HomeMy WebLinkAboutZ-22677 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-22677 Date OCTOBER 26, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1050 WEST COVE ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 5 Lot 1
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-2267T dated OCTOBER 26, 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
The certificate is issued to STEPHEN G. ROMAINE & ANO.
(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.
✓ ilding Inspector
Rev. 1/81 ,
v BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1050 WEST COVE ROAD CUTCHOGUE, N.Y.
number & street municipality
SUBDIVISION 'MAP NO. LOT (s)
NAME OF OWNER (s) STEPHEN ROMAINE & ANO .
OCCUPANCY A-1 RES. OWNER
(type) (owner—tenant)
ADMITTED BY: . ROBERT. SCALIA ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO_ TAX MAP NO. 111-5-1.
SOUPCZ OF REQUEST: GARY FLANNER OLSEN, ESQ DATE: OCT. 15, 1993
DWELLING:.
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS SIX
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 3RD FLR.
BATHROOM•(s) 2 TOILET ROOM,(s) UTILITY ROOM
PORCH TYPE DECK,' TYPE WOOD PATIO, TYPE .
BREEZEWAY FIREPLACE ONE GARAGE 2 CAR
DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT OIL WARM AIR %% HOTWATER
OTHER:
ACCESSORY STRUCTURES: NONE
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.
J
REMARKS: BP #1724—Z—COZ-1423= ADD — BP #5860Z—UPDATED CO Z-22674 ALT.&ADDS
INSPECTED BY: DATE ON INSPECTION OCTOBER 25, '1993
GAR . FISH TIME START 9:30 END 9:50
s= F 4:0 4 z 44- s
ol
�L�,v: ti�l _1 � Ili •', I r � � - ` --..
kc
tJ `1 L - •� 1 'r 1 J -
VLo
.Z.c 7 S p.. NC /C 1 C^C'�? 1iJ:/✓ �r7C b'1�I Yr' I�r
`zµATe:c
LELLUTNmlzm ALTERATION OR AODITOI
TO THIS TURvET u A VIOLATION OF ---
I /N SECTION 720
9 Of THE NEW TORK STATE
t J _ EDUCATION LAW.
r'
_ COPIES OF THIS"VEY MAP NOT EEAums r
THE LAKD SURVEYOR'S INKED SEAL OE
IMS03[D SEAL SHALL NOT SE CONSIDEMD
r TO M A VAUD TRUE CO". . .
CONSENT
TO
INSPECTION
Gary Flanner Olsen, as attorney , the undersigned,
Owners) Names)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1050 West Cove Road, Cutchogue, NY
4.
which is shown and designated on the Suffolk
County tax map as District 1000, Section 11_ 1 Block 5 D Lot 1
That the undersigned (has) (have) filed, 'or caused to be filed, an appM-m-
tion in-1he.Southold Town Building tnspeuL.i rrri..., row. +� fn11nwin :
one family dwelling
That the undersigned do(es) hereby give consent to the nunding 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 own.of ,Southold.
The undersigned, in consent-ing to such insrec-4-'_ons, dotes) so with the
knowledge and understanding that any information obtained ! ''he conduct of
such inspections ma
y ay be used as evidence in subsagE,ent rosecutions for vio-
lations of the laws, ordinances, rules or regulations o t, n of Southold.
f;
Dated: October 15, 1993
/(4ffr nature)
Gary Flanner Olsen, Esq.
(print name)
(signature)
(print name)
I FORM NO.6
TOWN OF SOUTHOLD
Building Department y!
Town Hall "�•. _ -
Southold, N.Y. 11971 4c�•,;,`;
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ar saw wom to the Building Inspec-
tor with the following;for new buildings or new use:
it 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4:Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions; a certificate of Code compliance from the Architect or Engineer responsible for the building.
5..Submit Planning Board approval of completed site plan requirements where applicable.
B. -For existing buildings (prior to April 1057), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $•25 .00 -- BUSINESS $50 . 00
2. Certificate of occupancy on pre-existing dwelling $ 5 0•. 0 0
3.Copy of certificate of occupancy $• 5 :0 0 , over 5 'years $ 10 .00
4 .Vacant Land C.O. $.'20 .00 October 15. 1993
5.Updated C.O. $••50 .00 Date . . . . . . . . . . ... . . . . . . . . . . . . . .
. . . . . . . . . . .
