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Home My WebLink AboutZ-25714 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- 25714 Date: 05/09/98 THIS CERTIFIES that the building DWELLING Location of Property 1765 CALVES NECK RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0004 Lot 049 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- 25714 dated MAY 9, 1998 . 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 ADELE B MAXWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION E ORT. Building In ector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1765 CALVES NECK RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : ADELE B MAXWELL OCCUPANCY: ADELE MAXWELL ADELE B MAXWELL ADMITTED BY: MR. BROWER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 70.-4-49 SOURCE OF REQUEST: ROBERT BROWER. 4/6/98 DATE: 05/09/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR. : 4 2ND FLR. : 1 3RD FLR.: 0 BATHROOM(S) : 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: REAR ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: ONE CAR DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST. : SWIMMING POOL: GUEST, TYPE CONST. : OTHER: DOCK WITH STAIRCASE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION i DESCRIPTION ART. I SEC. REMARKS: INSPECTED BY: , ""' DATE ON INSPECTION: 04/21/98 JOHN M. BOUFIS TIME START: 10:15 AM END: 11:00 AM Form No. 6 �� 4 t�, _� 1 a TOWN OF SOUTHOLD BUILDING DEPARTMENT.'�f' I APR TOWN HALL i 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: 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 Dppt. 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 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - .25V. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential, $15..00, Commercial $15.00 ` Date s 1.7.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . / Old Or Pre-existing Building. .. . . . .y . Location of Property. . •��? . G ,✓,eS. eG :. .�. .So u/!�a��. . ./ ?/./. . . . . . . . .. . . . . Ho o. ( �qnx Strreet Hamlet Onwer or Owners of Property. . . ..".�. . rv� AW e `1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . . . . . . . . . . .Lot. . . .�e.7. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . / z;' Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . et PAWP'ff &/LQ c- 12?_s 1 7 � APPLICANT CONSENT '1'O INSPECTION 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 C aJsre5 Neck Y which is shown and designated on the Suffoll•: County tax map as District 1.000, Section Block ' Lot 4 'That the undersigned (has) (leave) filed, or caused to be filed, an applica- tion in the Southold 'Town Building Inspector's Office for the following: Gee 0 C'c </P o n c Tie 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 i.irspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: O 0Z?? _ l � C ��t' lei td `( (signature) , X _� beef G. r�rowef- (print name) (signature) (print name) y 5UR s L 1 OF PROPERTY SITUATB SOUTHOLD TOM OF SOUTI-IOLD SUFFOLK COUNTY, W SURVEYED 03-23-q8 SUFFOLK COUNTY TAX MAP 1000 70 4 4q CERTIFIED TO: ANDREW 5TYPE BARBARA 5TYPE 1 N �- 09-FD� 0a� \A �0�w \A A G TS 0 s 2� s, 2 00 8 Qo o . 30 0�N NOTE5: MONUMENT FOUND map ..haniEetl ecah.a.fon a atltlitlpn to 8 vey map violation o a ectioned lantlraurveya lco sea lsls a PIPE FOUND vlpl8t 1pn 9aCtipn.ye aub-tl lv ismn of the O New York Stale Etlucat 1pn Lew.- '. BULKHEAD v�V or- 4LAL�`yy, m-gnly copies nlrpm tna prlglnal pr this eurYey w., 16�y� arkly with a prlglnal pr the ]enb surveyor•, e tempetl seal mall be cenaltleretl to be valid true ® c.pies- :aaV., ��g• -Gatti f"cation' Intl lceted hereon 9ignlfy the[this AREA = 21y541 5F OR 0.4q ACRE5 dory.,was prepared eccortlence wl th the e.- (� lsting Cade of Practice for Lana surveys adopted RSY by the New York State Association of PrpfeSSional Lend Surveypra. Saltl cart]]lcatlpn9 9he11 run Only REFERENCE DEED — L. 7450 P. 550 to the pardon 1pr whom a yay is prapered, antl his banal] to the tit la company, governmen- ♦ agency and Iantling the Ilstetl hereon, and to tna ese lgnaes of the Iending ln,tltutlon. IertlllCa- tions ero not transferable to Bddl Liana] Inatltut Ions PROPERTY ZONED R-40 y MINIMUM 51DE YARD 15' ®� ®iA GRAPHIC SCALE 1 ., = 30 N.Y.S. LIC. NO. 50202 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8286 Fax 369-8287 REFERENCE # 98-0134 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: J � " L number h street municipality SUBDIVISION MAP NO, LOT (s) NAME OF OWNER (s) OCCUPANCY f'• i e:� F^ (type) (owner-tenant) ADMITTED BY: IP G `..- ACCOMPANIED BY: KEY AVAILABLE SUFF CO. TAX MAP NO. SOURCE OF REQUEST: JreeL �, e) DATE: DWELLING: TYPE OF CONSTRUCTION (�®�j (�_ STORIES / # EXITS FOUNDATION 1 � CELLAR cj= � CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR.__ ' _ 3RD FLR. lool BATHROOM (s) . , TOILET ROOM (s) UTILITY ROOM PORCH TYPE;��'� ,,.� � " DECK, TYPE PATIO, TYPE' BREEZEWAY _,,-FIREPLACE GARAGE Olme,•-. � . DOMESTIC HOTWATER TYPE HEATER ,45 AIRCONDITIONING TYPE HEATS 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. .''' laav ii. ,F cry REMARKS: INSPECTED BY: DATE ON INSPECTION 10—)OT TIME START Z,3 END