HomeMy WebLinkAboutZ-25000 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-25000 Date APRIL 29, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 30185 CABOTS WOOD ROAD PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 73 Block 4 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-25000 dated APRIL 29, 1997
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 & TWO WOOD FRAME
STORAGE BUILDINGS & ACCESSORY BEACH STORAGE SHED
The certificate is issued to WALTER ROSS
(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.
Bui ing Ins ctor
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 30185 CABOTS WOOD ROAD PECONIC, N.Y.
number & .street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) WALTER•ROSS
OCCUPANCY SINGLE ,FAMILY _
type owner—tenant
ADMITTED BY: VINCENT ANNABEL ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAIL MAP NO. 1000-737-4-1
SOURCE OF REQUEST: WALTER ROSS DATE: APRIL 7, 1997
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME STORIES I EXITS 2
FOUNDATION BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 2 2ND PLR. 3RD FLR.
BATHROOM (s) I TOILET ROOM (s)1 (CELLAR) UTILITY ROOM
PORCH TYPE DECK, TYPE WOOD EATTO
BREEZEWAY FIREPLACE YES GARAGE
DOMESTIC HOTWATER ELECTRIC TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT ELECTRIC WARM AIR HOTWATER ELECTRIC
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. (2) WOOD FRAME
SWIMMING POOL , GUEST, TYPE CONST.
OTHER: ACCESSORY BEACH STORAGE SIRED (WOOD FRAME)
------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.X. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY DATE OF INSPECTION APRIL 18, 1997
MICHAEL J. VER TIME START 10: 15 AM END 11:00 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 sewer.a.ge•-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
A. 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.
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.
r
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 Buildinsz - $100.00
3. Copy of Certificate of Occupancy - _ .25-(,,,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15/I.00, Commercial $15.00
Date . . . . . 7J.� . : . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . ld Or Pre-existing -1,ding. . . v . . . . . . . . . . .
Location of Property. . . . . . . . . ....�. . . . .F'�5. . .! . . . .... . . . . . . . . . . . . . '. . . . .. .. . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . ..."4. . .�:�O S 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section!OOj-�• _ . . . .Block. . �.�.� . . . . .Lot. . . �C�\:�. �.
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: $.rc'\ 16.6. . . . . . . . . . . . . . . . . . .
b�S
� .• g . .. . . . . . . . . . . . . . .
APP.IC . . . . . . . . . . . . . . . . . .
�o �, 50 0
CONSENT
TO
INSPECTION
the undersigned,
Owners) Name(s)
do(es) hereby state:
That the undersigned (is) (-vr� the owner(-,5+�of the premises in the Town
of Southold located at `�0 1�6�C_� PitIr-gM1C � A'
which is shown and designated on the Suffoll:
County tax map as District 1000, Section ®)3. Block Lot 8Z)4®d.
That the undersigned (has) (ice filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
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: Q7 )7
�Q
a ure)
(print name)
(signature)
(print name)
COLOR (fa r17
_ TRIM
r9
7
L:
l
AA
I
` M, Bldg. �� 2 2 ��3� /' Q 9d oundation /p , Bath Dinette
�/r(' 4A"n. //
c oU �'asement ! / Floors _ K.
Extension. /� X O �� �`/C� xt. Walls / Wood Interior Finish r / %> . ,,- - LR.
l
Exte soon_ �' ..>( i 7 Zs� . .S� 3/ / ire Place _ . �'J ��/ Heat a it e DR.
Type Roof �� �� Rooms 1st Floor BR.
i Porch Zecreation Room Rooms 2nd Floor FIN. B.
Porch Dormer
Breezeway IPrivewoy
Garage
i
I •Ret+e .
0. B.
i
Total - - . -- ------ -�_--_�
- TOWN OF SOUTHOLD PROPERTY RECORD CARDZ-
OWNER STREET, -2 VILLAGE DIST. SUB. LOT
ACR.
FORMER OWNER N E �,,�`
S W TYPE OF BUILDING
ccgiAl t
i RES. SEAS. ��V L. FAR - COMM. -CB.- -MISC. --Mkt. Value-- -- -- - - -
LAND IMP. TOTAL DATE REMARKS
et / I
Q Imo-/ 'D 3�` 1 Y�yC� "�7nIC�SIa�►-1pe jn
Ab
�a o
Uu -boa /o-o -�'y
AGE BUILDING CONDITION
i NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value /
Acre e je o
Tillable 1
Tillable 2 y
Tillable 3 leg h o 2w-%' - 3 ��
i Woodland LI�� bpi
Swampland FRONTAGE ON &TER
Brushland FRONTAGE ON ROAD ��
House Plot DEPTH
BULKHEAD
.. - - - - -
". � ;. -. �� . . �. . -. - . .
