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HomeMy WebLinkAboutZ-24332 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-24332 Date MAY 6, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1600 ALVAHS LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 4 Lot 8.1 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-24332 dated MAY 6, 1996 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 & ACCESSORY GARAGE The certificate is issued to ANN R. LIPNICKI (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. Bu lding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• .1600 ALVAHS LANE CUTCHOGUE, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME' OF OWNER (s) ANN R. LIPNICKI OCCUPANCY A-1 RES. type owner-tenant ADMITTED BY: ANN LIPNICKI ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-102-4-8. 1 SOURCE OF REQUEST: ANN R. LIPNICKI DATE: APRIL 16, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME $ STORIES 1 E%ITS 2 FOUNDATION . CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE - - - TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE SIDE ENCLOSED DECK, TYPE PATIO BREEZEWAY FIREPLACE NO GARAGE DOMESTIC HOTWATER YES TYPE HEATER PROPANE AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER OTHER: PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME 1-1/2 CAR STORAGE, TYPE CONST. ACCESSORY BIIILDING SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. ACCESSORY A BIIILDING OR STRUCTURE. WHICH IS IN.-IMKINET DANGER TO LIFE NYCRR 9 (B) BIIILDING AND SAFETY AS A RESULT OF STRUCTURAL INSTABILITY, FIRE OR 1153. 1 OTHER HAZARDOUS SITUATION SHALL BE MADE SAFE AND SECURE OR DEMOLISHED AND REMOVED BY THE OWNER THEREOF. REMARKS: INSPECTED BY DATE OF INSPECTION . APRIL 22, 1996 Gary J 'sb TIME START 9:55 AM END 10: 10 Form No. 6 TOWN OF -SOUTHOLD _ BUILDING DEPARTMENT- -TOWN—HALL' . 1f� as 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 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 12. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate- of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co r/cial $115.00 • Date . . . .�. . . . ... . . . . . . . . . . . . . . . . . . . New' Construction. . . . . . . . . . . Old Or Pre-existin Build' g. . . .l� . . . . . Location of Property. . . . V lk... . . . . ,1.A;` o . . . . .. .... . . . . . . . . . . . . . . . . . . r�. . . . . . . House No. Street Hamlet Onwer or Owners of Prop.erty. . :. . . . . . :. 14 . ;. . . . . . . . . . . . . County Tax Map No 1000, Section. . . . Jo.do. . . . .Block. . . . ... . . d. . . . . . .Lot. . . . . �. . /. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . ..... . .. . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . .".'. . . . .Applicant* . . ./4 .. . . . . . Health Dept. Approval. . .. . . . . . . . . . . . . .'. . . . . . .;—Underwriters Approval. . . . . . . . . . . . . . . . Planning. Board Approval. . . .. . . .. .. . . . . . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.K. . . . . . . Fee Submitted: $. .ldv. c '.': . . . . . . ... . . . . . . . . . . 5104 PL AN Cat co t.2 -3 - N- ".Cb-f� cod' 1 5 00 ' SURVEY FOR AREA= 42,976 sq fr. WILLIAM J. KERRIGAN AT CUTCHOGUE TOWN OF SOUTHOLD - SUFFOLK COUNTY, NY 1000 - 102 - 04 - 01, Scale: 1": 50' Mar. 25, 1996 Ili! i i.1.11 •( k�l'iiA:• 1`d .1 All Id, .11: lll'!.11L lt !'rin-liih �M t.Mllr�,'pif r tyre �L:lggg,�f �rlv 41 I+.