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HomeMy WebLinkAboutZ-22508 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-22508 Date AUGUST 6, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 33855 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 1 Lot 11.7 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-22508 dated AUGUST 6, 1993 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 ONE CAR GARAGE The certificate is issued to DONALD P. & BARBARA ROBINSON (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. B1511didg Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 33855 MAIN ROAD CUTCHOGUE, NEW YORK number & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) DONALD & BARBARA ROBINSON OCCUPANCY A-1 RES. OWNER . (type) (owner—tenant) ADMITTED BY: . DONALD & BARBARA ROBINSON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-97-1-11.7 -JURCE OF REQUEST: PAUL A. CANIINITI DATE- DULY 28, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES ONE # EXITS THREE FOUNDATION CEMENT BLOCK CELLAR FULL CRA14L SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. — — 3RD FLR. — — BATHROOM (s) ONE FULL BATH- TOILET ROOM (s) UTILITY ROOM PORCH TYPE SIDE PORCH COVERED DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING — — TYPE HEAT LILCO WARM AIR XX HOTWATER OTHER: REAR ENTRY WITH LAUNDRY ROOM CumBiLNED ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. I CAR WOOD FRAME 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 ON INSPECTION AUGUST 4, , 1993 Ga Fish TIME START 10:00 END 10: 15 _ Form No. 6 L-..� •� `•'.1` -= ;4„ TOWN OF SOUTHOLD BUILDING DEPARTMENT i /�OI�T�IfN/ ��� TOWN HALL JUL ,i a l 765-1802 �� ; 7311 6 112- 7 TOWBLDG. OF S UTHOLD � 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 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. 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, Commercial $15.00 Ld' 1 1993 Date . . . . . . . . . . . . . . . . . . . . . ........ . . . . New Construction. . . . . . . . . . Old Or Pre-existin Building. . . ... . . . . . [ . . . Location of Property. . . . .. �5:s. -�� la1 . .i�l9P.. .. . . . . . . . V ��.{Q� . . . . . . . ........ . .. House No. Hamlety, , /� Street Hamlet Onwer or Owners of Property... ..5'N. �. . . .^© � ��� . . D, . .�A, . .F61 UISa . . . . County Tax Map No 1000, Section. . . .0.1.7. .. . .Block. . .01 . . . . . . . . .Lot. . . ... . . . . . Subdivision.. . . . . . . . . . . . . . . .. ... . . . ... .... . . .. .Filed Map. . . . . . . . . . . .Lot. . . . .. .. .. . . ....... . . . . Permit No. . .. . .. . . . . . .. . .Date Of Permit. . . . . . . . .. ... . . .Applicant. . . . . . . . . .. .. . . . . . . ...... . . .. . Health Dept. Approval. . ... . . . .. . . . . . .. . . .. . . . . .Underwriters Approval. .. . . .. . . . . . . . . ...... . .. . Planning Board Approval. . . . ..... ... . .... . ... . . . Request for: Temporary Certificate. .... . .. . . . Final Certicate. . . . ... . . . , Fee Submitted.: $. .�Q�. ...... .......... . .. . .. . . . . . . . . . . .. ... . . . ...... . . . APPL ANT . G � i CONSENT TO 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 ��5 � AzAlo «which is shown and desi;Knated on the Suffolk County tax map as District 1000, Section , Block , Lot 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: o a�� fltw L, At) �� �c P � X' / D D � _ 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 hispections, 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 U Town of S thold. Dated:_ (sigi re //ffp�C,�lFy/ � L C W "V/ f (print name) (signature) (print name) 00 -`� R y �0 3� �0� y0 00. `o.E- s f _�o ya s Doicp 1p O p oy1 2p0 0-0 � 2•J NOTE �' _ a MONUMENT s� 090 0 3v ao sow aP ems` 20 e o29 C) Aso I'C2. CD' I>71 Ois O FTA�s� 9?� I- ��•-. O: r F9• j +O O S`rtg•OF lyfI Y �1PKD W Y Oyu off. O� * REVISIONS YOUNG 8c YOUNG 0 0 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK C, o^ h0 DOB 4, . q 45S93 ALDEN W.YOUNG HO,WARO W.YOU: m� ^ 00. QV Cf4fF OQ. PROFESSIONAL ENGINEER AND LAND SURVEYOR 5 AND SUR�� LAND SURVEYOR.N.Y.S.LIC.NO,t2Ba3 N.Y.S.LIC-NO.4389 SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION HOWARD ROBINSON 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING. , ' THE LAND SURVEYORS INKED SEAL OR - - - EMBOSSED SEAL SHALL NOT BE CONSIDERED - - TO BE A VALID TRUE COPY, AT GUARANTEED TO: EAST CUTCHOGUE GUARANTEES INDICATED HEREON SHALL RUN •• - - - - .ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD _ - - - SURVEY IS PREPARED,AND ON HIS BEHALF _ TO THE TITLE COMPANY,GOVERNMENTAL _ - AGENCY AND LENDING INSTITUTION LISTED BY _ w - - - HEREON,AND TO HE"ASSIGNEESOF THE SUFFOLK CO., N.Y. LENDING INSTITUTION. GUARANTEES ARE ' -' NOT-TRANSFERABLE TO ADDITIONAL SCALE:, I11- 501 I DATE:AUG.30T I976 I NO.76-627Q INSTITUTIONS OR SUBSEQUENT OWNERS, i ��;.�;�.' 3 , kti � �, ■NEE ■■■■■■■i�■ ■■ i xms `oy t' �■■ MEN ON NONE F; ; � , ' ,y 4r; ■■■■■■■■ ■■ ■■■■■■e M■■e ■■■■ �. ��. � � ■■■■■■■■■■■■■■e®NEON®■E■■■■■■ ■■■■■■e■■ ■■■ ■■■■■■■■■■■■■■ IN ■■■■■ ENS ■■■■■■ e■ C,,✓. ( ,. '`�''�y �r "A•` Y ii.!•.4 F �{.iti4 Y tip. ^+ H,�},.,,,k 7, ' � ' �.{..C�`''i� ^:`� y.�� g-;...xst+`S Y{y4` h -si�`. � ■e■�e■e■■ �■■■■■■��®■� ..1(.c4.rY':Y ;+3. 7x jLA7 `.,..'? ;dr,`,` TA.47 .ha ■■■■■e■■■■e ■■■■■■■■ IN MEMO MEMEM ME ■■N■■■N■N■N ONE N®e■■■■ ■■ ■01�=ME®E®®■ONOE■O ■� - - ,NrAMIL �NEN��■■■■■ec�N�: aye t' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET :3K6c- VILLAGE DIST. SUB. LOT FORMER OWNEf N E ACR. S �. W TYPE OF BUILDING _ tilt SEAS. VL. FARM COMM. CB. MICS. kt. Value LAND I IMP. TOTAL DATE REMARKS (ere— I'lufr?, �a fs rc 1•i �:. -� ,3 a L1I q 55G — onG I � `6 6� ba*,- � —T1 � j-j on / � t c � � L�on�cicf �� oc.a.��l - AGE I BUILDING CONDITION INEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER I �� Woodland FRONTAGE ON ROAD ';'j p * ' °'= Meadowland DEPTH House Plot BULKHEAD Total r DOCK 5