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Home My WebLink AboutZ-19467FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19467 Date OCTOBER 22, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 25675 MAIN ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19467 dated OCTOBER 22, 1990 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 ATTACHED ONE CAR GARAGE. * The certificate is issued to DOROTHY K. VERDERSE (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. -/T�uilding Inspector Rev. 1/81 BUILDI:,IG DEPART".1E iT T0;11\1 OF SOUTHOLD, N. Y. HOUSIi;G CODE INSPECTION REPORT Location 25675 MAIN ROAD CUTCHOGUE, NEW YORK (numoer & street) Nunicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) DOROTHY VERDERSE Occupancy A-1 OWNER (type) owner-zenanz Admitted by: DOROTHY VERDERSE Accompanied by: DOROTHY VERDERSE Key available Suffolk Co. Tax No. 109-2-7 Source of request DWELLI.IG : DOROTHY VERDERSE Date 9/6/90 Type of construction WOOD FRAME #stories ONE Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 9 2nd. F1 3 3rd. F1 - - Bathroom(s) 2 Toilet room(s) 3 Porch, type REAR SCREEN Deck, type - - Patio, typeCEMENT Breezeway YES Garage ONE CAR Utility room Type Heat OIL 'alarm Air % Hotwater Fireplace(s) NONE No. E:cits 4 Airconditioning YES Domestic hotwater ELECTRIC Type heater RHEEM Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other NONE Storage, type const. Guest, type const., VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: BP /19423-Z CO Z-19466 FOR ALTERATION TO 2ND FLOOR. Inspected by• Date of Insp.sept. 14, 1990 Garyish Time start 9:30 end 10:00 0 Form No. 6 \`\ TOWN OF SOUTHOLD i aMI BUILDING DEPARTMENT TOWN HALL l J 765-1802 ` SEP 6 1990 APPLICATION FOR -CERTIFICATE OF OCCU ANCY eL�G•a='T TAIA/6I nc cni iruni n 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, streetso 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 2110 of 1Z 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 consen c 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. 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. UNuated Cercificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 - Sep -timber 6, 1990 Date ........a ..................0..........000 w Construction........... Old Or Pre-existing Building..X ............. ration of Property...,....25675 Main Road, Cutchogue , ................................................................. House No. Street Hamlet ,er or Owners of Property....... 0 D00 orthy K. ' Verderese 0o000 ......... . ... .. 0000. . .. ... .. . .. ....... . ........ ... . my Tax Map No 1000, Section... 102.......Block. ?..... W .... Lot. .0 7 .............. division ....... N�A .........................Filed Map ............ Lot ....... ......:........ 'Bit NO.................Date Of Permit ....... .........Applicant.......0.......... ....... 01.0 lth Dept. Approval..........................Underwriters Approval" ......................... ining Board Approval ........................ :est for: •Temporary Certificate........... Final Certicate........... Submitted: $..100-00 ........