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HomeMy WebLinkAboutZ-31580 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- 31580 Date: 05/25 06 THIS CERTIFI$S that the building DWELLINGS Location of Property 300 JACKSON ST NEW SUFFOLK (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0010 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 NOMBER Z- 31580 dated MAY 25, 2006 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 SINGLE FAMILY DWELLING, ACCESSORY SEASONAL DWELLING (CARRIAGE HOUSE) ACCESSORY PUMP HOUSE & ACCESSORY PLAY HOUSE.* The certificate is issued to ADELAIDE FENTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARRTfBNT OF HEALTH APPROVAL N/A $LSCTRICAL CERTIFICATE NO. N/A PLUMB$RS CERTIFICATION DATBD N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOR: 300 JACKSON ST NEW SUFPOLK SUBDMSIOH: MAP RO.: LOT (S) HAMH OP OMMHR (S): ADELAIDE FENTON OCCDPABCY: ONE FAMILY RESIDENCE ADELAIDE FENTON ADMITTHD BY• ACCOMPANIED HY: RSY AVAILABLH: SUPP. CO. TAX MAP NO.: 117.-10-2 SOURCE OP RHQDHST: LARK & FOLTS, ATTYS - 5/9/06 DATE: OS 25 06 DWELLING: MAIN HOUSE - Bt)~(-DING TYPE OP CONSTRIICTION: WOOD FRAME $ STORMS: 2.0 R H%ITS: 3 FOUNDATION: BRICK & STONE FOUNDATION CHr.Taw; CRAML SPACH: PART. TOTAL ROOMS: 15T PLR.: 9 2ND FLR.: 0 3RD PLR.: 0 BATHROOM (S): 3.0 TOILET ROOM(S): 0.0 DTILITY BOOM(S): PORCH TYPH: 2 DSCR TYPH- PATIO TYPH: 1 HRSHZHMAY: FIRHPLACH: TWO GARAGH: ATTACHED CARPORT DOMHSTIC HOTNATHR: YES TYPH HHATHR: NONE AIRCOlIDITIONMG: TYPH HBAT: GAS BOILER iD1RM AIR: XX HOTNATHR: YES* OTHER: *SEPARATE GAS HOT WATER HEATER ACCESSORY STRUCTURES: GARAGH, TYPH OF CONST.: STORAGH, TYPH CONST.: SMII'RIING POOL: GUHST, TYPH COHST.: OT88&: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIPOAM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART ~ SEC. RHMARKS: MSPECTHD BY: DATH OB MSPHCTIOH: OS 24 06 GHORGH GILLHN TI10; START: 10:30 AM HND: 11:00 AM BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTZON REPORT LOCATION: 300 JACKSON ST NHW SUFPOLK SMDMSIOd: MAP dO.: LOT (S) dAMH OP OMdHR (S): ADELAIDE FENTON OCCUPAdCY: ONE PAMILY RESIDENCE ADELAIDE FENTON ADMITT® BY• ACCOMPAdI~ HY: ID;Y AVAILABLE: SOPP. CO. TAX MAP dO.: 117.-10-2 SOORCH OF ReODeST: LARK & FOLTS, ATTYS - 5/9/06 DATE: 05/25 06 DWELLING: (CARRIAGE HO[TSE - NORZF] BUILDING) TYPH OP COdSTRUCTIOH: WOOD FRAME # STORMS: 1.0 # HYITS: 4 POUdDATION: CEMENT BLOCKS CBLLAR: CRAML SPACE: TOTAL ROOMS: 1ST PLR.: 6 2dD PLR.: 0 3RD PLR.: 0 BATHROOM(S): 2.0 TOILSf ROOM(S): 0.0 UTILITY ROOM(S): 1 POR® TYPH: DECK TYPH: PATIO TYPH• 2 BRHHZHiD1Y: FIBHPLACE: ONE Cnuar_R; DOMESTIC HOTdATHR: YES TYPE BBATHR: NONE AIRCOdDITIOdING: TYPB HEAT: NONE MARM AIR: HOTMATHR: YES* OTBHR: *SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGe, TYPH OP CONST.' * STORAGe, TYPe COdST.: PLAYHOUSE SNIMMMG POOL: GOEST, TYPE CO~NST.: OTHHR: PUMP HOUSE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION RAT. SEC. III I I I I~ I I Rra~aRXC: *BP #5533-Z-COZ-5668 ISSUED FOR GARAGE IdSPHCTED HY- DATH Od MSPSCTIOd: OS 24 06 GSORGB GILL®1 TIliB START: 10:30 AM B<H): 11:00 AM 5-a~-o~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 9 6 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ; l ' _ i 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 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 similaz buildings and instat[ations, a certificate of Code Compliance from azchitect or engineer responsible for the building. 