HomeMy WebLinkAboutZ-29593FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29593 Date: 07/24/03
THIS CERTIFIES that the building DWELLING
Location of Property 20 CAROLE RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 052 Block 0002 Lot 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- 29593 dated JULY 24, 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 WITH CEMENT BLOCK PATIO.*
The certificate is issued to MARIE E STEWART
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO_
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED
Rev. 1/81
N/A
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 20 CAROLE RD SOUTHOLD
SUBDIVISION: NAP NO.: IAT (S)
NAME OF OWNER (S): MARIE E STEWART
OCCUPANCY: SINGLE FAMILY MARIE E STEWART
ADMITTED BY: MARIE E STEWART ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: S2.-2-2
SOURCE OF REQUEST: WILLIAM H PRICE, ESQUIRE DATE: 07Z24/03
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME R STORIES: 1.0 # EXITS: 2
FOUNDATION: CONCRETE BLOCK CELLAR: CRAWL SPACE:
TOTAL ROOKS: IST PLR.: 4 2ND FLR.: 0 3RD PLR.: 0
BATHROOM(S): 1.0 TOILET ROGK(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: CEMENT BLOCK
BREEZEWAY: FIREPLACB: GARAGE:
DOMESTIC HOTWATER: X TYPE BEATER: NATURAL GAS AIRCONDITIONING: WALL UNIT
TYPE BEAT: NAT GAS • WARM AIR: HOTHATER:
OTHER: *AND ELECTRIC
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY: DATE ON INSPECTION: 11/01/02
JO M BOUFIS TIME START: 10:00AM EMD: 10:20AM
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'10wN OF SOU'!'IIOLD
MONO NO DEPARTMEtir FEB 2 ti 2003
TOWN HALL
765-iBU2
APPLICATION FOR CERTIFICATE OF OCCUPAIICY
aFP:
This applicatloll* mug t be filled lh by typewriter OR ink end submitted to the buildilig
lnspector with the fallowing) for heW bUilding of new Use:
11 Final survey of property With dccurdta locdtion of all buildingsl property linesI
streets) ntid UnUsdal ndttrtil br topographic featurddl
2.11 Final Approval frotd Health beptl'of Water supply and sewerage-disposdl(S-9 form):
J1 Approval of electrical installatiott from Board of First Underwriters)
4+ Sworn statetnettt from plumber tettifying that the solder used fit system cohtains
less than 2/10 of 17. lend:
51 Commercial buildingi iridus.trial buildittgi tauitiple residettcas and similar 6dllding!
and installatianst a certificate of Code Compliance trom'architoct or etigillcor
responsible for Elie buildings 1
61 Submit Planning board Approvdi of completed site plats requirements.
01 For existing buildings (prior to April 91 1957) now -conforming Useei or bulldldg3 and
Ilpte-existitig11 land Usest
11 Accurate survey of ptoperty showing all property linesi streetsi bdilding and ,
Unusual hatUral or topographic festureat
2: A properly completed application and It consent to Inspect signed by the applienUtt
If a Certificate of Occupancy l9 dealedi the Building Inspector sha.il state the
'1 reasons therefor fit writing to the applicants
Ct Fees
it Certificate of Occupdncy - hew duelling $25.001 Additions to dwallihq $25.UUi
Alterations to dwelling W t0O1 SWitmnitig pool $25+001 Accessory bulldtltg $25,0131+
Additions to accessory building $25+001 BUsinessed $50:00+
2, Certificate of Occupancy btt Pre-existing BUlldiug - $100:00
34 Copy of Certificate of OccUpnncy - $5.00'over 5 years - $tOi0O
4+ Updated Cettificatst of Occupancy - $50'00
5, 'remporaty Certificate of OccUpaitcy - Residentidl $15.001 Commerclat $15.00
Date
February1,
6: 2003 1..:.,.+.:,:,...:+
Mew CotlstrUctionl++l,lt,:+: Old Or PCC—exiatittg
Locpttott of Property'+t1:++:11,12+0/111114&111114Aa�o'ae 111 ad141i 1+, a 41, 4111Sot�{-y
House Ela: Street hamlet
Marie E. Stewart
Onwet or Owllors of Property++1+11 it 14 1+1+I+t 11111. 111 t 1+, 1;111+ 11$1+11414 it... 141:1.144.:1,
CoWtty Tax Hap Ito lODUi SectionlQTf1'1g7o111+1blocki Q3tPP1+1,:111.Lot, PAt ,QPAi
subdivision:,las+.++1,i:+il,i1i11it1a1111.i+1'1Filed ffnp111+1+i+:+,.Lot..,.:::++1t,,::,::1,
Permit flat l tilt, I I+ t it i:bate Of Pbttnitl t t s 11ti 11i+++A JAppilcohE11 i 1111+11+ 1111: 1111.:11+ it
11editlt Dept+ Approvai+1+tit Aits $411+ 111111Ill 1+Underuriters Approvdli.1+1+1'11+1.+1:.1:+„ 1
pldntting board Approval+:l+:t1++1111,++11111,1t.