�........... "•• Verderese James A. SchXg�'�r Attorney for D. CONSENT TO INSPECTION Owner(s)t Na4ne(s do(es) hereby state: the undersigned, That the undersigned (is) (-erre) the owner(s) of the premises in the Town of Southold located at %S which is shown and designated on the Suffolk County tax map s District 1000, Section, Block 02, Lot _fY07 6 OF That the undersigned (has) (ire) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: O That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ADated: � �OC/.► � �I U� (signature) (print name) ignature (print name) M1M1 �r 00' 4 T "�.: 6+i1 nit �a rr-.. .� • ... �, r. .. (.{� r NOW , -+". -a �f:,^ ,ya�.. r. . 14 .. 'in'9, # .. .'; �_• jv.., --. _,. �,� , - •• '. /� -:. _ '�. - �•w': - �.i,.r , ._c- :.4�. .T ... ::: a _. .:. „o - - iH'• f.yTh ';:: y. vr. t_ "�• +r.. ..� g.-:._ b : . :.3x'; x$ _ �..r. _.. - \ - .A �-\�+.�.. ^. x.'%-- . r rec r � ,.... .:..... st ..-,� .. ... °^FT+;...: { =-s^t:.: ... 'V..w ..� •;•; «;. },� M1 ,ar' �X _< .!'�'*�Cr,� Apap •: :.I _ ... ._.'.s -_:o - F.. i.. c. Zx, -�.. a "..{ r c<- n. '�- ti y...§'F- : zl na��'^P/ '"%� : "�'w -.� .' �?` I _ r .. �"-+e .-_z. m:�:`�- ..,.:. .: a -.. '. x �. .< ..,.�y_ y,il�' ",.�r-•-s- .. - �"` k � r �t ,: :•x •ar'•,-i-'.-rrt-_n-. i`+ -C -" t '_`^s ... _ ...: x.. ;r. , w.., w. a aC s;._. ,...yay.:' i ri✓6r ,: "i9: 4�P`_ T'�r' �k� _ S'„ y.i. .. aa. �4.:.. _,- � - .�-r .''+nr_�X�V•, i '. R�. L S I;.v�+S� M1k F ..�..t ... i ,..1:�i'y) ' . 3 -.:.. J ... xT „., sq ,: Y _ �+ A t i' �• a �.. r Y a+ _ a , t _ 4 \a c► MAP OF PROPERTY ^, SURVEYED FOR DR. U)u is T. . V E� D R s R SITUATE AT T. CUTCHOGUE ? U Z SUFFOLK CO:,N.Y. W iN --- ' N p Cj ; Menvrrien7Gsouvr� >0��8 L � as 1 gf.ALrr a SO• L4R V GUARANTEED TO Q HOME TITLE GUARANTY f Com;; AMD 'f0 NORTH FORK BANK TRUST COMPANY AS SURVEYED, JANUARY 13. 1960 OTTO W VAN TUYLt SON r I - STORY n Fft- $404 09 F10use L icemsffo SURVEYORS G"EhiPolm N.Y w , 1� 6WAUTI DRIEW ALTMWON Oa 4901144114( 46416 #ASA. 'z' C. ER m TO THIS SMEY 5 A nDaATIM o RECTION 7209 OF THE FEW YORK STAR .&69*. 'WW. i76.90 EDUCATION LAW. S COPIES OF THIS SURVEY MAP NOT REARINQ THE LAND SURVEYOR'S INXzD SEAL OR E�,. /E p- EMBOSSED SEAL SHALL NOT GE CONSIDERED - TY Ii^►IN. ROAR1.,. TO RE A VALID TRUE CPY. rWF - GUARANTEES INDICATED HEREON SHALL RUN 1 ONLY TO THE P:;,SON FOR WHOM. DH SURVEY. IS PREPARED, AND ON HIS AZAA1F TO 464 TITLE COMPANY, C.GVUUW.!WAl A44XICY AND - tDOING s67iTu1LJN tnt. F Nlst'Oio, AMD 10 101 A55KRZES OF TIRE MNPIIWVSOW / taKrcERI. GWAAMMIRS ARE kFD9 9aRKg1OLIlE Ao a mouucals SDR aRROEErRMI m4F1*4nee BUIIDI:•: ; T0;1i1 Or SGUT.'--:OLD, i1. Y. G S_HOUSIi?CTIGi R,??GRT Locaiicn �r.L;., oer cx s tree z ) Subdivision I of Owner(s) 1•iun IMap No. 0,_(s) s Occupancy A -( ` P ewn(oer- z.nar�)ndm.'ted by' �+�eA_ -Ac�s�cmp�ni�d by Key available Suffolk Co. Tax No. Source of request o Date D?L LTaTG Type of construc tion k/, Foundation _ ,stories Cei lar_iE:LA�Crawl space Total rooms, 1st. Fl 2nd. Fl 3 3rd. F1 Bathrooms) l-12 Toilet rooms) 3 Porch, type BreezewayDeck, type "I— Patio,, type Breezeway Garage¢, cati. aUtility room TypeHeat War *n Air Fireplace(s) �_. Hotwater No . ax isAirconditioni ng Domestic ho treater fS Type heater 11 Other _ ACCESSORY STRUCTURES. /vlv_� Garage, type const. Storage, type const. Switmuming pool Other Guest, type const. T. _ L Lv2 u.=! � CHAPTER 45--N.Y. STATE UNTrnRAr rTVr. n.............�___ Re—marks: Inspected by: Date of Time start 9Iljj end