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HomeMy WebLinkAboutZ-23179 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-23179 Date AUGUST 23, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4910 PEQUASH AVENUE CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 3 Lot 27 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-23179 dated AUGUST 23, 1994 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 GARAGE The certificate is issued to MARGARET REARDON (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. Building Inspecto Rev. 1/B1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 4910 PEQUASH AVE. CUTCHOGUE, NEW YORK number S street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) MARGARET REARDON OCCUPANCY SINGLE FAMILY DWELLING type owner-tenant) ADMITTED BY: MARGARET REARDON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAR MAP NO. 1000-110-3-27 SOURCE OF REQUEST: MARGARET REARDON DATE: AUG. 1, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 1 # E%ITS 2 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE YES TOTAL ROOMS., 1ST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM NO PORCH TYPE SIDE ENCLOSED DECK, TYPE NO PATIO NO BREEZEWAY NO FIREPLACE NO GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT LILCO GAS WARM •AIR YES HOTWATER OTHER: OUTSIDE SHOWER STALL ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD - 1/12 CAR 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: INSPECTED BY DATE OF INSPECTION AUGUST 22, 1994 TIME START 10: 10 END 10:30 77 ( Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL � �! IG 2 1994 765-1802 BLDi, F SOUTHOLD a APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN O 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 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 1Z 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 g (prior to April 9, 1957) non-confor pre-existing" land uses: ming uses, or buildings and . . 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 dwellingg $25.00, $25.00', Swimming pool $25.00, Accessory building $25.00, -5 Additions to accessory building $25.00. Businesses $50.00. `1Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . Oo I /I.y New Construction. . . . . . . . . . Old Or Pre-existing yyBuilding„ J . • . • • • . . . . • • • . • . • • • • . • . . . . . Location of Property. .�W!�. . . .. 1,I)IC:Q11. !'1.. . .�:r,u,�N1]z e . . . . . . .0 House No. Street . © 1� J.�� " 3 ' Hamlet Onwer or Owners of Properte. � 7 County Tax Map No 1000, Section— 110. . . . . . . . .Block. . . . . . . . . . . . . . .Lot. . �.7. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . .. . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriter s Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. /Uv, O.4 . . . . . . . . . . . . . . . . . . . . . . . . r m •t ol 31 � APPqTT rn Ct) Unauthorized alteration oraddlaw `0 to this survey Is a violation of ire Section 7208 of the Newt YorkSIM D DAV 15 Eduction taw. 1 =1 -- 50 —---Crpld�of this survey map not bed err-bossed surveyor's bossed sesl eha11rrct4beconsidered i I to be a valid UW CW (1 Guarantees fn A p I d Irm"m sated run r� - %1�l✓ FENCE O.� }N. 1 only to the person for whom the survey I G is prep'rzd,and on his behalf to th N.5.7 42 DO E. ; ;-7 5.0 1 oor lPan ,govemmentW age dy -- ----- - leadingnst!?u?ion ilsted hereon d _ 1 =- - --`_l t�2 O to the a si rases ar the lendln rrs i j Ut Q FEN C E 0 ti U J� ar a e .re not tr sferabfe I J.1 UU1 so c ;-;Jw:ions or subsequgp3 3 d w X � J i STQ RY W_ U � ILU o - 7p a I �— IRc - c'•1 ---= -- - --- --- i_- GO u- I 5,57�42 CO 7 FENCE W. -�--»__...arts � 5,�, O 1E f 0 _j i I+ L 2 . 10 SCALE 30'_I„ -- jESSUP c j ED MOO-)ME-NI C � MAP OF P12O P E RTY l? o D N 0 W :�(_ RVE`�ED -- F02 S 1ppy I`✓�fir',,`;4 ,,`�/�I -v �"_. ! �� l a J"i i C, �`� �`� S PIT BLDG:DEPT TOWN OF SOUTHOLD CUTCH'DGUE r�*r o�� �S �Ur?VE EP l2 IIGW� �F S�U1 O` D ce!Y � s�4n',�� GO --- - 7 n�� �u SUFF CO.TA'C MAP DATA !iC.L,A li CIW(Z�/E'(Crcr ,E_R~ iP�''?' N1. = IGY�Q-( 10-�- c t. • �' �1 0 I It CONSENT :18LDD,,,� 2 �TO INSPECTION T�w pFpr �UUTHUta C144o-W 0<)I)Uh° ( 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 46) ItG'hv which is shown and designated on the Suffolk- County tax map as District 1000, Section Jam', Block `'� Lot 7 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: Q i'C r CA192 A/y 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: dv a l/J6L ignature 6-A-Ad' 2FAaldth a `Zt/s e-e (print name) (signature) (print name) a