Request fort Temporary Cettiflcateli+iill+li, Final Cetticatell+'111+,+i
Fed Submitted' $,'100.01++++1111+i+:+1+1'11+
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4EAVTXORIitD wlfEkwllUN OR wDDIDOw
• SO THIS SURVEY IS A VIOLATION Of
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SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COMES OF THIS SURVEY MAP NOT TEARING
THE LAND SURVEYOR'S INKED SEAL OR
7MBOSSID SEAL SHALL NOT EE CONSIDERED
IO EE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURYr
IS PREPARED, AND ON HIS BEHALF TO ME
TIRE COMPANY, GOVERNMENTAL AGENCY
LENDING INSTITUTION LISTED HEREON, Y
TO EHE ASSIGNEES OF EHE LENDING "'
[LIMON. GUARANTEES ARE NOT MANSE'
(O ADDITIONAL INsnrurr,�. �� <uB
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Graen�vD N.Y.
CONSENT
TO
INSPECTION
-William H. Price, Jr., as agent for Marie E. Stewarttfn'e undersigned,
Owner(s) N:tfne(s)
do(es) hereby stale:
the agent for Marie E. Stewart,
That the undersigned (is) (KF4) the owncr(s) of (hc premises in the Town
of Southold locnied at 20 Carole Road, Southold, New York
which is shown and designated on (lie Suffolt:
County tax map as District 1000, Section052.000 I3locic 02.00 Lot 002.000
That the undersigned (has) (have) filed, or caused to be filed, an npplica-
tion in the Southold Town Duilding Inspector's Office for the following:
rp lficate of Occupancy on Pre-existing Building
'Thal the undersigned do(eq) hereby give consent to the Building Inspectors
of lite 'Town of Southold to enter upon tine above described property, including
any and all buildings located thereon, to conduct such inspecttions 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
such inspections rnsy be used as evidence in subsequent prosecutions for vio-
lations of tine laws, ordinances, rules or regulations of the Tow t f S )told.
Dntedi February 26, 2003
(signature)
William H. Price, Jr.
(print name)
sirnalLire
print name)
lW alay w°�1s Q (� a/�R
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Notary Puti alit cR State onow
York
No. OIGL4879505
Commission
o in SuWolk Couri{y
Commission in
Dec. 8, c df CL
LOCATION:
& street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
Marie E. Stewart
P.O. Box 1358
Southold, NY 11971
(municipality)
MAP NO.: LOT($):
(type) (owner -tenant)
ADMITTED BY: 4 ��ACCOMPANIEDBY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO, 1000- — 2 --
SOURCE OF REQUEST: Aj&�f _ DATE:
DWELLING:
TYPE OF CONSTRUXTIO # STORIES: - # EXITS:
FOUNDATION: C � / CELLAR: --- CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): T ROO UTILITY ROOM -
PORCH TYPE: DECK, TYPE PATIO, TYPE: —'
BREEZEWAY: FI PLACE: GARAGE: _
DOMESTIC HOTWAT R: E HE ER: AIRCONDITIONING: OVOW
TYPE HEAT:.` HOTWA.TER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
• v M 11 OUR I 15 a�®
REMARKS:
INSPECTED:
DATE ON INSPECTION: 11 O11e)•?1—
TIME START: �D END:.