HomeMy WebLinkAboutZ-24952 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-24952 Date MARCH 26, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 5280 NEW SUFFOLK RD. NEW.SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 2 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-24952 dated MARCH 16, 1997
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 MARCELLA E. LEONARD
(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.
1 1
BuigKing Insp or
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5280 NEW SUFFOLK RD. NEW SUFFOLK; N.Y.
number & ':street) municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) ESTATE OF MARCELLA E. LWONARD
OCCUPANCY SINGLE FAMILY
type owner-tenant
ADMITTED BY: SHERWOOD COOPER ACCOMPANIED BY:SAME
KEY AVAILABLE SUFF.CO. TA% MAP NO. 1000-117-02-05
. SOURCE OF REQUEST: . JASON R. COOPER DATE: FEB. 20, 1997
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 . # E%ITS 3
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 2 3RD'FLR.
BATHROOM (s) 2 FULL TOILET ROOM (s) UTILITY ROOM
PORCH TYPE COVERED FRONT DECK, TYPE WITH HANDICAPP RAMP1
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE .OF CONST. 1 CAR' WOOD .FRAME STORAGE, TYPE CONST. METAL 'SHED
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
-------------------------------------------------------------------------------=-----------
VIOLATIONS: CHAPTER 45 N.Y. .STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #5366Z CO-Z-4268 (ACCY), .BP #39'02-Z-COZ-3181 (ACCY), BP #19647-Z-COZ-23979 .(ADD)
IA-
INSPECTED BY DATE OF INSPECTION FEB. 25, 1997-REINSPECTED 3/3/97
TIME START 10:30 AM END 11 :20 AM
•� �Y1�Q� n 'r0(J\'_ r,
Or cOCiuO'
APPLICATION OR CERT=s:CAT_ 0i OCCU-_—,
A. Ihis apDl�GFit�On mut be =_lied by topeL:__er OP. ink znd subs_cted to the build_n;
iasDeetor vith =he following: 'for nee: bu_ld`ng or neu use:
1. Final survey of property' critn acc_raze loczt_om 0=
t al. bu__G�.�oS, p_Opo_ty 11I1e$,'
sL_ee._ts, and unusual natural of tODOgrapG=c 'eaza.es.
2. Final Approval from Health Dept_ o: water supply and sewerage-dispose;(S-S form) '.
3. Approval of elec_r=cal ins.tai l ation from 9ca_d ,of '__e Guder*,.__ers•
4. Sworn snatemenc ±tom• plumber cert_=, :g t:at :he solder used lim system contains
J' less than 2/10 of IZ lead.
S. .. Commerc=al bua.l ding, lndustr+�_' bui.ldiag, mu-, ti_ple residences and similar 'buildings
and ' nstal ations, a certificate of .Code Comp_ia11ce .rom ar=icect or engineer
responsible for. thejquilding..
6. Submit .Planning Board AzDroval of completed . site Dian 'requirements-
B. For existing ou;Ud_ngs (prior to April 9, 1957) aon-conforming uses, or. buildings and
".prP-o4;\S--�" land uses: -
1. ACCLLS2Le Survey prOflerL� SIIOL7_.Z� all otoperty !=n eS, StrBe_S, bt13_Cg 2IId
unusu natural Or CODOor�pai_C *eatures.
2. A oraoerly completed aDDlicatlon and signed Aby the avplicant. .-
I_`. a" Certificate o_' Occupancy is denled, ^.e 3uildim2 inspector sha_= store the
reasons therefor in arming co the aDblicant.
1., Certificate -of Occupancy - New dvei: Z; S35.00, Ade_=_ons tb weli=s S25.00,
U.rera,t_ons,:to dwelling S25.00, Sv-_-- m_4ng fool S24.00, Ac_ess�r? �u_^d_ao S25'.00,
Additions to accessory buildinsr �25.00. Bus=-e'sses V:0.00.
-2. ..Cert:f=ca.te-of Occspancy. .on" Pre-ex_s=in£' iu^�d�_• - S1 00.-OC-
Copy^,g£. Cent=,::care of Occupancy
G. IIpdated Cer:_iicate of. Occuaanc�, - _50.00
5• Temporary Cer_ificare of Occupancy - Res_dent_a..l S15.00 , Co=ercial $15..00
Date . Fe)?rua $. ��?. . . . . . : . "
rev Cons�ction. . . . .. . . . Old Or' Dre-esisti.*�g Building. . . . . . . . . . . . . . .
Locatian'of Property.. . _ New Suffolk New York
' House Yo. St-eet Hamlet
Jawe= or Owners of. Properzy. . . . .Estate.of.Marcella E. Leonard. . . . . . . . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . ... . . . . .
Caunry.2vc leap No .1000, Section. . 117. . . . . . l . . 02 . . . . . . 5 . . . . . . . . . . . . . .
B oc .;tot
Subdivision. . . .. . . . . . . . . NIP. . . . . . . . . . . . . . . . . . . .riled `izp. . . . . . . . . . . .Lot. ... . . . . . . . . . . . . . . . . . .
.
?ermi,:. No. . . . WA . . . . . . . .Date Of ?ermit- - - - - . . . . . . . .Appj_cant. .Robert A. Kelly, Jr:, attorney
Heal_a DeDt., 9Dproval. . . . . . NSA - N/A
.undersz _;.-_rs sDproval.. . . . . . . . . . . . . . . . . . . . . . . . .
x=ann=ag:,board appravzl. .:.. . . I NSA
2eques_ -or:
tee Submitted:. 5. . . . ,100.00 .
