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Home My WebLink AboutZ-23378FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING CERTIFICATE OF OCuu~ANCY No Z--23378 Date NOVEMBER 30, 1994 THIS CERTIFIES that the buildin~ DWELLINGS Location of Property. 3820 SOu'£~ HAP~OR ROAD SOu'r~OLD, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 86 Block 3 Lot 1 Subdivision 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-23378 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 TWO ONE FAMILY DW~T~.INGS & ACCESSORY STRUu-rORES * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION REPORT. Rev. 1/81 MIC~{AEL WORTIS & N/A N/A N/A / uil lng Insp.ctor BUILDING OEPARTHENT TOWN OF SOUTIIOLU IIOUSING CODE INSPECTION REPORT L~CA~gON: 3820 SOUTH HARBOR ROAD (number & street) SUBDIVISION f~P NO. NAHE OF OWNER (s) MICHAEL & RUTH WORTIS SOUTHOLD~ I~YOI~ (munlc~patity) LOT(s) OCCUPANCY A-I R~S. OWNER (type) (owner-tenant~ ADMI'I-I'~D BY: FRANg ARNOLD ACCOHPANIE~ BY: SA~i KEY AVAILABLE SUFF.CO. TAX HAP NO. SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: OCT. 26, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION POST TOTAL ROOMS: ]ST FLR. BATHROOM (s) ONE WOOD FRAH~ CELLAR 5 2ND FLR. TOILET ROOH (s) PORCH TYPE WRAP AROUND SCREEN BREEZEWAY ' FIREPLACE DOMESTIC HOTWATER YES TYPE HEATER lIFE HEAT NONE WARHAIR OTHER: BECK, TYPE ELECTRIC # STORIES ONE CRAWL SPACE 3RD FLR. WrlLITY ROOM · ' · PATIO GARAGE A!RCONDITIONING HOT~ATER WORKSHOP & ATTACHED ONE GARA(~ (CEI~NT BLOCK) EXITS ONE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STOP, AGE, TYPE CONST. SWIIMMING POOL , GUEST, TYPE CONST. O'l'ltl~R: ACCESSORY BOAT HOUSE STRUCTuid~ ON LOCUST POSTS. VIOLATIONS: CHAPTER 45 N.Y. STATH UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE OF INSPECTION TIHE START 10:30 OCTOBER 31, 1994 END 12:30 LOCATION: BUILDING DEPARTMENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 3820 SO~I'H ~RBOR ROAD SOUTHOLD, I~W YORK (number & street) SUBDIVISION NAME OF ONNKR (s) MICHAEL & gu~a WORTIS }tAP NO. (municipality LOT (s) OCCUPANCY A- i RES. OWNER (type) (owner-tenant) AI)MI-I-I-~U BY:. FRARK ARNOLD ACCOMPANIED BY: SAI~ KEY AVAILABLE SUFF. CO. TAX ~ NO. 1000-86-3-1 sOuRcE OF REQUEST: CHARLES CUDDY, ATTY DATE: OCT. 26, 1994 DWELLING: "CARETAKERS COTTAGE" TIFE OF CONSTRUCTION WOOD FRAME ~ STORIES I-I/2 # EXITS 2 FOUNDATION 'BRICK CELLAR PARTIAL CRAWL SPACE TOTAL ROONS: IST FLR. 6 2ND FLR. 2 3RD FLR. BATHROOM (~s) ONE TOILET ROOM (s) UTILITY ROON PORCH l~g DECK, TYPE PATIO, BREEZEWAY FIP, EPLAGE GARAGE . OOHESTIC HOT~ATER TIFE HEAT OIL OTmlR: SOLAR TIME HEATEi~LE~.~alC~ ~'" BACK UP AIRCONDITIONING WARM AIR XX HOTWATER ACcEssoRY GARAGE, TYFE OF CONST. S~II~ING POOL OTIiI~R: I CARWOOD FRAI~ STORAGE, TI~E CONST. · GUEST, TYPE CONST. VIOLATIONS: C~APTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #22493-Z CO Z-23377 FOR "CHICKI~N COOP" REPAIRS INSPECTED BY: DATE ON INSPECTION OCTOBER 31, 1994 TIME START 10:30 END 12:30 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT '~? '?~-i~ 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: 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: i. 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-existin~ Buildinm - $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 Date October ~ .1.9,9.4. ......... New Construction .......... . Old Or Pre-existing Building.~ ............. .. South Harbor Road S.o..u.th. ql.d Location of Property...~ .............................................. . .. . . .. .. House No. Street Hamlet Michael Wortis, Ruth Emerson Wortis, Nicholas Pott Onwer or Owners of Property ....... County Tax Map No 1000, Sectioa.. ..... Biock.. p.3...0. O ........ not.. 0.t-.Q00 ............. Subdivision .................................. .. Filed Map ............ Lot ............. . . .... .. . P rmit N Date Of Permit 'pp~i Charles R. Cuddy e o................ .. ............ .. ~ i cant..... ..... ................... Health Dept. Approval .................. . .......Underwriters Approval .................. .. ..... Planning Board Approval......... ........... . . .. Request for: Temporary Certificate ........... Final Certicate..f ........ Fee Submitted: $ ............................. /,~_~ ,9 ~ ,,, ~3 ,~-~ - ('~'-' APPLICAN~Charle~/ R. Cuddy STATE OF NEW YORK) ) COUNTY OF SUFFOLK) AFFIDAVIT SS.: CHARLES R. CUDDY, being duly sworn, deposes and says: I am the attorney for Michael Wortis, Ruth Emerson Wortis, and Nicholas Pott, who own certain premises at 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 01.000. The subject premises includes a residence, garage and cottage which have existed at the site for many years and were, in fact, constructed prior to 1957. Annexed hereto is a copy of a survey showing the subject parcel, as well as adjoining parcels. Also annexed is the Application for a Certificate of Occupancy (Pre-Existing Use Certificate) together with the required fee. The records for the subject parcel reflect ownership in the present owners' family prior to 1930 and I am advised that the buildings located at the premises were constructed at that time. I make this affidavit in order to obtain Certificates of Occupancy on Pre-existing Building for the buildings at this parcel (Tax Map No. 1000-086.00-03.00-01.000). 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. (Charles R. Cud~ Sworn to before me this RT~ day of October, 1994 UNDA J. COOPER NotaW ~bll¢, S~ ~ New Yod; No. 4822563, Suffolk County ~ ~ Expir~ December 31, 19