HomeMy WebLinkAboutZ-29513FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29513
Date: 06/12/03
THIS CERTIFIES that the
building
DWELLING
Location of Property
510 LOCUST
AVE
SOUTHOLD
(HOUSE
NO.)
(STREET)
(HAMLET)
County Tax Map No. 473889
Section 062
Block 0003
Lot 030.001
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- 29513 dated JUNE 12, 2003
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 *
The certificate is issued to ROBERT REILLY, JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
ori d Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 510 LOCUST AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): ROBERT REILLY, JR.
OCCUPANCY: SINGLE FAMILY ROBERT REILLY, JR.
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 62.-3-30.1
SOURCE OF REQUEST: ROBERT REILLY JR. 1/10/01 DATE: 06/12/03
DWELLING:
TYPE OF CONSTRUCTION: WOOD
FRAME
R STORIES: 1.5 # EXITS: 2
FOUNDATION:
EMENT BLOCK
CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS:
IST FLR.: 4
2ND FLR.: 0
3RD PLR.: 0
RATHROOM(S):
1.0
TOILET ROOM(S):
0.0 UTILITY ROOM(S):
PORCH TYPE:
DECK TYPE:
PATIO TYPE: CONCRETE/COVERED
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCOH
TYPE HEAT: OIL WARM AIR: HOTRATER: XX
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COMET.:
SWIMMING POOL:
STORAGE, TYPE CONST.: WOOD FAME 8' X 10'
GUEST, TYPE CORSI.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP #28909-Z-COZ-29512 (ALTERATIONS) REINSPECTED 6/12/03
INSPECTED BY:
GARY
DATE ON INSPECTION: 01/22/01
TIME START: 9:30 AM END: 6:55 AM
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, 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-existing Buildin¢ - $100.00
3. Copy of Certificate of Occupancy - ; .25r.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Ci
January 5, 2001
Date ......... . .............. .............
New Construction.A9 ....... Old Or Pre-existing Building..YP$............
Location of Property.. 4.7.0 .......... Lg:;st.AYeP.ue..... -... SAvtbP'ld-........
House No. street Hamlet
Onwer or Owners of Property Robert Rei11.Xl.J .....•
062 00 03 00 030, OOD U e 00
County Tax Map Na 1000, Section ... ........... Block. .._.............Lo� 4..
Subdivision Founders Estates Filed Map #834 Lot.Lot 54 ....
........
5/10/27
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
100.00
Fee Submitted: $..............................
(e `% (7 r -2 APPLICMNT
(yop a7s13 Robert Reilly, Jr.
SURVEY OF
LOT 53 & 54
SUBDIVISION MAP OF
FOUNDERS ESTATES
FILE NO, 834 FILED MAY 10, 1927
SITUATE
SOUTHOLD
LOT AREA DATA
S.C. TAX No.
8,142.09
sq. ft.
1000-62-03-29
0.187
ac.
S.C. TAX No.
6,890.50
sq. ft.
1000-62-03-30
0.158
ac.
TOTAL
15,032.59
sq. ft.
Land
0.345
ac.
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-62-03-29
1000-62-03-30
SCALE 1"=20'
FEBRUARY 5, 2000
FEBRUARY 10, 2000 ADDED LOT 53'•
.�,o J
02's. 2
NN
N�
Nps
L N
LOT Oby m.
't
b8
110,
29
SO
1101' u \
ba ,\ ,
a6
$ AO NI �i^ coop . too
S
66T.ys W p00/62',.�,' y. ">Bts
�N SC, ZPx NaO w"c. . � `M 130 9�• +'�� �
LOT
vn
c "� eeL ME H0u5f.
o. <N`d' FRP
� v
�
AOr Y1
N ayW
m. 5 5'38 55
o LOT
UNATHORRED ALTERkTON OR ,ADDITION
TO THIS SURVEY 6 A VIOLATON OF
SECTION
SECTION 1LAN OF THE NEW YORK STATE
LAW.
Joseph
A. Ingegno
COPIES OF THIS SUR,UY MAP NOT BEARING
THE LAND SURVEYORS INKED NNED SEAL OR
SI
EMBOsscD SEALRNBE CONSIDERED
Land
Surveyor
CERTIFIED T0:
TO BE A VALID TRUEUE COW,
AQUEBOGWE ABSTRACT
CERTIFICATIONS INDICATED HEREON SHALL RUN
ROBERT REILLY
ONLY TO THE PERSON FOR WHOM THE SURV
15 PREPARED, AND ON HIS BEHALF TO THE
T91E COMPANY, GOVERNMENTAL AGENCY AND
TIb'e Surveys — Subdivisions — Site Plans — Constwcflon Layout
MENDING WSIGUFON USTED HEREON, AND
WE ASSIGNEES OF THE LENDING INSR—
. CERTIFICATIONS ARE NOT TRMSFERABLE.
PHONE (516)727-2090
Fax (516)722-5093
THE EXISTENCE OF RIGHTS OF WAY
OFFICES LOCATED AT
MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
One Union Square
P.O. Box 1931
ANY, NOT SHOWN ARE NOT GUARANTEED.
Aquebogue, New York 11931
Riverhead. New York 11901
ivwN yr SUUTHULU
HOUSING CODE INSPECTION REPORT
LOCATION:
(number & street) municipality
SUBDIVISION MAP NO, LOT (s)
NAME OF OWNER (s)
OCCUPANCY
type
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
(owner -tenant
ACCOMPANIED BY:
SUFE. CO. TAX MAP NO.
DATE:
DWELLING:
TYPE OF CONSTRUCTION ` v # STORIES �✓ 0 EXITS 2—
FOUNDATION
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR.
BATHROOM (s) vr`+C TOILET ROOM (s) UTILITY ROOM
PORCH TYPE '� DECK, TYPE PATIO, TYPE
Cv-&� cw-��f
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTW�TER TYPE HEATER gue . AIRCONDITIONING —"
TYPE HEAT
0 W AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST. G✓�/e, s ?r�P3
GUEST, TYPE CONST.
---------------------------------------------------------------
-----------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE.
REMARKS:
INSPECTED BY :DATE ON INSPECTION yJ--�j �i`' / 46 -
TIME START E