Sd Wd65:ZO 9 6T 6Z '^ Otu pup
oN . 'ON SNOHd oLT W31SAS Xdd d W02U
-c g1
�-Co � �2
CONSENT
TO
INSPECTION
n r the undersigned,
Owners) Names
do(es) hereby state: .
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
VV
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block 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:
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.
Dated: 20,
(signature) L
ii-SO fj OCpU .
(print name)
(signature).
(print name)
' t
L0
3 .37
CONC, ►�10 CuReA rJo wsL_1-• �'�q
- V _ .. C; O `AU_
0 i - N. }Cjo
U' ter 1 5-ry.
LoT Q �..�.
S.C T. ®" z .00 czc�s ,Q r
nm �
10
� �p- r0 THh; SURVEY IS A vlo o.
SECTION 7209OP THE N.�V :.pg c;4r.- -- -- `t _• EDUCTION
1 Q COPIES OF TMIS.SUP,VFY MAP.NOT BE„;.:!` P
'11 THE LAND SURVEYOR'S INr b SEAL Qk
CC2' EMBOSSED SEAL SRALL•NOT BE CONSiCER30
0
- TO;BE„A VALID TRUE COPY.
J . .
Q GUARANTE#S INDICATED HEREON SMALL RUN
ONLY TO TME'PERSON FOR Wj10M THE SIi,1..
O � T •9 IS PREP ED,AND O'N•MIS 6ENALP TO TME
TITLE G el` W LENDtN6",j,,�NfN USTED TMEREONAL N AN,
r TO THE AS G Ci TME-LENDING mol
LoT S C.-rM r I' +• O� TImON.GU 4fi ANFEIS ARE-NO .TRAt�fFERAr::..
• ,. =_ TO ADDITIOMµ INSTITU66INS O:
`AND OWNERS- ..
of me `
_ N197 THE RIGHT OF WAYS AND/0+� - s�- 0 �. . �.� EM
o .i0 EASEMEMt"`��0� Ssi���� HERECi�rr�•.G o
ARE NOT C. .
t_...C=C�^Tema .nT .To
` i. P.6J
�a.�o�s c'cx�s�cZ
w FaJ fin-
C
S`,C Cam• 1---1 1...�Q �rT�v�IC.t"i'T' T fTL� L a►13. C'p . • O, - •
T,o oC;ct (or dirnansions)'eha vn hereon kcm tpo s:ructurec to the _
_ F:cc�ry Lncs am for a specific purpose and r. th^rdore are not
1� � S r.:_nCCC to guide the erection if fences,rc: :,.pools, patios �O
Flan;:ng areas,additions t0 Guildings,end eny oth.,r ryGe cI conswction � ,�L
s
AkAEtJD ED * J�1N, S 19't1
y. P
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street municip ity
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s)
OCCUPANCY
ty a owner-tenant
ADMITTED BY: �S�h, e. ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST: /� DATE:
DWELLING: /
TYPE OF CONSTRUCTION GV # STORIES/i!� #XITS j
FOUNDATION C CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR. ^ 3RD FLR. �-
BATHROOM (s) TOILET ROOM (s) �- UTILITY ROOM_
PORCH TYPE DECK, TYPE !✓ IO
BREEZEWAY FI PLACE GARAGE
DOMESTIC HOTWATER : TYPE HEATER AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER-
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. � _ " _rr1'iw—&TORAGE, TYPE CONST.oN,6WL
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
---------------------------7---------------------------------------------------------------
---------------------------------------------------------=-----------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.oil
REMARKS:
INSPECTED BY DATE OF INSPECTIONell I
TIME START �d%.3f> END �• C/
6.
TOWN OF SOUTHOLD •PROPERTY RECORD CARD
OWNER STREET 5 ZY O VILLAGE DISTRICT SUB. LOT
n
-ce Gt..,' - . 0 r e'w yu a ead J U�`o/ `0:5- e,tc,
FORMER OWNER N E ACREAGE /
Da oa ar' 14J Jvf'�6/K odd
001" S W TYPE OF BUILDING
e Li o L D t iv t=
SEAS. VL. FARM COMM. I IND. I CB. ISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS s— �,, /Q/ 39620' ed , ' lQ4 +
)66
�3 & 10,0 00 .3 h3z�2!�:' A0 A d.4 -L A-Q/ 73
3 D 7 d d ,ZO D �! " /,Z 7.�- 3l 9l -�� 9�6:k�
q Fxi cc�r 4d o rr;-
s od 2;0o � - 2(600 3 27 91 44-L 5 = (2onpe r 74 LLOon fy
3oe� 3 200 3 50 0 .: 2 Z 4 41�
AGE -BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD a B '� oa Q
,f"D 3t, a .fu fJo/ /road,
1 Tillable 1 BULKHEAD
;)Tillable 2 DOCK
Tillable, 3
Woodland
}>Swam land
' rushland .
mouse Plot
c^+M1y..�i�Yf •
14.
S.-
i. Bldg. -� y y X y c - .�� oundation G Both /
kit 1.4 -
Dctension - O B Bement V I I Floors
pi#ensio ZZ S -__30$ — _3 --qZµ Ext. Walls lU� yC�\ Interior Finish
kension _ Fire Place - ko— Heat `�� 2 is Cd71
3 �• x Y Y JX
Porch GG'V`^" 0 Roof Type
'Y/-Y�k `I K 2 2 = 1 S 4- ,Z14 - Porch Rooms 1st Floor
iezeway Patio Rooms 2nd Floor
brage Driveway Dormer