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HomeMy WebLinkAboutZ-20521 ' 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-2052i Date FEBRUARY 6, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2350 JACKSON STREET NEW SUFFOLK, N.Y. House No. _Street Hamlet County Tax Map No. 1.000 Section 117 Block 10 Lot 20.2. 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-2052.1 dated FEBRUARY 6,, 1992 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 ACCESSORY WOOD FRAME. GARAGE WOOD FRAME STORAGE. SHED ATTACHED TO GARAGE: & ACCESSORY UNHEATED GUEST-HOUSE The certificate is issued to THOMAS & JAYNE MARTIN (owners) 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. Building Inspector Rev. 1/81 ~ BUIT DI:1G DEP u?T:=1 iT TO;+id OF SOUTHOLD, N. Y. HOUSI::G CODE, Ii•iS?LCTION REPORT Location 2350--JACKSON STREET NEW SUFFOLK, N.Y. mummer be street) �Vi=_cipaiity) Subdivision Map No. Lot(.;) Name of Owner(s) THOMAS & JAYNE MARTIN Occupancy A-1 RES OWNER t tYP e o%-jner-tenant) Admitted by: THOMAS MARTIN Accompanied by: SAME Key available Suffolk Co. Talc No. 117-10-20.2 Source of request Date MC'MLING: Type of construction WOOD FRAME ,stories 2 Foundation BRICK & CEMENT BLOCK Cellar PARTIAL Crawl space PARTIAL Total rooms, lst. Fl 4 2nd. Fl 6 3rd. Fl Bathroom(s) 1 FULL BATH Toilet room(s) ONE Porch, type 2 REAR ENN&L Deck, type Patio type COVERED Breezeway Garage Utility room Type Heat OIL 'alarm Air Ho twat er Fireplace(s) ONE No. Exits 4 Aircondi tioni ng Domestic ho twater YES Type heater OIL Other ACCESSORY STRUCTURE'S: G a r a fl-e t WOOD:FRAME ATTACHED o , type const. ,WOOD FRAME Storage, type const. To GARAGE Stvirvming pool Guest, type const. 2 ROOMS PLUS BATHROOM, LOFT &PORCH. GUEST HOUSE NOT HEATED AND WATER SUPPLIED FROM MAIN HOUSE. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Descri-ot10n Art. ) Sec . I _ Remarks: Building ermit #19279 - CO Z-20520 Inspected by Date of Insp. FEB. 5, 1992 ISH Time start. 10:30 end 11:00 Form 1'0. fi > TOWN OF SOUTHOLD i JM 3 1 17.7E BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY •' • This application must be filled in by typewriter inspector with the following: for new building oOrP new kuse: and submitted to the building 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 ill system contains less than 2/10 of 17. 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. 3. 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 Alterations to dwelling $25.00, Swimming d $25 25. Additions to accessorybuildingh pool $esses Accessory building $25.00, 2. Certificate of Occupancy on Pre-existing Builclin - 100.00. 3. Copy of Certificate of Occupancy _ g - $1- $1 0 4. Updated Certificate of Occupancy $5.00 over 5 years - $10.00 5. Temporary Occupancy Y $50.00 P y Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .�.�.3.�`. \%I ':ew Construction. . . . . . . . ld Or Pre-existing • . • . • • � • • • • • � • • • � • � • • • • � • • • • �cisting Build }.ocation of Property. . �2• •S�"�3• , , , • • . q� Q„`• �� House No. . . . . . Street Hamlet Onwer or Owners of Property. . . �,Q!'� 5. . . � . N � . . . . . . . .?-. .�.. . . . . . . . . . . . . . . . . . . . . . . . 1:0unty Tax Map No 1000, Section. . . . . . . l© . . . . . . . . . .Lot. . x:t):Q:�:. . . . . . . . :subdivision. . . . . . . . . . . Permit . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed ri:ip. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :Io • • • • • . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . :lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • • • • • • . .Underwriters Approval. . . . . . . . . . . . . . . :'Ianning Board Approv:il. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,equest for: Temporary Certificate. . . . . . . . . . . Final Ccrticate. . . . . . . . . . . :*cc Submitted: $• /c90..00 . . . . . . . . . . . . . • \-- �,-� \ o a 0-5 ` APPLICANT CONSENT TO INSPECTION l'Owner(s) z41l the undersigned, Nam ) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town � S o r---� Of Southold located at A �(CSJr� S Nc + , which is shown and desi nated on the S u(folk County tax map as District 1000, Section //'-) Block /O Lot aO• �., , 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: 3 e (c) W� (si(Tnature) (print naive) S1gnIlfUre) (print name) JAN 3 11992 b //7 -)a - Jo, z ® ®� S®4J`� L PROPERTY .- RECORD CARD OWNER STREET ,3Q VILLAGE DISTRICT SUB. LOT / �aW A� /'I. M A 9 r141 4• W F �F �5�x- , FORMER OWNER N E ACREAGE J-14a.XfWv f ,' T'U SL r - Pv r S W TYPE OF BUILDING sT. ChAFcL's /foo'/NS f1i,rr� ti�7: ✓ Q3 eA, REST �J O SEAS. VL. FARM Comm I IND. I CB. I MISC. LAND IMP. , TOTAL DATE REMARKS rjr C K o N Rr fiod(a j/D N ` � � [ �0/ i a i �% b C 3�o S .� 7 7 SPl�T � 9 1'2�0 a --s-/00 g&ol?o 6eck , �2oa Z"a b 6 yo a 12 Is 77 12-m 0. ©0 PAP, g m 00 NEW NORMAL BELOW ABOVE Farm Acre Value Per`Acre Value Tillable 1 ,23.E `r 3 Ka Si f111 Tillable 2 Tillable, 3 Woodland Swampland Brushland House Plot re 5 z Total we zo NONE ■■■■■■■■■■■■■■■■■■■iz- ,Aw Interior Finish Fire Place ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ •Y Porch —�JrRooms I st Floor T0�'4i1 OF CITTHOLD, ;i, Y. f:OUSI7' C C 7� I:iS -v^_ - 1ICi.i ?F_ORT Subdivision li lu.�clpa �yJ i lap No . Lo t(s ) V4�e of O:•rner(s Occuaancy :,ci:iiLted by.: �ypy) l0`.Iner- -� _.. -Acs2um-Denied by 0 , 1 Key available Suffollc Co. Tax .No. 7-/0 - L�?• 1� Source of request Date Y Type Of construc pion � Foundation ,storm Cellar Total rooms, 1st. Fl eM�-Z 2nd• Fl 3rd• F l Ba thro o. (s) Porch t- Toilet room(s) �� y�e Deck, type Breeze:•ray Patio, type , Garao� Utility room Ty-oe Heat .,� Fireplace(s) a_r 'I Air Hot:r � � a e r No. E:c s — — Does-ic ho-1-water Other Air condition-,� �E _Type heater -- • ACC:-SSO?Y STQTTvmTT Garage t 6� ype cons __storar, S�riu�ilino pool type corst. °` Other Guest, type const•o? , VIOL sTTO�;S : CHAPTER 45--N.Y STATE -� . UNIFORM FIRE PREVENTION S BUILDING CODE Location D I - �zon Art. Sec. I I I I Remarks J0' `�� 7 9 0(3 vat Inspected by: -47 Date of Insp. v Time start /0. nd -. :i•.. fir'-':.' .. - . .. •.Y��.,�•@.