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Home My WebLink AboutZ-30726FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. CORRECTED PRE EXISTING CERTIFICATE OF OCCUPANCY No 30726 Date JANUARY 27, 2005 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 240 WEST ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 5 Lot 37 Subdivisi 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-30726 dated JANUARY 27. 2005 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* The certificate is issued to CAROL A. MORRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *THIS CORRECTS PRECO Z-9564 DATED 6/22/79 TO INCLUDE ACCESSORY GARAGE. Authorized Sign ure Rev. 1/81 ,s�,ty , 7 �y t19Yy Foran No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JNIV I 2 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following - A. 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. 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 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. Fed 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. I— i 2 _ 2DO15- Y 9 r q New Construction: Old or Pre-existing Building: / \ J (checVo Location of Property: 29 o w r s-1 ie 0 a c( ii " N-1 -1 rf i tAo-- House NoHamlet Street P - Owner or Owners of Property: ( ig ro i A ro o m, S Suffolk County Tax Map No 1000, Section i i () Block Subdivision Filed Map. Permit No. Date of Permit. Applicant: Health Dept. Approval: 0 / A Underwriters Approval: Lot Lot: Planning Board Approval: h) I0.,_ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100- -3 L7 ? di nn 3L7?di r kbl a , mUm's 6 cytvi,t,� �pplic Signature Q_r f' CONSENT TO INSPECTION 04 Qo ( A • Mo rr S , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 2 V 0 W ps4 j! d_ which is shown and designated on the Suffolk County Tax Map as District 1000, Section ) l d , Block _75- Lot _ j. That the undersigned ('-as) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: -bull C1 14 A&rac�� fP1M�54S — Sii� aao ►ytQ✓llP Of V1 (- , t) . b u -f M ct u cl6 d r /1 r —P6 I A-4pe 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated:— (Signature) 1< Pecoe+n mcCr,�o� og- r0✓ C1(+AVVW ��UC,71oP 4+, (Print Name) (Signature) (Print Name) FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... 2 .95.64 ....... Date ............... J•une. 2.2; ........ 19-79 THIS CERTIFIES that the building ................................................ Location of Property . 50Noest. Road•,• • • • • • • • • .... Sire .......... Gwtc•hogue•; •NVa e4rk Hoeet County Tax Map No. 1000 Section .. i• { 0.......Block .... 05 .........Lot .... 0 3.7 .......... Subdivision ..........XXX Filed Map No. ?XXX .... Lot No. .XXX" Requirements for a One Family Dwelling built Drior to conforms substantially to thei11X9i3�X1keR9�R�C�X�XX�CeXX icNWpu p a n c .....Apri 1..23 ,....•> 19 5.7. pursuant to whh KdkNo Yy ..Z45b4••••••••••••• dated ............. J.0 n e..22 , ...... 19 79. , 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 ......... ............. P.RJYATE. DA E. FAM ILY. .DWELLI.NG................................... The certificate is issued to ...Da v 1 d. .0 . • a.nd . An.ga . Ha• . W •1 •ka r • • • • • • • • • • • • • • • . owner, W"Ann tv of the aforesaid building. Suffolk County Department of Health Approval ... Pr;Q-EK t $t i.rtg ........................ UNDERWRITERS CERTIFICATE NO ............ rQ7AXI.$tJ.Rg........................ ..0iG4!2l ... � -7,.:7. .......... Building Inspector Rev 4/79 BUILDING DEPARTMENT TO;•i'N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 240 West Road Cutcho ue, New York number & street Municipality Subdivision --- Nap No. --- Lot(s) --- Name of Owners) David C. & Anna Mae Walker Occupancy R-1 Owner type oven er-tenant Admitted by: Mrs. Walker Accompanied by: Mrs. Walker Key available Suffolk Co. Tax No. 1000- 1 10-05-037 Source of request James E. McGiff, Esq. Date June 19, 1979 DWELLING: Type of construction Wood frame rstories two Foundation cement block Cellar 3/4 Crawl space rest Total rooms, 1st. Fl 5 2nd. Fl 3 