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HomeMy WebLinkAboutZ-31274 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31274 Date: 11 16 OS THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 4955 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 138 Block 0002 Lot 003.003 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- 31274 dated NOVEMBER 16, 2005 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 AND ACCESSORY TWO CAR GARAGE WITH STORAGE.* The certificate is issued to MARY KIRWIN (OWNER) of the aforesaid building. SUFFOLK CODNT'Y DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDPffiSRS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OP SOUTHOLD HOUSING CODE INSPECTION REPORT IgCATIOH: 4955 SKUNK LA CUTCHOGUE SOBDIVISIOM: MAP $O.: LOT (S7 M7110; OP OtD1ER (SI: MARY KIRWIN OCCOPA$CY: ONE FAMILY RESIDENCE MARY KIRWIN ADMITT® $Y: MARY KIRWIN ACCOMPAHI® HY: SAME ID;Y AVAILAELE: SOFP. CO. TAY MAP HO.: 138.-2-3.3 SOO@CS OP RSQOSSP: MARY KIRWIN DATE: 11 16 OS DWELLING: TYPE OF COHSTRDCTIOM: WOOD FRAME { STORIES: 2.0 ¦ SPITS: 3 POORDATIO$: CONCRETE BLOCK C6LTan; FULL CHAML SPACS- 1YYTAL ROOMS: 1ST FLY.: 3 YER7 PLR.: 3 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 DTILITY ROOM(S): PORCH TYPE: DHCK TYPE: PATIO TYPE: BRBEZEfO1Y: PIRSPLACB: NONE GARAGE: DOI~S'TIC $OTiD\TSR: TYPE HEATER: AIRCORDITIOBT~: TYPE HEAT: OZL TD1Rl1 AIR: YES HOTfO\TSR: YES OTHBR: SEPARATE GAS HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPB OP COHST.: WOOD FRAME+ STORAGE, TYPB CORST.: ' SMLMIHG ]?OOL: GOIiST, TYPE COMET.: OT$®t: +ONE STORY, 2 CAR WITH STORAGE ROOMS VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. I I ~ I I ~ I I ~ ~ I ~ nm'anrc; RE-INSPECTED 11/15/OS ]]YSPHCTBD HY: , DATE ~ ]9SPSCPIOH: 11 09 OS GHORGS GILLSH TIIO3 START: H®: \1 Form No.6 . i, Y~ ~"'I TOWN OF SOUTHOLD ` BUILDING DEPARTMEN 1. TowN HALL j O; i 3 12005 76s-lsoz k~~~ , APPLICATION FOR CERTIFICATE OF CCL{]~AN~Y` This application must be filled in by typewriter or ink and submitted to the•Building Department with the following: A. 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 Dep[. 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary:Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. October 26, 2005 New Construction: Old or Pre-existing Building: % (check one) Location of Property: Pine Tree Road, Cutchogue House No. Street Hamlet Owner or Owners of Property: Marv Kirwin Suffolk County Tax Map No 1000, Section 138 Block 02 Lot 003.3 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100.00 C- (O~~° ~~~~~ipplicant Signature w OLSEN ~ OLSEN, L.L.P. ATTORNEYS AT LAW GARY PLANNER OLSEN DAVID WORTHINGTON OLSEN ATTORNEY AT LAW ATTORNEY AT LAW 32495 MAIN ROAD P.O. BOX 706 CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 FAX 631-734-7712 olsenlaw@optonline.net October 27, 2005 Re: Mary Kirwin Our File 8605 _ To Whom It May Concern: ~ ~ ~ ~ ' lY,_~ i - ~(n , Enclosed herewith please find the following: ~V' ' ' ~ r r~~T 3 ! 2005 ~~l;l 1. Application for Pre-CO. ' ``-~j~ 2. Consent to Inspect Form. ` ~ 1 1 j 3. Survey. 4. Check in the sum of $100.00 Please contact Mary Kirwin at 734-6794 to arrange for the inspection. Very truly yours, GAR F NNER OL lG GFOamk Enclosures Southold Town Building Dept. P. O. Box 1179 Southold, NY 11971 LOCATION: ~ I Jr~ -~~'C ul~ ~ ~--I~FN~ C cc TC }fib G ~-t~ (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): -mow NAME OF OWNER(S): OCCUPANCY: ©n/E' Bti.~.~ (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- ~3 B' - ~..r 3 ~ 3 SOURCE OF REQUEST: /YlaM2. r~,re~-- DATE: /D 3/ ~ DWELLING: TYPE OF CONSTRUCTION: ~ oo D ~ # STORIES: yZ # EXITS: 3 FOUNDATION: CowC~Q~-TE" L D G CELLAR: ~/L-L- CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 3 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILTI'I' ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: /?oN~ GARAGE: DOMESTIC HOTWA R: TYPE HEATER: AIRCONDTTIO G: TYPE HEAT: WARM O ATER: OTHER: ACCESSORY STIY[JCTURES: ~ ~ a G~ U (T - ~ J~^_ V ~ GARAGE, TYPE OF CONST.: uls°D F)t°IRMF STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFOF.M FIRE PREVENTION & BUILDING CODE LOCATION DE5CRIPTIOIV` ART. 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