HomeMy WebLinkAboutZ-20942FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20942 Date AUGUST 17~ 1992
THIS CERTIFIES that the building
Location of Property 1450 SOUTH HARBOR LANE
House No. Street
County Tax Map No. 1000 Section 75 Block 7
Subdivision Filed Map No.
ONE FAMILY DW~TmING
SOUTHOLD ¢ N. Y.
Hamlet
Lot 1.4
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-20942 dated AUGUST 17~ 1992
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 ACCESSORYGARAGE & STORAGE BARN *
The certificate is issued to ESTATE OF GEORGE J. W~LLS (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.
*THIS DWELLING IS NON-HABITABLE UNTIL MAJOR REPAIRS ARE COMPLETE
Bu~din~ Inspector
Rev. 1/81
Location
Subdivision
HOUZIi:G CODE IUSPECTIOi'I RE?C'RT
1450 SOUTN UARBOR LANE CUTCNOGUE, N.Y.
~ Nap No. Lot(z)
Name of Owner(-,)__ ESTATE OF GEORGE I4BLLS
Occupancy . I FAMILY_
(type)
A~mitted by:_ MARION KING
( own er- cenanz )
Accomp~nied by: SAME
Key ~vai!able
Suffolk Co. T~ No. 75-7-1.4
Source of request
D~,~T ~T~ ·
,Type of construction__ FRAME
Foundation BEIC~, SO~BLOCK
Total rooms, 1st. F1 5
Bathroom(s) 2
Porch, type 2 OPEN ROOFED. Deck, type
Breezeway_ Gara~e
Type Heat_ 'Warm Air
Fireplace(s)_ 2 .~o. ~¢its
Domestic hotwater xx
Other, _
NORSTAR TRUST CO. ~:X]gCUTOR OF EST. Date_ J~NE_ 22, 1992
~stories
Cellar 10Z Crawl space
2nd. F1 5 5rd. Fl,, .
Toilet room(s)
Patio,
Utility room__
Hotwater
3 Airconditioning
Type heater L.P.
2
90~
ACCESSORY STRUCTU-RES:
Garage, type coast. 2 FP~%~ _Storage, type coast.(EARNy FRAME
Swim, ming pool ., ~uest, type coast.
Other ACCESSORY STRUCTURES AREINNEED OF SO~REPAIR
V__iOLATIONS:
L~cation
INTER%OR
' IN'm'~ RTOR
'EXTERIOR
.CIIAPTER 45--N.Y. STATE UNIFOIDI FII~{ pREVENTION & BUILDING CODE
Description _ ) Sec.
CHIHI~YS, FLUES, FIREPLACES GAS VENTS TO BE
NATNTAI.NED SAFE. AND .~,~Ok'~TIGET .
~I~ I~ESTATION
PRO~CT STRUC~ ~ER
E~CTRIC~ SYS~ ~ BE ~I~AI~B IN S~E
I
L
_1 t, 42.
I 1242.7
WORKING CONDITION
PLIJ~4BING TO BE MAINTAINED IX A SAFE SANIT~qY
co mo .
1243.8
1243.7
1244. I (~)
I
'i
Remarks: ?IS DI4ELLING IS NON-~La_BITA~. UNTIL MAJOR REPAIRS ~ C~.
Inspected b~~ ~' Date o~ I~sp. AU~ST 4, 1992
~O~S j.~IS~ ' .... -Time start 9:00 end 9:30
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN ItALL
765-1802
JUL '
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.\.
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.
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.
i. 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 - $I0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occopancy - Residential $15.00, Commercial $15.00
Date ....... ~PY.~.~FF...t.~P~ .................
::ew Construction ........... Old Or Pre-existing Building..~ .............
Location of Property..~q~l.l, ~o. ~tJ~ ~IArbp$. Ro~t~I~. Mp~4ap~ .......
House No. Street Hamlet
NORSTAR TRUST COffilaANY AS IlX~Cu'~R OF
Oswer or Owners of Property .... ~1~. ~TAT~.OF.GIIO~G~.J,.I~J~$,.~S~ .......................
County Tax Map No 1000, Section .... 075 ...... Block ..... ? ....... Lot. 1.OO4
Subdivision .................................... Filed Mnp.~O028 ...... Lot...2 ..................
Permit No ................ Date Of Permit ................ Applicant .............................
!lealth Dept. Approval ........... ' ............... Underwriters Approval .........................
i'lanning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate .... X. .......
[~ee Submitted: .o.f x OF
..................... lgFA/~ OF G~DRG]~/~ ~j, clecoase(1
CONSENT
TO
INSPECTION
NORSTA~ THUST C~PANY AS EX~Cu'kOR OF '&'~ ESTATE OF
G~ORGE J. W~.T.$, deceased
, th~. undersigned,
Oxvnerfs) Name(s)
do(es) hereby state:
That the undersigned (is) (xinu) the owner(~) of the premises in thc Town
of Southold located at HOWELL FAI~, South Harbor R~d, Southold
which ~s shox~ and des~n,ated on the Suffolk
County t~x map as District 1000, Section 0TS Block 7 Lot 1.004 .
'That ~he undersigned (has) (have) filed, or caused to be flied, mn ~pplicm-
tion in ~he Southold Tox~ Buildin~ Inspector's Office for ~he follow~: __
pre-~isting ~ sto~ d~llin~, 2 garages ~d ~
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, includin~
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to tho aforesaid applicz~tion, 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 ~spections, do(es) so x~th the
knowledge and understandin~ that any ~formation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or repletions of the Town of Southold.
Dated: ~ ' ~ - ~ NOaST~ ~UST C~ AS ~COTOa
(si~natuue)
(print name)
N.q7 1700 ~-,
4o!,9o .
9O
5U I~0ZENSV..I
5OLiTHOLD '~
456,-/5
2O
kl 80~21' I0" F_.
400. O
2-02,552 ~.
CALF-.[00"
T!~E: V/ATEfC SYJ P ~t_Y Al'IL. $ E WAG E PI L, POC-~AL
FACILITIE~ F01¢ ALL LO rD Obi ri-liS
VJITI--I tHE -%TANOAI~p¢ AN L) F~E(~J114
PlZO FES~I~N~L
402,9
533'43' DJ' ',',/
THI~ HAP I~ LES~, THAN ~;:)~OQ<)
AND THAT i1415 I~/~o WA~ N~IADE ~y L,1S IriS. OM
SLI~V~YS CO~qpgF red API~28+Ig~9~AND TNAT COI~CI~I'E
LAPPg
17OPi~l~lC~_ VAN I'UYL, RC.
APPi~O ¥ i P ,~
THOLI) TOWhJ PCANNI ~G BOAI2D
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