3rd. F1 xxx Bathroom(s) 2 Toilet room(s) xxx Porch, type screened in Deck, type xxx Patio, type xxx Breezeway xxx Garage xxx Utility room xxx Type Heat electric- Warm Air_ xxx Hot�iater xxx Fireplace(s) one No. Exits four Airconditioning xxx Domestic hotwater yes Type heater electric Other ACCESSORY STRUCTURES: Two Garage, type const. wood Swimming pool xxx Other bz Storage, type const. xxx Guest, type const. xxx VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: ____Dafe of Insp. June 22, 1974 ri rtic Hnrton Time+ start 10:30 amd 11:00 am FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m sw s to the Building Inspec- tor with the following; for new buildings 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 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 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate surrey 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling , $25.00, Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4 . Vacant Land C.O. $ 20.00 h� / l G g% 5. Updated C.O. $ 50.00 Date .. l a . �? ,.. .......... NewConstruction. , .. , , Old or Pre`` -existing Building ..X....... Vacant Land Locationof Property ...............1 �............................ House No. 44ll Street Ham/et Owneror Owners of Property ... ........................ County Tax Map No. 1000 Section ....1A 0....... Block ....$ ......... Lot ...-3. (......... . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. HealthDept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ .�.Q •. u .................... Construction on above described building and perrnitpleets all app icable odes and regulations. Applicant.....C�.. ............................ Rev. 10-10-78 P '�g kb'• r '{r .��yi '<-a'w'�,.1^ x•"30 ' <•1 Fa 4 F jFC , It 14 r '"+� 1 . ter,. , •twnjl.,',. k ., 4�3 it Q �y jai 01, aw '�, �- JWP-. ��° - �i• l oda to I f 1 i ` I �4 i � Hrs.�Srr � � •. � r _ . It ' < S ,�f •} Teo - /33� — ..- _ _ - S ( � �__} T -a *rwm, s T�e►.-aH�eeo, -To T/f'L�"' G u e a n �cc �oyr�wn� as s.virrey W. �9. N AV i . f: QAw 50�Tl IF L ILS /S ti .i•K ,a to - A' I , .2" N/F OUFFY/TAN N 64'47'10 „E 60 0p In W �N N J UO a C) -p IV/F KINC t rJ 64"47'10" „ 40.00, E `m_ tA 1�: 4 moN •�51 N FRAME CAW, COON 64747 10 W ►S T 100.0 ROAD GUARANTEES INOICAIED HERE ON SHALL R—I ONLY WINE PERSON FOR WHOM nIE SURVEY 15 PREPARED, ANO ON HIS BEHALF' TO Mr nRE COMPANY, GOVERNMENTAL AGENCY,' LENDING• INSATUnON, IF LISto HEREON, AND TO ME ASSIGNEES OF W LENDING INS117+Jn0N, GUARANTEES ARE NOT TRANSFERABLE TO ADD070NAL INsnTt,nONs OR SUBsEOLIENT OWNERS, UNAUTHORIZED AL7L'RAnON OR AMMON TO MIS SURVEY IS A VIDLAnON Or SECnON 7208 OF THE NEW YORK STAT EDUCA RON LAW • COPIES Or TNIS SURVF,Y MAP NOT BEARING 174F. LAND SURWYORS EMBOSSED SEAL SHALL NOT HE CONS+DERED 10 BE A VALID MIX COPY. TM# 1000-110-05-037 C,UARANTEED TO: SEAN MCI(& JOANNE HICKEY BRIDGE ABSTRACT N N/F IOVINO MO 9 -0 90 N/F I,EnDY x 9CD _ Iv s 2 -STORY C) 0 Oryl W RFSIDF-NCE g �. 0.9' + 8 Q�• N U1 l en a snvs O J O ; 64747 10 W ►S T 100.0 ROAD GUARANTEES INOICAIED HERE ON SHALL R—I ONLY WINE PERSON FOR WHOM nIE SURVEY 15 PREPARED, ANO ON HIS BEHALF' TO Mr nRE COMPANY, GOVERNMENTAL AGENCY,' LENDING• INSATUnON, IF LISto HEREON, AND TO ME ASSIGNEES OF W LENDING INS117+Jn0N, GUARANTEES ARE NOT TRANSFERABLE TO ADD070NAL INsnTt,nONs OR SUBsEOLIENT OWNERS, UNAUTHORIZED AL7L'RAnON OR AMMON TO MIS SURVEY IS A VIDLAnON Or SECnON 7208 OF THE NEW YORK STAT EDUCA RON LAW • COPIES Or TNIS SURVF,Y MAP NOT BEARING 174F. LAND SURWYORS EMBOSSED SEAL SHALL NOT HE CONS+DERED 10 BE A VALID MIX COPY. TM# 1000-110-05-037 C,UARANTEED TO: SEAN MCI(& JOANNE HICKEY BRIDGE ABSTRACT N N/F IOVINO MO 9 -0 90 N/F I,EnDY _ Iv 1 ' 1 •�� f C) 0 Oryl ZE rr, �o �r r SURVEYED; 3 JANUARY 2005 SCALEI"= 40' AREA = 22,1338 S,F, OR , 0.524 ACRES SURVEY OF DESCRIBED 'PROPERTY SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: SEAN HICKEY JOANNE HICKEY SURVE"YE0 BY STANLEY J. ISAKSF_N, JR. P.O. LOX 29.4 NEW SI FFOL• K, N'. Y. "1' 56 631-7 4--835 IGEN D-RVEYOR NYS l 'c. No, 49273 04R1377 ■o