HomeMy WebLinkAboutZ-27138 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- 27138 Date: 06/14/00
THIS CERTIFIES that the building DWELLING
Location of Property 530 SKUNK LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 097 Block 0003 Lot 009
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- 27138 dated JUNE 14, 2000
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 COVERED FRONT STOOP AND ATTACHED ONE CAR
GARAGE.*
The certificate is issued to ISABEL E ROSS
(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.
C
uthorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 530 SKUNK LA CUTCHOGUE
SUBDIVISION: MAP NO. : LOT (S)
NAME OF OWNER (S) : ISABEL F. ROSS
OCCUPANCY: SINGLE FAMILY ISABEL F. ROSS
ADMITTED BY: JANE PITTS, REAL ESTATE_ ACCOMPANIED BY: ,SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 97 -3-9
SOURCE OF REQUEST: ABIGAIL WICKHAM ATTORNEY DATE: 06/14/00
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CONCRETE BLOCK _ CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: COVERED FRONT STOOP DECK TYPE: PATIO TYPE:
BREEZEWAY: 'FIREPLACE: GARAGE: ONE CAR
DOMESTIC HOTWATER: X TYPE HEATER: GAS - LIP AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: X 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
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REMARKS: 0 BY GARY J. FISH
INSPECTED BY: ` DATE ON INSPECTION: 05/16/00
GARY FISH TIME START: 10:00 AM END: 10:20 AM
TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
�Q[I TOWN HALL
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765-1802
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€�LDG. L�Fi'T.
TC, OF SOUTEiOL�J '
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 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 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. k 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 $23.00, 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 - .25'k�_
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . .May. . . .. .2000. . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. .Pre=Existing. . .
Location of Property. . . . . . . . . . . 530 Skunk Lane: .Cutcho"e: .New.York.11935. . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . Estate of Isabel.E. .Ross: .Elaine.Taylor, .As.Executrix. . . . . . . . . .
. . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . .97 . . . . . . . . .Block. . . . .3. . . . . . . . . .Lot. . .9. . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. .. . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .X. . . . . . . .
Fee ubmitted: $ 100.00 _ .
� a �3� � � . . . . . . . . .
"G ���``� ABIG L A. WICMIAI;CASTTATTORNEY
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ELECTRICAL INSPECTION SERVICE, INC.
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1322 MONTAUK HIGHWAY ,
IL EAST PATCHOGUE, NEW YORK 11772
Date 12-15-92 Application No. on File1964
THIS CERTIFIES THAT
Ladelaalaa Electric, Inc. LIC: # 4141—$
on the electrical equipment as described below and introduced by the applicant named on the above application number
in the premises of Isabel Ross 530 SRunB, Cutc)hogue, MY 11935 �
in the following location: Basement 1st Fl. 2nd Fl.
H
w Pool Hot Tub
J
zwas examined on 12_14-92 and found to be in compliance with the National Electrical Code.
FIXTURE SLING WASHER RANGES OVENS
W �TJ ounET6 RECEPTACLES SWITCHES G.F.I. FAN AYT K.W. IUrT i K.W. AMT K.W.
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DRYERS DISHWASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
ANT K.W. AYT K.W. ANT K.W. OIL M.F. GAS M.P. ANT No. AMT
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SPECIAL RECT TIME CLOCKS SELL UNIT MEATXdIXIs MULTX-OUTLET SYiTEIiW OMIiERB
m ANT AMPS ANT AYP$ TRANS. ANT N.*. NO.OF FEE7 AAIT WATTS
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SERWCE OI:COMtECT }
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1" 100 O.H.
President
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This caNflnle rrMlsl not be altered In any nwunr. kirDKlora.may be JderWliad by ilieir era0antiab }
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SKUNK LANE -
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SURVEY OF
DESCRIBED PROPERTY
Sl TUA TE
PECONI C, TOWN OF SOU THOLD
SUFFOLK COUNTY, MY
SURVEYED FOR : JAMES MINNIGAN
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Z FD
FD IP SURVEYED 12 APRIL, 2000
aw
N 13. 19 10 W SCALE 1"-20'
23, AREA= 10,056 SF
OR
N/F MIDGLEY 0.231 ACRES
TAX MAP N0.
1000-097-03-09
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS ARED, AND ON HISTO 7HE
777LEECOMPANY GOVERNMENTALALF AGENCYY SURVEYED BY
LENDING INS717U77ON, IF LISTED HEREON, AND
GUARNS 7E CNEES ARE NOT 7RANSFERABLE TO7U710N. STANLEY J. ISAKSEN, ✓R.
ADD17701VAL INS77TU770NS OR SUBSEQUENT OWNERS P.O. BOX Z 4
GUARANTEED TO UNAU774ORIZED AL7ERA770N OR ADDI770M TO THIS NEW. 5UFFOL"K,.lyY;119
SURVEY IS A WOLA71ON OF SEC71ON 7209 OF -
JAMES MINN/GAN 714E NEW YORK s7A7E EDucnnoN LAW. 631 7:74-- ,S5 ._-
FlRST AMERICAN 777LE INS. CO. OF N.Y. Q
717LE NO. 161 S 0997 COPIES OF THIS SURVEY MAP NOT BEARING
714E LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID 7RUE
COPY E-� LAI�IrJ>: '' �r 1/EYOR
NYS LIC. NO— 4- 27J
OOR897
CONSENT
TO
INSPECTION
Elaine Taylor, As Executrix of the Estate of Tsnhel Rnca 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 530 Skunk Lane, Cutchogue, New York 11935
which is shown and designated on the Suffolk
County tax map as District 1000, Section 97 Block 3 Lot 9
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:
• r
Pre-Existing Certificate of Ocqupancy for one stor2-� frame dwelling.
and 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 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.
D ate d: May 2000
signature)
Abigail A. Wickham. As Attorney
(print name)
(signs ure)
(print name)
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