%r•r 1nN1 urr ,I:.r,IlUlr IU 1FN:: J'Ulf 4f.Y /ti A 4'K1L.A rICW r t lI J ! •,L(,I h!N r'::i•!I ul' :Y 0 11f W /'(11W S TA TL' £pGCA PON L.A Mr M N.Y.$. L IC. NO. •1961 B I,01 I .l a rV( ,t.r ri: ,. }o:� .•(001V/SloN ALL CER11r/CATIONS e . l,LklJi 'j AM. V,31 lU 1 u:, MIS M-It' ANC+ COPIZ!; ?'KfiCDF OM.I' f J 1 C YORS, P.C. SAP Ar•N' on corm..i tll.vi hrE tAwyssl p SEAL, Or TN£ SLIAVLEYCIN �� • 020 1{rr+41'1!/:t.. .At` l.+r,? Ift.H£VN p9 Ai•;d!'fi•ll.tl f 1' llr rt A?i ) W1/N ;41Lr L ob I!IL TL'RAI •AL.r£!rE'D 9r' A VL'L.r,r 5 rREE I Aru:r dl. l sut ar .+rn .•�yp ,r: scd.�t'rchs Vrf IZIN6 A Curr SOUT�IULO, N.Y. 11971 i (:4' .4+rrilnlh' fr4il'f.'rt�h",.AtiP rfRAIS SLrC11 AS YNS/'F.CTCD'ANO 'til.�n lcrr! it Lot lr'" .vrr io7 N+ ,:i om 1Atu;£ k/rlr Tlri: L.%M. CONSENT TO INSPECTION y the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at u-hich is shown and designated on the Suffolk County tax map as District 1000, Section Block. Lot �, l That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector'sInspector's Office for the following: V l 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: A? (signat re A-nn4/1- nick/ (print name) (signature) (print name) � t BUILDING' DEPARTHE'NT TOWN OF SOU'HOLD HOUSING CODE INSPECTION REPORT LOCATION: number 6 street J (municipality) SUBDIVISION MAP NO. t.ur(s) NAME Or OWNER (s) OCCUPARCY type . owner-tenant AUMi1"rEU BY: A) C/P AJI CAC ACCOMPANIED BY: KEY AVAILABLE SUPP.CO. TAX MAP NO. — SOURCE OF REQUEST:- C(�.JIC/r r DATE: DWELLING: --- -- TYPE Or CONSTRUCTION �,,t, wJ / S'l'ORIES� i EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL. ROOMS: IST PI.R. 2ND PLR. 3111) PLR. BATHROOM (a) TOlial."r Room. (s) — UTILITY ROOM- �� PORCH TYPE ,Sii��`—, � © DE TYPE PATIO �— BREEZEWAY FIREPLACE GARAGE DOMESTIC IIOTWATER TYPE HEATER _ �0/�/f�V/F AIRCONDITIONING TYPE HEAT �� WARM AIR HOTWATER _— OTHER: G ACCESSORY STRUCT RCS: GARAGE, TYPE OF CONST. (� l LC4e_STORAGE, TYPE CONST. SWIMMING Pool. GUEIST, TYPE CONST.OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIItE PREVENTION 6 IlUI1.DING CODE LOCATION DESCRIPTION ART. SEC. �G —_ /d�- - REMARKS: INSPECTED BY DATE OF INSPECTION \ � � -- —__--- - TIME START i�� END - _ • _ ' •"• TOWN OF SOUTHOLD PROPERTY RECORD CARD ' . OWNER STREET 6 VILLAGE DIST. SUB. LOT ,A� FORMER OWNERP ACR. ��-r� S v - TYPE OF BUILDING r! C1 G 1 RES SEAS. VL. FARM COMM.. CB. MICS. . . Mkt. Value LAND IMP. TOTAL DATE REMARKS c ,&e<�l CkCC ce t 9� !p o o ;z ?o o .33 00 3 7 r-eJ o 0 a Y6, 00 3 s 9/ . o" le✓ 0 3,300 S / r i- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre. Value Per Value Acre Tillable FRONTAGE ON WATER I `4 Woodland FRONTAGE ON ROAD ;Meadowland DEPTH I House.Plot �1 l .� qI "� BULKHEAD "0 - 100 f 'Total DOCK 'f :. : ,+,a� • :,4ri4i -9=:t`,; ■■e®■e■��le■l�Ilii■■■ ■■■■■e■e MEN VU ■ ■■MENNENI21M ONNINE !■■■■■■■■ ■e ■ `•' ' 6Ss55.-er: .Ss@S'" l.r^'' ' vj ; 'R i►r..:,.`` 1 p ' ' '-=O'i SKfS:!r.' .. :.ti] y[T jn4fhti '' i ■■■ ��■■■■■.I�■■■■■■■■■■■■■■■ mom e■■■■■■■■Ni■■■■■■■■■■■■■■■■ ■■■■■■■■■e■!■I■■■■■■■■■■■■■■■■ : .. IND ■_■■■■■�■■�■■■■■■■■■■■■■■■■ ■ e■■■■■■■■■■e■■■■■■■■■se■■■■ ■ ��■■■eee■�eee■eeeeeeeNO■ext. Walls Interior Finish e■■■ Foundation- Fire Place .• ,,Rooms Ist.Floor Rooms 2nd Flo or Driveway