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Home My WebLink AboutZ-29105FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29105 Date: 12/05/02 THIS CERTIFIES that the building DWELLING Location of Property 1275 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 109 Block 0007 Lot 006.002 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- 29105 dated DECEMBER 5, 2002 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 TWO CAR GARAGE * The certificate is issued to ELIZABETH MCGRATH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1275 NEW SUFFOLK RD CUTCHOGUE SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): ELIZABETH MCGRATH OCCUPANCY: SINGLE FAMILY ELIZABETH MCGRATH ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 109.-7-6.2 SOURCE OF REQUEST: WICKHAM,WICKHAM & BRESSLER,PC 11/6/ DATE: 12/05/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EKITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: TOTAL ROOKS: IST FLR.: 3 2ND PLR.: 2 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: FRONT WOOD COVERED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: KEYSPAN GAS AIRCONDITIONING: TYPE BEAT: GAS WARM AIR: XX HOTYATER: OTHER: PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: SP #28092Z-COZ-29103 (HEATING SYSTEM) INSPECTED BY: 40 ly,DATE ON INSPECTION: 1112010 GARY S. 1K TIME START: 10:20 AM END: 11:05 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 completed site plan requirements. B. 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, ataiI119?n! unusual natural or topographic features, 2. A properly completed application and a consent to inspect ii fed by the appli If a Certificate of Occupancy is denied, the Building Insp ' r shsll- 2tafe't reasons therefor in writing to the applicant. BLDG. D)<PT. C. Fees TOW SOUTHOtp 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0 , 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 - .25V, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,November.6: 2001 ........................ New Construction........... Old Or Pre-existing Building..X for two storX frame dwelling and Location of Property.. 1275 New Suffolk.Ropo�..... detached frame garage Cutchogue,,, House No. Street Hamlet Onwer or Owners of Property. Eli.........o.... . ... , County Tax Map No 1000, Section -109;00,,.... B1ock..07.gq......... Lot. P./.q 006,;OO ......... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Fee Submitted: $,100:00 9.e,. 6dj 2,� 6AQ--co Z a II 0s Final Ce ticate.. X....... 41002 ANT Wickham, Ag .....t.......... en CONSENT TO INSPECTION WALTER TERESKO , the undersigned, do(es) hereby Owner(s) Name(s) state That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1275 New Suffolk Road, Cutchogue, New York 11935 which is shown and designated on the Suffolk County tax map as District 1000, Section 109.00 , Block 07.00 , Lot pyo 006.000 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: a Pre -Existing Use Certificate of Occupancy for two story frame dwelling and detached frame 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 inspec- tions 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 such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: November & , 2001 Abigail A. Wickham, Agent Print name Signature int name H SURVEY OF PROPERTY SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD x/RjcBnucx 15p.00' SUFFOLK COUNTY, NEW YORK rrxxE L S.C. TAX No. 1000-109-07—P/0 06 rn SCALE 1"=20' MAY 16, 2001 AREA = 15,000.00 sq. ft. 0.344 ac. CERTIFIED TO: WALTER TERESKO INIATHORRED ALTRATOII OR AOpNON TO TIM SUMP 5 A NOIR OF SECTION 7208 OF TIE NEW Y STATE EDMAT t . COFES OF T SUMP WP NW BEARM TE LAND SUMYOR's NI® SEAL OR EmDmsED SEAL sI W1 NM BE WMSIpFRFD TO BE A YAW r COPY. C y TO qNS EIDILVEF NEAEM THLLL RUN OILY TO INE PERSON FOR NTIOM THE SIMMY 5 PREPARED, Amo ON H6 BEHNF ro TE IIT.E NIIPANY, WYEUSTED Hl AGENCY ANO FEln+N: WSITUI1011 ASHD HEREON, ANO TO TIE A55EEFf5 OF THE INOT NST- nnaN. carlXxaTiols ARE NOT muISFERADIE THE EXISTENCE OF RN:HTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Joseph A. Ingegno Land Surveyor Ttk Soneys - SubdiNsions - Site Pans - ConstmcDon L%a PHONE 16311777-9090 Fnv 16311727-1727 LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: KEY AVAILABLE 75 � ,� f ,number'& street municipality MAP NO, LOT (s) E CfZA-10�-Qi-1 type owner -tenant P ' SOURCE OF REQUEST: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. DATE: DWELLING: A -j TYPE OF CONSTRUCTION lite # STORIE # EXITS FOUNDATION l l pUC CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. ,3 2ND FLR. 3RD FLR. 13 BATHROOM (s) o TOILET ROOM (s) 07tk_ UTILITY ROOM PORCH TYPEW��& DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE zt$�/,� GARAGE DOMESTIC HOTWATER YC TYPE HEATER AIRCONDITIONING TYPE HEAT WARH AIR ,�� HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.TORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: REMARKS: INSPECTED BY: 4 --DATE ON INSPECTION) per. TIME START �'� END