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