HomeMy WebLinkAboutZ-25046 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT'
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NoZ25046 DateMay 22, 1997
THIS CERTIFIES that the .building ONE FAMILY DWELLING
Location of Property 1475 OAKLAWN AVE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 3 Lot 4
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 z25046 dated May 22, 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 isSINGLE FAMILY DWELLING*
The certificate is issued to Estate of Ruth Leverich
(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.
wilding Inspector
Rev. 1/81
,•-. BUILDING DEPAR'l*ME..NT
TOWN OF SOUTHOLD
❑OUSING CODE INSPECTION REPORT
LOCATION: 1475 OAKLAWN AVE SOUTH OLD
number b street municipality
SUBDIVISION MAP NO. . LOT(s)
NAME OF OWNER (s) ESTATE OF RUTH R LEVERICH
OCCUPANCY A-1 RES. OWNER
type owner—tenant
ADMITTED BY: ANNE LEVERICH ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 07-03-04
SOURCE OF REQUEST: DONALD MCGAYHEY• DATE: 5/15_/97
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIESI .S # EXITS 2
FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL
TOTAL ROOMS: 1ST FLR. 7 2ND FI.R. 3 3R.D FI.R. —
BATUROOM (s) 2 TOILET ROOM (s) — UTILITY ROOM WASHER, DRYER
PORCH TYPE SCREEN PORCH DECK, TYPE — PATIO—
BREEZEWAYENCLOSED BREEZEWAY FIREPLACE ONE GARAGE 2 CAR GARAGE
DOMESTIC UOTWATER YES TYPE HEATER PROPANE AIRCONDITIONING —
TYPE HEAT OIL WARM AIR X IIOTWATER
OTHER: —
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM .FIRE PREVENTION b BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP#7732 CO#Z25046
INSPECTED BY DATE OF INSPECTION 5/19/97
TIME START 10:30 END 10:55
TOWN OF SOUTHOLD
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:
I. Final survey of .property with accurate location of ail buildings; property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of. water supply and sewerage-disposal(S-9 ,forrm) .
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 L. 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 ail 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 uniting 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, Buildine - $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
Date . . . . ...51141-7. .. . . . . . . . . . . . . . . . . . . . . . .
New ,Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property:. .� 7 .. .. . . . . ... .. . .d�k�i4C�l�:✓. . �} �l�l� .. . . . . .
House No. Street Hamlet
Onwer or Owners of Property. STlP.T� . . . . 4ri f-l. . / . . .G �!��:��1�. . . . . ... . . . ... . .
County Tax Map No 1000, Section. . .�0 . . . . . . . .Block. . . �. . . . . . . . . .Lot. . . Y. . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date' Of Permit. . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . :Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . ... . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Cert_cate. . . . . . .
Fee Submitted: S . .1949. . . . . . . . . . . . . . . . . . . . . . .
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CONSENT
TO
INSPECTIbN
�Onli4Ll7 /�• ,l/I`�Yff�Y the undersigned,
46Aa7" Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) 4R—t) the owner(s) of the premises in the Town
of Southold.located at /`��15 ��k t*,wy /444rA"e-
which is shown and designated on the Suffolk
County tax map as District 1000, Section /p Block 3 Lot
That the undersigned (has). (hare) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
S7';*.J6 O,
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 wn of Southold.
Dated:
( gnatu e)
(print name)
(signature)
(print name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD '
OWN jR // STREET 7J� VILLAGE DIST. SUB., LOT
FORMER OWNER N E ACR.
S W TYPE.OF BUILDING
Ts uL. �G' w -• J i
- ---------------------
;RES. I D SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS —
i
G_n
cC�- .[1 �/� 7frao A
7. O (.) �' / U C� S'O—U (� — S /q L c� 7 1z o �!� 0 e7� .U. 14-IC-11 4j,//r N 7v1 a c�—
, v 5/7 �'75 PL'-R N.1 T 7 73.:. W%7S
8 9$94 i
Lc=v: Y icl l =1 VCR Y�Gif
-------- ---- 9/ - /�C.�>?0✓-2 -N,�ce.a-C'rrLzL 7��,c.e.` (I y
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre —Value Per Value --------. --- ---- — --_.-- -
Acre ,
Tillable' FRONTAGE ON WATER
Woodland — -- _— — — ' — FRONTAGE ON ROAD �C 7 0 0 --
Meodowland— - ----- —_— DEPTH —
House Plot, BULKHEAD
Total DOCK
COLOR /i TRIM c,y N / 7~4-
•
-
--- -- -- --4
I
.... ..
t _
' M. Bldg. 3 3 - 17 SF
Extension ::::] -�- - _ - - -- -- - -- --
� r, 7 - S —
Extension ---- - - - - --
Extension --- - -- --
_ 70 Foundation G �.. Bath . Dinette
Porch Basement L Floors
Porch - Ext. Walls ,Interior Finish L 4 LR.
Breezeway FY Z z J 9 L S A �a Fire Place G 5 D
Heat R.
Garage d Type Roof Rooms 1st Floor-�` BR:
— _ 3 ' ss--Z sS _
Patio Recreation Roorn Rooms 2nd Floor FIN. B
.L - .
0. B. Dormer ° R' Driveway
Total - -
�S
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