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Home My WebLink AboutZ-23380FOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PP~ EXISTING CERTIFICATE OF OCCUPANCY No Z-23380 Date NOVEMBER 30, 1994 THIS CERTIFIES that the buildin~ Location of Property 1905 PRIVATE ROAD ~11 House No. Street County Tax Map No. 1000 Section 86 Block 3 Subdivision Filed Map No. ONE FAMILY DWELLING HOUTHOLD, N.Y. Hamlet Lot 2 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-23380 dated NOVEMBER 30, 1994 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 DW~-ING WITH ACCESSORY STRU~i'URES * The certificate is issued to B'£~L E. WORTIS (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 ATTA~ INSPECTION REPORT. fi/Building Inspector Rev. 1/81 LOCATION: 1905 PRIVATE ROAD ~11 (number & street) SUBDIVISION NAME OF 01~IER (s) ET~L E. WORTIS BUILDING DEPARTMENT TOWN OF SOUTUOLU HOUSING CODE INSPECTION REPORT SOUTHOLD, NEW YORK (municipality) HAP NO. LOT(s) OCCUPANCY A-{ RES. O~ER (type) (owner-tenan£~ ADHI'I-I'~D BY: FEANK ARNOLD ACCOHFANIE~ BY: SA[~ KEY AVAILABLE SUFFoCO. TAX ~ NO. lOu~-~b-3-2 SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: OCT. 26, 1994 DI~ELLING: '2~AIN BOU~" TYPE OF CONSTRUCTION BRICK FOUNDATION CEHENT CELLAR TOTAL ROOMS: ]ST FLR. 6 2ND FLR. FULL 8 3gU FLR. { STORIES 2-1/2# EXITS CRA{~L SPACE 1/2 STORY 3 ROOMS BATHROOM (s) 6 PORCH TYPE COVERED BREEZEWAY DOHESTIC UOTHATER TYPE HEAT OIL OTHER: TOILET ROOM (s) ONE UTILITY ROOM BECK, TYPE PATIO FIREPLACE 9 GAP, AGE TYPE HEATER SOLAR w/ELECTRIC AIRCONDITIONING WAP~4AIR -"BACKUP ROT~ATER STEA[4~ITH SOME ELECTHIC SUNROOf, SHALL 2ND KITCHEN, TRELLIS BASEBOARD ACCESSORY STRUCTURES: GABAGE, TYPE OF CONST. 2 CAR STORAGE, TYPE CONST. 2 STORY BARN WITH S~IPR4ING POOL , GUEST, TYPE CONST. ATTACHED OTHER: CO~RED DECK SCREgHED IN BP {6786, GAZEBO CABANA, BOAT flOU~z, ~HAI.U ~EC~, VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #6786Z-C0 Z-6327 INSPECTED BY j DATE OF INSPECTION OCTOBER 31, 1994 TINE START 10:30 END ]2:30 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: i. Final survey of property with accurate location of ail 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. C. Fees 1. Certificate of Occupancy - New dwellin§ $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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building..g ........ Location of Property..l~j...~A~.~. .~b~f~Q~rf~.~ ...... ~ ~haLd .............. House No. Street Hamlet £the] Nortis Onwer or Owners of Property .................................................................. Cou, ty 1OOO, Sectio,..gP gg ..... ioek.gP= g ......... Lot.g qg .............. Subdivision Filed Map Lot .............. Appli ~71~ R. cudd~ ~q. Permit No ................ Date Of Permit ................ cant ............ ~ ...... Health Dept. Approval .............. .. ......... . Underwriters Approval ........................ . Planning Board Approval . . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. :- ~ /', ~ .,<~ .~ ~ ,., t~,~c. ~ ~8 ~' ......... ~.:/.:.. ~: ........... ~ (4)-~J-d3~O APPLICANT Charl e.~/ R. Cuddy STATE OF NEW YORK) ) COUNTY OF SUFFOLK) SS.: AFFIDAVIT premises CHARLES R. CUDD¥, being duly sworn, deposes and says: I am the attorney for Ethel Wortis, who owns certain off South Harbor Road, southold, New York, known and described on the Suffolk County Tax Map as District 1000, Section 086.00, Block 03.00, Lot 02.000. This premises contains a private residence for which a Certificate of Occupancy issued on February 10, 1975 (No. Z6327); there is also a garage, two barns and sheds at this site which have been in existence for more than 50 years, owners of this and the adjoining parcel. Annexed hereto is a copy of a as indicated to me by survey of the subject premises and an application for a Certificate of Occupancy (Pre- Existing Use Certificate), together with the required fee. As the attorney for the owner, permission is hereby given for the building inspector to inspect the site and request is made for the issuance of a Pre-Existing Use Certificate. Sworn to before me this ~7~j~ day of October, 1994 (Charles R. Cuddy~ Ni01~ jOHN pF. Al~50N pi~ARsON & IIp'NO'/ i~. ~' '~' ,~o' ~' 'R . ~'/~' il. 55" 22' 30" ~' ? CERTIFIED TO: ' BRADLEY M, ANDERSON FRANCESCA G. ANDERSON COMMON'tEAL TH LAND TITLE INSURANCE COMPANY GENERAL ABSTRACT CORP. BOSTON SAFE DEROSIT AND TRUST CO. SCT/C~ INC. SURVEY OF PART O P E R T Y SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 1000 - 86 - 03 - 1,2,31,3.3& 3.4 1000 - 86 - 06 - 27 & 28.1 Scale: 1" =100' Oct. 15,1994 Oct. 25, 1994 (revisions) (516) 765 - 5020 P. 0. BOX 909 MAIN ROAD SOUTHOLD, N. Y. :S. LIC, NO. 49618 11971 - , 87-800