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HomeMy WebLinkAboutZ-25351FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25351 Date NOVEMBER 10, 1997 THIS CERTIFIES that the building. Location of Property 10725 NEW SUFFOLK AVE. House No. Street County Tax Map NO. 1000 Section 116 Block 1 Subdivision Filed Map No. ONE FAMILY DWELLING CUTCHOGUE, N · Y. Hamlet Lot 5 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-25351 dated NOVEMBER 10, 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 GUEST COTTAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pLEASE SEE ATTACHED INSPECTION REPORT. HADLEy & WHEATLEY WILLIAMS N/A N/A N/A ///ilding~ Inspect°r Rev. 1/81 LOCAT I ON: BIJ 11.1)1NG I)1'~ I)A E'I'NE NT TOWN OF SOUTHOLI) · HoBs !NG CODIt- l NSPIt. CT [ON EEI'ORT 10725 New Suffolk Ave. Cutchogue, ~'number & street~ SUBDIVISION NANE OF OWNER (s) HADLEY B. WILLIANS (municipal icy) HAP NO. LOT(s) OCCUPANCY S INOLE FAIIILY (type) ~owner-tenant) ADHITTEI) EY: BARNETT GOLDING ACCOHPANIIrAI RY: KEY AVAILABLE SBPF.CO. TAX NAP NO. 100~116-1-5 SOURCE OF REQUEST: PAUL A. CANINITI, ATTY DATE: OCT. 1997 DWELLING: TYPE OF CONSTIIUCTION FOUNDATION TOTAl. EOOHS: BATIIEOON (~) 2 PORCII TYPE FRONT & REAR BEEEZEWAY DOHEST] C RO'FWATER XX TYPE IIEAT OIL OTIIER: WOOD CONSTRUCTION ~ STORIES CF2~ENT BLOCK CEI.I.AR PARTIAL CRAWl. SPACE ]ST FLR. 6 2ND FI.R. 2 3RI) PI.Il. TOILET IIOOH (s) I I UTILITY ROOH BECK, TYPE PATIO F[REPI.ACE ONE GARAGE TYPE IIEATER ELECTRIC & SOLAR ~AIIN AIR XX RKARHIID ROOH- BILCO CELLAR ENTRANCE 1-1/21 EXITS 3 PARTIAL AIRCONDITIONING IIOTi4ATER ACCESSORY STRUCTUllES: GAEAGE, TYPE OF CONS'F. $14114HI NG POOI. O'FIIER: STORAGE, TYPE CONST. · GIIEST, TYPE CONST. WOOD VI'OI,A'FIONS: CI1APTEII /~5 N.Y. STATE IINIFOIIN FlEE PllEVENTION & BIIII.O1NG COI}Lt I.OCATION DESCRIPTION ART. SEC. EEHARKS: BP ff5902Z-COZ-5865 (ADD) BP ~6004-Z-COZ-58z45 (ACCY), BP ~7409-Z-COZ-S067 INSPECTI'.'I} BY\ ' ' ._~J~, O~S~~b_____ I)ATE OF 'INSPECTION NO--ER 6. '997 TIME START ll:O0 ~ END 11:30 ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY :1 BLDG. DEPT.' ": '~)WN OF $OUTHOLD J 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 cdmpleted site plan requirements. ~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ ~,_~re-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 $25.00, Accessory building $25.00, Additions to accessory, building $25.00. Businesses $50.00. ~2. Certificate of Occupancy on Pre-~xistinR Buildinm - $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 10-24-97 Date ......................................... x New Construction ........... Old Or Pre-existing Building ....... · ......... Location of Property ................. ~. ~9~ .~Y~q~..q~9~9~.'..~...~ ~ P~.~ ........ House No. Street Hamlet Onwer or Owners of Property..HAD. L..~X ................. County Tax Map No 1000, Section...1.!6. ........ Block ..... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... ,Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary/Certificate ........... Final Certic//~// Fee Submitted' $ '/~' /z / ~~--/~ f% ~ ~ ~ , ..... ........ CONSENT TO INSPECTI~)N PAUL A. CAMINITI, FOR HADLEy WILLIAMS Owner(s) Name(s) do(es) hereby state: · the undersigned· That the undersigned (is) (are) tile owner(s) of the premises in the Town of Southold located at New Suffolk Avenue, Cutchogue , which is shown and designated on the Suffolk County tax map as District 1000, Section 116 · Block 1 , Lot That the undersigned (has) (lmve) filed, ~or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-existin9 certificate pf occupancy for single family dwellinq w/ separate cottage, 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 CONTACT TENANT FOR ACCESS BARNETT G'OLDING 734-7832 such inspections may be used as evidence in subsequent prosecutions for rio- 7 lations of the laws, ordinances, rules or ons ~Ah~ ~ regulations of ~, 6uthold. /// Dated: l 0-23-97 · ~- ' AUL A. CAMINITI (print name) (signature) (print name) N FOUND GUARANTEED TO SET N/F BAXT~/~ AREA = 3.039 ACRES 0t? 132,3~9.32 S.F. $$ J, N 87' sALT ivlEADOW .UTILITY/ POLE/' S84' 19'W ~ N $4° 19' E 454' 4 ' 80. 54 SUFFOLK r434.80' 434.80' SURVEY OF DESCRIBED PROPERTY SI TUA TE CUTCHOOU£, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. sALT MEADOW AREA = 3.549 ACRES 154,609.02' S.F. AVE. SURVEYED FOR HADLEY WILLIAMS SURVEYED BY STANLEY J. /SAKSEN, JR P.O, BOX 294 NEW SUFFOLK NY 11955 518 73-58