NewConstruction. , , ,, , Old orPre-existing Building . X. . . . . . . . . . Vacant Land . . . . . . . . . . .. .
Location of Property 1050 West Cove Rbad, Cutchogue,. NY . , . . . . . . . . . , . .
House No. Street Namfot
Owner or Owners of Property , , Stephen, G.- Romaine, and. Suzanne,M. Wennberg. . :.. . . . . . . . . . . .
County Tax Map No. 1000 Section 111. . , . . . . , , . Block . 5. . . . . . . . . . . . . Lot. .1 . . . . . . .. . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . .. .. .
Permit No. .. . . . . . . . . Date of Permit . . . . . . .. . .Applicant . . . . . . . . . . . . . . . . . . . . . . . .. . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor.Dept. roval . . . . . . . . . . . . . . . . . . . .. . . .
Underwriters Approval . . . . . .. . . . . . . . . . . . . . . . . .Planning oard Approval . . . . . . . . .. . . . . . . . . . . ..
Request for Temporary Certificate . . . . . . . . . . .. . . . . . . .Final Cer/tificate . . . . . . . . . . . . . . . . . . . . . . ..
i
Fee Submitted $ . . . . , 100..00. . . . . . . .. . .. . . . . . . i`
Construction on above described building and permit ems all 'pl'` bl odes and regulations.
f
Applicant . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gary Flanner lsen, Esq.
nw.1o•loas P. 0. Box 706
�009 Cutchogue, NY 11935
- - }`�.mob .
y rf t"' ! n � y,r �7 to {r•
44 �04 E4
5
`,
' S
,
- M
Tr;[M
I A
-- -- - -- :� - _ :,- � it� � -3 •s'
M. Bldg. 02/ Ka Sv Foundation C Both
r,
6:
Extension ad (,,�j Basement ✓ L v Floors
Extension 7 i _ �, Ext. Walls ✓,(/ Interior Finish
Extension Fire Placer,
�/Heat
Porch Attic 7, .
Porch Rooms 1 st Floor
Breezewa v .t ► A/ Patio �jp/ `7j(�,�/ --� Rooms 2nd Floor
Garage _ S /a o6 7 C Driveway
�)'rs
1'.
s
-�•. � t -1 �s�, ; t .-,';�•> '_ -fir; /. � r. C. _ :r a.' /gr"""�
�,. .�4 4��rf'�. >?.. .,�:. .•-,-w 3:•;-•-+�'.",?` .: ?;?.,� F . : r'z :rw:) ti vW:ir. ,L�� f.;;)a'�:,� v-5,. 3 y :: `.�": f ''i f
.r;�;a.^?:,:- ,v�... -r �;w'Ast \,\.r• - ^.n '.,saa ::�--7 '.'r ...-ra. ;,,,.. +�. .+ .s r A r.a�' �.
�+��� �`R.::r"' '.:^.•� ,i-.^• � ..��'^-f'.4 ct��.s:`� `�,a .. .� -,at_en:... 3i"",5:�'. ..{!.,,n SSA lam.•-•T i\. 9.- .^3 �t :i"�'�
-
������-� ��;.a� �,�.���T®�/N�:�-.®F�-�SOUTHOL® j OPERTY�IRECOR® �C�►�® ����� rF} r`�M �=
l `OWNER�� fiti t �__; STREET ,VILL DISTRICT_ LOT M
'� 2trr<�����f-•��jlJs� ;y � e�,.; tee... '�-r �', :s„-�-':.t �¢ i � t -£ -
FORMER OWNER N :� _ y,(y` i E ACREAGE
W` TYPE OF BUI ING
C;
r SEAS FARM Comm. IND. CB. MISC
s
RES ® r VL
10
ALAND >� -,,'IMP. TOTAL REMARKS: � DATE s- �►/
k f � _ 4�-
y
f
CA1.�. ,� 354
a'S 4 a 27..4 - vi L4H
/.3 / Cep ��� /�� 0 � el trpa .. 2Q+'g _
AGEY BUILDING CONDITION
day iF NEW �;.NORMAL= BELOW ABOVE -
r ? ` or ;Acre Value Per Acre Value
- ✓L
f
Tillable Lit/
.—
t _
r' Swarnpland
s �{_•� �v ry�^tbi�'�"�f �3.�?r k . :Fir � ..'`+ �r y -