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HomeMy WebLinkAboutZ-27999 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- 27999 Date: 10/05/01 THIS CERTIFIES that the building DWELLING Location of Property 26550 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 109 Block 0004 Lot 008.001 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- 27999 dated OCTOBER 5, 2001 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 1-1/2 CAR GARAGE & 3 CAR ACCESSORY GARAGE WITH STORAGE The certificate is issued to FRANK B. & FRANCES ROGERS (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 REPORT. r hor zed Signature . Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 26550 MAIN RD CUTCHOGUE SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S) : FRANK B. & FRANCES ROGERS OCCUPANCY: SINGLE FAMILY FRANK B. & FRANCES ROGERS ADMITTED BY: MRS. ROGERS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO_ TAX MAP NO.: 109.-4-8.1 SOURCE OF REQUEST: GARY FLANNER OLSEN, ATTY 9/28/01 DATE: 10 05 01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK CELLAR. PART. CRAWL SPACE: PART. TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 4 3RD FLR_. 0 BATHROOM(S) : 2.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTHATER: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: (2)-1.5 CAR&3CAR W STORE. 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: 10/04/01 GARY J11FISH TIME START: 10:10 AM,Egb: 10:40 AM LiU1Lll117G llLl'ARTMI:N'1'.�":�;:.:T�:k= �.,. TOWN HALL 765-1802 SFP 2 8 APPLICATION FOR CERTIFICATE OF OCCUPANCY: - S A. This application must be filled in by typewriter OR ink and__subm;itted to "the buildir. , 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 a "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 appiicar. 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 Buildins - $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 . . SeptP_ubcr.27, .2001 . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .•. . . . . . . . . . . . . . Location of Property. . .26550Main did..,..C.titchogue. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. .Frances, Yogea's. . . . . . . . . .. . .. .. . . . . . . . . .. . . . . . . . . . . . . . .. . . . County Tax Map No 1000, Section. . .lag . . . . . . . .Block. 4. . . . . . . . . . . . . .Lot. .8,.1 . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . . . . . :. . . . . . . .Date Of Permit. . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters proval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final ertic te. . . . . . . . . . . 00 Fee Submitted: $. . 100. . . . . . . . . . . . . . . . . . . . . . . .GARY FLANKER OLSEN APPLICANT Main Rd, PO Box 706 Cutchogue, NY 11935 (, 0 2 &A.e_-e 0 a 7 9 y v ,�°� TO OF SOUTHOLD PROPERTY RECORD CAR® OWNER STREET ` ' r VILLAGE DISTRICT SUB. LOT 4,� FORMER WNER/ 1J N Et e ACREAGE S W TYPE OF BUILDING RES. - SEAS. VL. FARM comm. I IND. I CB. MISC. LAND IMP. TOTAL DATE REM R S ac ` 20a 6 � 7dd 7 ;� d 0 z 1.2 0 17-4 � 6 0 C) t o c 0 9 ,OAGE BUILDING NDITIO ''; ! t (EWE I�Q,�MAL BELOW OVE f Farm Acre Value Per Acre Value Tillable 1 V. / Tillable 2 Tillable, 3 Woodland Swampland Brush.land X i House Plot � 1 , Total ' _ - -. ■i■���i■i■mow■■,O■■■■■■ 9 � r2: � [ I � ; ,1�-tea ■■�����■■■■■■�1��■■■■■ _ ■■��■■!!■/!F■�■I ■■■■■■■ ■■■�■®10■ ■lii■■■■■NONE M� :. Interior Finish Fire Place -® FloorRoo Rooms 2nd Floor CONSENT TO INSPECTION Frances Rogers by Gary Flanner Olsen, as Attorney 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 26550 Main Rd., Cutchogue, which is shown and designated on the Suffolk County tax map as District 1000, Section 109 Block 4 Lot 8.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in"th© Southold Town Building lnspec;W.L cam"!: fo fha Pn1lowinv: Two story frame house, Frame Building and Frame Garage 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 1n the conduct of such inspections may be used as evidence in subsequent pr ecu ions for vio- lations of the laws, ordinances, rules or regulations o the T vn of Southold. Dated: September 27, 2001 ( nature), Gary Flanner Olsen as Attorney for (print name) Frances Rogers (signature) (print name) SURVEY OF PROPERTY N 51TUATE: GUTGHOCGUE T0N 5OUTHOLD HHold 5UFFOLG COUNTY, NY w eG� "� E / SURVEYED OG-12-01 o SUFFOLK COUNTY TAX # �! �Nz O �� s 1000-I0C-4-5.1 ® � CERTIFIED TO: ���A��O X GARY THEINERT SUSAN THEINERT WA5HIN&TON MUTUAL ABSOLUTE ABSTRAGT, ING. „r GOMMONAEALTH LAND TITLE INSURANCE GOMPANY LL `1 40 N \\ ^ 0 to. 2 5T 09--( 4500 00 Held 9 Mon. found o � fl 3 LL a - ,. � U 31'fUMINOUy DRIVc'�`P'Y cz o m �2 z o G �pl 449 U! GAR n ® ti 0 Held Mon. N67023150"!^l 150' Held ��OG• E �O moNE o. v �O, found 7 0 9 ri�P tl 8O �� 'Lnootharleed cltercticn cr cddlticn[c c gwvey tT map bearing a licensed 07 wrveM—seal Is 501E 125 violation of sectbn 1207 sub-division],of[Fe •��� Ncw York State Educotbn Low.' 'Only copies From the orlginai aF Lhb surve' R marked with an original of[he land surveyor' - stampetl seal gholl be considered to ba valid trve copies' NOTES: � `/ 0 'LerLiFica[bn>d,dd etl hereon sig.1U[th,this LAND survey was preps ed ti accord ce M n the ex- NOW OR FORMERLY -a >[ing code aF Sr.tu a Fa La d E rvey>—6d, ■ MONUMENT OF b the New York State A zociatlo of phlil zlonol NORTH FORK COUNTRY CLUB _ ��s NO, 5 P, and S rveyors. Sold certlFlcabans shall run only AREA = 41,032 SF OR O.G4 ACRES a the perd For wham the>rvey hl—ogee, `y/ FO LAND `'J a^d a^his behalf to tl+e[I[le copee y, - [al agencyd lending nstRution listed hereon,and �y. [e[he aszlg es cF the lending instiWGian. LertlFica- y r ncns ore not LronsFerablo to adtl¢lonal msu[vtians ° REFERENCE DEED: L. 2606 P. 431 V- rV JOHN C. EHLERS LAND SURVEYOR GRAPH I G SGALE 1"= 40' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 Held RIVERHEAD,N.Y.11901 Mon, Found 369-8288 Fax 369-8287 REF,\\Hp server\d\PROS\01-265b.pro o-a