The URL can be used to link to this page

Home My WebLink AboutZ-31361FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31361 Date: 12/29/05 T~IS CERTIFIES that the building DWELLING Location of Property 12600 NEW SUFFOLK AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 116 Block 0006 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 OCCUPANCYN~3MBER Z- 31361 dated DECEMBER 29, 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 WITH ACCESSORY TWO CAR GARAGE* The certificate is issued to ROBERT B.CARRUTHERS & ORS. (OWNER) of the aforesaid building. CUTCHOGUE (HAMLET) Lot 013 SUFFOLK COUNT~DEpARTMENTOF~EALT~APPRO~-AL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~zed~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 12600 NEW SUFFOLK AVE CUTCHOGUE S~DI~ISION: ~4~ NO.: LOT (S) NA~ OF OWN~ (S}: ROBERT B.CARRUTMERS & ORS. OCC~ANCY: SINGLE FAMILY DWELLING ROBERT B.CARRUTHERS & ORS. SOONCE OF P~F~-EST: R. BRUCE CARRUTHEHS, 12/21/05 DATE: 12/29/05 DWELLING: T"fPB OF COnSTrUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT CEIl: PART C~AWL SPACE: PART ~r~: NOT WATER RADIATORS & BASEBOARD ACCESSORY STRUCTURES: ~%]~E, %"fPH OF CONST.: 2 CAR GARAGE * STORAGE, T"fpE CONST.: SHED(IN NEED OF REPAIR) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP #2550Z-COZ2044 (ADDITION) TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 76..~-1802 APPLICATION FOR CERT! I~'ICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new nsc: 1. Final surv~ of propcrty with accurate location of fill buildings, properly lin~, sireets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (5-9 form). 3. Approval of electrical installation fl'om 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, industr/al building, multiple residences and similar buildings and installations, a ca'tificate of Code Compliance from architect or engineer responsa'ble for the building. 6. Submit PlanniRg Bomxi Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-eonfotming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of ~rop~-y showing all property linch, streets, building and unusual natural or topographic features. 2. A pwpa-ly completed application and consent to inspcct sign~ by the applicant. If a Certificate of Occupancy is denied, the Building lnsl:mctor shall state the reasons thcrcfor in writing to the applicant. 1. Cenifioate 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 a¢ccssory building $25.00, Busine,~es $50.00. --' 2.Certificate of Occupancy on Pr~-existing Building - $100.00 3. Copy o£C~xtificate or'Occupancy - $.25 -+4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Oc¢oparlcy - Residc"nlJtl $15,00, Comxnorcial $1 $.00 New Construction: Old or Pre~~xisting Building: J (check one) Suffolk County Tax Map No 1000, Scctiun Subdivision Permit No. Health Dept. Appro~l: Planning Board Approval.: Request for: Temporary Certificate F~ Submitted: $ Date of Permit. Block Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (cheek one) Applicant Signature 11/18/2005 14:43 6317344080 C21AGAWA~ALBERTSO PAGE 04 CONSENT TO INSPECTION Own~s) Name(s) the undersigned, do(es) hereby state: That the uridersigned (has) ?_ave) filed, or caus, to be filecl.4 an a~liocation ~ the Southold Town Building Inspector s Office for the following: Ce' ~ '[,"ar( C o '] -e. That the undzrsigned do(e~) hereby give con~ent to the Building Inspectors of thc Town of Southold to ealt~r upon the above descr/bod ~, including any and all buildings locat~l thereon, to conduct such inspections as they may deem necessary with r~pect to the aforesaid application, including inspections to detemxine that said premises comply with all of the laws, ordinances, rttl~ aid 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 mod in subsequent prosecutions for violations of the laws, ordinmcez, rules or regulations of the Town of Southold. C~rraTh~ r~ (Print Name) (Signature) (Print Nme) / LOCATION: (number & street) ' ) (m SUBDIVISION: ~ ~ MAP NO,: NAME OF OWNER(S): }~. ~ 2 ~ ' ~ ) OCCUPANCY: (type) ADMITTED BY: i(/~1~) }~ KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: ~ SUF, Fa. .CO. TAX MAP NO. 1000- / / g -- $ -- /3 ~ DATE: /,;z _,.a,~? _ 0..5- DWELLING: TYPE OF CONSTRUCTION: xMo-~-~ FOUNDATION: ~ CELLAR: TOTAL ROOMS: 1ST FLR: ~ 2ND FLR: BATHROOM(S): ~-- TOILET ROOM(S): PORCHTYPE: 3,.--_5L-,0~ DECK, TYPE: BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: N/~-,5 TYPE HEATER: TYPE HEAT: ~ [/~ WARM AIR: A/o OTHER: )/VT LdO T~-/~ J('/) b/~l~~/C 5 # STORIES: ! # EXITS: ~:~,,~o~-- CRAWL SPACE: 3RD FLR: UTILITY ROOM: PATIO, TYPE: "-'""- GARAGE: ~ AIRCONDIT1ONING: HOTWATER: ~/~ 5' ACCESSORY STR~CTURES: W0Ol ~ ~/ G~GE, TYPE OF CONST.: ~ - ~ ~ ~'~5 STOOGE, ~NS'I'.:~ SWIMMING POOL: ~0 ~ GUEST, TYPE CONST: VIOLATIONS: LOCATION CHAPTER 45 & N.Y. STATE UNIFOPM FIRE PREVENTION & BUILDING CODE \ DESCRIPTION- ~ ART. SEC. INSPECTED BY: DATE OF INSPECTION: TIME START: END: /0:/5` SUI~VP_¥ OF PP--OPtEP-..'T'Y'~ N SITUATE: CUTGHO®UE a .~ TOI,~N, SOIJTHOLD ~ W + E sU~OL~ COUNT'r, N'r .~e~ $~¢¢oj~~ s JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S, LIC. NO. 50202 RIVEPd~EAD, N.Y, 11901 369-8288 Fax 369-8287 REF.Z:\pros\05\05-343.pro