- ,
.'. , - - w-1 ; .. - . 0, ,. I I , ,. —.
, .
I ,5- -
, .
. . . �,-':� � - -1:.. . .: ... ..�:. -� , ., ..
.:._.S'ir•'•>-r.:-•..,•-.wJ%31:.e.:-..n.•.�s¢w�:.a••%.w.-fN•.i+c�Irw.yvJ^^.rc+:,+imw:r•' iis:Y:'1,•.ws..a'-a.wsa+F+re `Y.tiM�l`awudMr.� "4 :- T. r,'.
_, - .. 'ov."...•..!'.+"�;....aagsasa.l.. '.o?'�!.^"'T` ,1�'� %,^r'i"S'w.'w .w,.�.Ms�ri,• +•v:x ;'B1C?t jF
. - i _ '�'.
3 ,
1 , - I - . ' ;
eS.( ft - . . _ R-
\N,
, '� 4 :'
' ~ \ - '�N
if .� - '-
> ` ti a•.
., � -
1 SS _
(�q `
I \
I.
i ti- i , y• i I
uft � -- `/ -. . t
>, w c. t
}''
! . I f I.. " . -,�) " .
I l t0 1 : \
I , _ �. .
j f 4 . .. - e.
t f' (l � , _
I .01
- P .
' �� �.
4 x .f,
- td�i }..+:.ter J .-:' 7,;>- i, ..
7 I J ` I Y, t.
� h :. K 'I I
r :. .I , - . � — F- f ` t
.I - �.:�,,�.%..-. .4 — .� i -
,�` r'.
t. :. _ r
A '. I i. -
-,\ - _
- ! - �'
}:. �' J'���. 'I„_� :G�': '!'- ✓"fJ - fi�!h�ssurvay'ca g1,.tionn(
.• -aw•.. '?-,t—,,. ` SAS `'.
' 1VV j ;' S hon 72u8 of Ihq Newyork t3faf•+
��} C ` f° :r --E•3, ation Law a,-
\1
11
{ ''" �, . G-Ios of this survey map not beadnq•
`C - ,,� - �," e��-'=r/ .L*, [and.sunreyorsfn`cei3sealor
F. - 9 t i" lr- o 1 bossed seal shall not tie cansidarcd .
i1. :fir"'' tvbeavalitltruecopK '
01
•'! 1 c GLaanteostndicatedhareons`tinar^, f
f ��:. ifi, - 'a'T _ - "� ct•kjrtothe person t'ol:wneni the survey. ,+
-j., q'';,a - # � ,- is rrepared�and op h d t�hatf M tho
I q• - �'f ;,a.ccmpany,CIOVOMmetital2p:rcy.� {-;
_ - .i - - ?d,j ., _ - - .=.;n.in i.bdherac;,rand-4. •fi_s;.
_ ` a i t.- '. .t• ,tt,�o, _ nc("r2n i j�_'+ie ...,..
I. 's%, _1. j ."'? -f, ,� r - to ei U ii,id !u�'or?;.vbsa:yuern ..{ ,
t ^•=z, ,:,-fit ,�' - _ 'ei. _ - '" _ - .,%' •�'r,
rp >,` _
A - —I
. }.
j.
.. - 3 t �}.�1�1� ';,�,5. "1i y '` ! is ,S
F j "v:: 1. ! f'. yy..
-f c ti ` 3 "YY lr* Lr " - - 1 t4 .. 1 ,' ,.t,'.' - x
s i t 1p t
F • - 1. J '—11,;,- ,� _ .�.. ..vac's a ,�+�� t A i ` - '.
f _ .t - Y�' ''` ?, '�,t -V, ,: Z. !ar;te^..t 5'7s a .-. - '::�", ``''r.. . ., } '':r"�b '"lA`•
.j —
=l _
. -'
, > ( `./:a i,>l L. 1 L 1) ti .,. t Y bt}: 'Y .fi' ,may
'i. :�' _ t.�r:
'L ')_
,.,: r �;
y � . v
y
w �G•" - 's
•
} r _
41
.F -.yi. Kt f l \' } :x., .1 ",,,t A.�1s. J'^' nY ...-y. x55� .� /],y r ,
4 /F .. y ) v .Y 1.i.'_ ,
'+1 (t 'ia-,,i_.4r 'da: e _,,j' .,: ,.t' , - ors.
