +� 641Accompanied by:
Keyavailable
' Suffolk Co. Tax No. 97-
Source of request , ' -
. D at e %f
MI ELLING:
Type of construction /IxnI; ,. �j '' F i u
{� �, „f. W,.; e: rr s to ri es
Foundation ellar &Crawl space_
Total rooms, 1st. Fl � Fy, 2nd. Fl
3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage ;���Utility room
Type Heat Q Ijarm Air Hotwater
Fireplaces) /c/o No. Fxits Airconditioning--�/o
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest ty
pe const.
Other
VIOLATIONS: Housing Code, Chapter 4.5' N.Y. State Uniform Fire Prevention
ding Code
Location Description JArt. 1 Sec.
Remarks:
Inspected by: Date of Insp.
Time start y' end lD -0-0
_ r<� _ ; ®F s uTH®LVIOPERTY RECORD CAR®
/
OWNER STREET VILLAGE DISTRICT SUB. LOT
!c b Q v e— 701? 9ejcC l
FORMER OWNER N / E ACREAGE f
S J W TYPE OF BUILDING
l ti-1 e_ I—c r"''�: RIC4 :.7�:� �I c� °cam,y��,;,� e U r f� r_�`{f -�/��',�►..� ��.
RES.��o SEAS. VL. FARM COMM. IND. CB. I MISC.
LAND IMP. TOTAL DATE REMARKS
7 � d 3ZGd Gd � ,`f �Js
/c�caAE �300 ll BANG, CONDI,T�lSDNI�� ►�
NEW NORMAL BELOW ABOVE r
Farm Acre Value Per Acre Value
Tillable 1.
Tillable 2
Tillable, 3
Wcodland
Swampland
Brushland" a
House Plot
- C ,
Toto
4
/
s t j J
'fit.•. .rE rt�sa �,a e ���b�x "dr� ,i�fy 1 I "il, ti r . '.F -�'
Mi
r
y rr
1
s hex-s.:.� .� _�':a �`` "` �*Fu`"-a'�H+-•
� r
M. Bldg. ���v' � � �� �': � �(=- � �'i� Foundation � � Bath
Extension Basement f Floors
G
Extension Ext. Walls Interior Finish "1 }
Extension Fire Place Heat
Porch Attic
Porch Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
Garage
/
9 Driveway