HomeMy WebLinkAboutZ-29164 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-29164 Date JANUARY 6, 2003
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 170 TUTHILL LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 96 Block 1 Lot 8
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-29164 dated JANUARY 6, 2003
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 TWO ONE FAMILY DWELLINGS & ACCESSORY GARAGE
The certificate is issued to ROBERT H. KRUDOP
(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.
NOTE: THIS UPDATES PRECO Z-24800 DATED DEC. 13, 1996.
BP#27963Z-COZ28993 ISSUED FOR RENOVATION & RELOCATION OF EXISTING ACCESSORY
GARAGE AS PER ZBA #5029. -BP#27963Z-COZ28992 ISSUED FOR ALTERATION AND
RELOCATION OF EXISTING ONE FAMILY DWELLING AS PER ZBA #5029 DATED 11/15/01
B ldi g Inspector
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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 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 1%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 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date. 43__(Z_
New Construction: Old or Pre-existing Building: _(check one)
Location of Property: (MiA 6,�� (ma c
House No. Street Haml
Owner or Owners of Property: c d
Suffolk County Tax Map No 1000, Section �f Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: N/A Underwriters Approval:
Planning Board Approval: A/ ' -turJ P
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
BUILDING DEPARI'MENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 170 TUTHILL RD. CUTCHOGUE, N.Y.
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES•MASON
OCCUPANCY A-1 RES.
type — 70wner--tenant — —
ADMITTED BY: LUANN LEGGON ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO_ TAX MAP NO. 1000-9_6—_F-_�M --
SOURCE OF REQUEST: JAMES MASON DATE. OCT. 24, 1996
DWELLING--ffT — ----- --- — -----
TYPE OF CONSTRUCTION WOOD _— ff STORIES ONE # EXITS 3
FOUNDATION CEMENT BLOCK & SLAB CELLAR PARTIAL CRAWL SPACE PARTIAL —
TOTAL ROOMS: 1ST FLR_ 5 2ND FLR. 3RD FLR_
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE p,&TIO FRONT CEMENT
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER
_ AiRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER XX
OTHER: —
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 2 'CAR STORAGE, TYPE CONST_ SHED ATTACHED TO GARAGE
SWIMMING POOL , GUEST, 'TYPE CONST.
OTHER: ENCLOSED REAR ENTRYWAY
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: A SMALL PORTION OF THE DWELLING LIES ON THE ADJACENT LOT TO THE WEST.--
INSPECTED BY ! DATE OF INSPECTION NOV. 13, 1996 - -
GA FI -
TIME START 10:00 AM END 10:30 AM
*BP#27963-Z-COZ-28993 ISSO FOR RENOVATION & RELOCATION OF EXISTING ACCY GARAGE AS PER ZB 50
BP#27963-ZCOZ-28992 ISSUED FOR ALTERATION & RELOCATION OF EXISTING ONE FAMILY DWELLING AS
PER ZBA #5029 dated 11/15/01 (NOTED AS DWELLING #2 ON HOUSING REPORT)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 250 TUTHILL LANE CUTCHOGUE, N.Y.
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES MASON
OCCUPANCY A-1 RES.
(type) owner-tenant
ADMITTED BY: LUANN LEGGON ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAR MAP NO. 1000-96-1-81
SOURCE OF REQUEST: JAMES MASON DATE: OCT. 24, 1996
DWELLING: #2
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS 2
FOUNDATION CEMENT BLOCK &, SLAB CELLAR NONE CRAWL SPACE NONE
TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO FRONT CEMENT
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER XX
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
--------------- ---------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: A SMALL PORTION OF THE DWELLING LIES ON THE ADJACENT LOT TO THE WEST. *
INSPECTED BY r DATE OF INSPECTION NOV. 13, 1996
Y J. FISH TIME START 9:45 AM END 10:00 AM
*BP#27963-Z-COZ-28992 ISSUED FOR ALTERATION & RELOCATION OF EXISTING ONE FAMILY DWELLING
AS PER ZBA #5029 DATED 11/15/01.
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-24800 Date DECEMBER 13, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 110 & 250 TUTHILL LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 96 Block 1 Lot 8 & 9
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-24800 dated DECEMBER 13, 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 TWO ONE FAMILY DWELLINGS & ACCESSORY GARAGE WITH ATTACHED SHED*
The certificate is issued to JAMES MASON
(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.
it ng Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MOUSING CODE INSPECTION REPORT
LOCATION: 170 TUTHILL RD. CUTCHOGUE, N.Y. _ —
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES MASON
OCCUPANCY A-1 RES.
type ----�Zowner-tenant W
ADMITTED BY: LUANN LEGGON ACCOMPANIED BY: SAME _
KEY AVAILABLE SUFF.CO. TAR MAP NO. 1000-9 - - &
SOURCE OF REQUEST: JAMES MASON _-` y DATE: OCT. 24, 1996
DWELLING: — — --
TYPE OF CONSTRUCTION WOOD STORIES ONE EXITS 3
FOUNDATION CEMENT BLOCK & SLAB CELLAR PARTIAL CRAWL SPACE PARTIAL
TOTAL. ROOMS: IST FLR. 5 2ND FLR. 3RD FLR_
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO FRONT CEMENT
BREEZEWAY FIREPLACE _ GARAGE_
DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR UOTWATER %X
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 2 CAR STORAGE, TYPE CONST. SHED ATTACHED TO GARAGE
SWIMMING POOL , GUEST, TYPE CONST_
OTHER: ENCLOSED REAR ENTRYWAY
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOL.ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: A SMALL PORTION OF THE DWELLING LIES ON THE ADJACENT LOT TO THE WEST.
17
INSPECTED BX GIi✓✓ DATE OF INSPECTION NOV. 13, 1996
GA - F TIME START 10:00 AM END 10:30 AM
'N BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 250 TUTHILL LANE CUTCHOGUE, N.Y.
number & street (municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES MASON
OCCUPANCY A—] RES.
(type) owner—tenant)
ADMITTED BY: LUANN LEGGON ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-96-1-8&9
SOURCE OF REQUEST: JAMES MASON DATE: OCT. 24, 1996
DWELLING: #2
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE EXITS 2
FOUNDATION CEMENT BLOCK & SLAB CELLAR NONE CRAWL SPACE NONE
TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE BECK, TYPE PATIO FRONT CEMENT
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER %%
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS- A SMALL PORTION OF THE DWELLING LIES ON THE ADJACENT LOT TO THE WEST.
01
INSPECTED BY DATE OF INSPECTION NOV. 13, 1996
Y J. FISH TIME START 9:45 AM END 10:00 AM
SURVEY OF PROPER
SITUA TED A T
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY., NEW
o� S S Aso S.C. TAX No. . 1000-96-01
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`30�, FEBRUARY 26, 2001
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ROBERT KRUDOP
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Land CERTIFICAMMS INOJCATED HEREON SHALL RWN.
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IS Pi2EPAt�fiO: AND ON HIS BL ALF TO THE
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