:f.Y itz :1 ,r'- �y+y."K'y - ,1:.� f ,Y, ,4...,>. I a sT` R •f _
��' 1 c'F'i ..n.�:. r1. ': 't• ,. S.iti` at ,�'` # ."�l `` ,y7 �f r , =o,
•f - ,�}� J/. ,.�+• 'S - n Z.. 4f a.. !,t' +, . ,'k , , d '; ,f F: _ v l
''3 £ _ i ,.
r - -[tV. ',
r-'. ;_
�r
Y
�:t - ,� ,..
!'' / M,
.,Q' .�:+ ..5. ''4, '�,a '„ ,"i4r'' Y 1.� ,:rj,.'�,e s*f .+.. '•L' k1, r %`'I. T' :.`'r',�''.
r cs. ,r:" ti �,:,.i`= 'r ..y..
3 -T I,
.8,
x
Y�tor, 'i
}'
�' j., #
�c a :.F, 'k
_+�+ j.- .r•'' ,.k
..3 + i`.� a '.M�
f 4 2.: ,,,,:c'
:.7 i, .4�i."P' `lh �tr, r.1 '•1... ..yy •'fit �'�.i J' �.-.
+, -` . r): •L: .✓ '0 ' {{ .`i 4:'1f •�.. •:7' i .iY•Ati� F..-�.. _ 1 ..•.�.; ?�.� .f:, 4 .tt�,.dhi i� :, .t. ,' J•r'- h' r'' a•f' .[k f`i,
.'t+. =split::.Y..�1 -:'1L _ ? /- �i••`�F.
y� f S<t �;. ".2 4y
�•',.rY ':�..,, t,Y Q'C•' :S "t� T ,r.�ly�•�}� K. R:'
t.
c
.d'` - , - 1, �y� ", _;J ,i�t ':; ti..±+,;_ e Vie:'- '••,:st .r ..u,f.'"';ks•'mM'SS'.n:4.uxs,a�r lrt•.,�[Si f, +rev '-?M...+.-2: •.�y,wsr.,_3�ti4rs .,4, f r,. v .a
T^' `4'Y/"s!''rl-f="t'S• ..;^:�^IC nfb-�'^'^":. z,,j'}',7's" '.'�";�p�?LL tl` `� •,-, 'may`'1�""•e:."_'K".e.^t•.r'fY+a+
-•�t' .ti .=r: .t.. ,xA •t.sF .I (• 7,x { a �� .Ya7 "c .'T°. .�`.s„ •;T+, �. S. ,.';.r:a,,,^.,,.yY-it....`3 1 '4tx$iy �, by fl, 'v-y5" F` .c T,,.-c / ..
�1, - ?. i�AS; - .rt.. dk„ _. ,i,,�i'-. u" +:R '�_ i-A*.: .;ti' :,1 .�' :.'e •t,.',-l. iA+ - �ivl •,+Y' s :�.+.
P" :,rt: '+d 5.:.,, :''A-[3 ..ti• Y,'iL���''• /[. -C"• 'U,�,y - 1 .rF:7�, Y •a,: }r J.. '�; �v:,t. , ^'N
`[;- +. •.t. r f`� i'• cam. °F 3 F, 1 �, F=".c:` t•;` k- •ia<#'.r: '.r �V�t, at'::tr�L"• -��...u. J. .,t ,,.': r .�` .,,�+:.. *.., e!. .r �t'• :' •
:j. L yit ,;�, � i. 1; C ;>r- "2 r; ,>i', .-F,, ,�'7i'':S .oY,• `<` I t,t t•..f.C, Y A nry, :,. "a gh .;,,M
9p. 1^ {,r / f 5� �- k ,J , a s :' aT}` Y��t,.c,!Sk-�,y'T, .rx �•i-- t.el,,ia' - tic ..!'"= .•.�P e �.-. X ,W, .ia:S .._.y,^ .:'... _ ....E
4.,- . . ._.Y ..Z 1.,. t,r�� ,ta ?.v. "t, "$'k�i; �.. c.�f.iw, a. F a�.