6. Submit Planning Boazd Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 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 Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. May 2, 2006 New Construction: Old or Pre-existing Building: X (check one) Location of Properly: 300 Jackson Street New Suffolk House No. Street Hamlet Owner or Owners of Property: Adelaide Fenton Suffolk County Tax Map No 1000, Section 117.00 Block 10.00 Lot 002.000 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: ~ Underwriters Approval: Planning Boazd Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 Applicant Signature Adelaide Fenton Q~-e.-~o~3~ ~i~e C o ~ 31 S 8a _ r` /oo o = _ 6 _ ~ TOWN OP SOUTHOLD PROPERTY RECORD CARD ~ ~ I OWNER STREET C VILLAGE DIST. SUB. LOT ' p a c KJO ~ .1't, ~ w v~fa l,1'~ s-i.d ea ORME OWNER N -7~ J E ~ 'AA/ ~6 ACR ~ I a c KJ'o ,r/r r 1, so o ~,Z C d walr~ ~~.,r (1 ~E .J- S )J. r> W TYPE OF BUILtD~ING ' ~ L°d. rN f} . (`~2GOn ~c- ~3d !C!~ o ¢~or~Gtr~~O. ~ i/OV.l~e,J' ES .1 ~ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~ 6 6 a/al . Ne fa 'i 3 J`a QS-a ~ / Qod ! .2t !o ,ate 'xS.f ~ ~ ~ ~aao= SaQ ~s~ a i oa y , a -L on rl~-o ~ ' d0 dd L 2 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vntue Acre Tillable FRONTAGE ON WATER /Q a~ /s = n~ ~ Woodland FRONTAGE ON ROAD !a ~ ~ ~ = / Meadowland bEPT ~G~r ~ ~`~2 ~'fi House Plot BULKHEAD Total DOCK COLOR W ~ ~ t"~ TRIM ~ ~ ~ ~'e y rt ~ ii 1 y i 4 - 60 ¢ a 6 e _ h a ck g/ ~ , M. Bldg. Y y x 2 8= /2,~.t `,~Sd Z Extension d 3= ~0 i0 0 .z 6 0 Extension over. pa4c.l~ x Y = sz~ 2-~d 1aS~ ~ ~ Extension Foundation Up r f faF Both / %L Dinette Porch 5/ y X f Z = ,s2 g sd 6'y Basement ~ f Floors ~ y ~ K. Porch Ext, Walis ~d. r~ ~ e Interior Finish ai rN9[Nl~~ LR. Breezeway Fire Place Z Neat ~R,e DR. Goroge d h Type Roof (~.d 6 ~,e Rooms 1st Floor BR. ' Patio Recreation Room Rooms 2nd Floor FIN. 8 O. B. vde Dormer HeH Driveway Total ~ 60y , ~?.~e~ 2S'ka/~B+aK _ ~ 'TOWN OWNER . STREET VILLAGE DISTRICT SUB. LOT ~?'r~r-e ti r~~ y~ n. r-wf, FORMER OWNER N E ACREAGE ~t, S W TYPE OF BUILDING r C e~ r 4 RES. SEAS. VL. FARM COM/vl. fND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushlan - House Plot Tota I iC i ~s r ~ k1 t., ; ~ m _ ~ ~ 3 h _ _ ,F _ ';r Y ~o i 3 r;.~„~ .t M. Bldg. GX~S, Foundation ~ Bath Extension ~ Z Basement U,c Floors Extension s~ ~ Ext. Walls Interior Finish a~- ~ ~L Extension I ~ _ ~ Fire Place / HeaR ~ ~ 3 y Porch Attic n S ~ ~ - Porch Rooms lst Floor Breezeway Patio Rooms 2nd Floor Garage -t ~j f ~ '.~ti'.. y',,, Driveway O. B. d a a ~ . CONSENT TO INSPECTION ADELAIDE FENTON ,the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are}the owner(s) of the premises in the Town of Southold, lOCated at 300 Jackson Street, New Suffolk, New York which is shown and designated on the Suffolk County Tax Map as District 1000, Section 117 ,Block 10 ,Lot 2 That the undersigned (has) (-have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on Pre-existing Buildings 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 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 may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: May 2, 2006 Gr.E~+~--4- (Signature) Adelaide Fenton (Print Name) (Signature) (Print Name) 2 N - j ....+.m I ~ I,, k `I~ ~pw^^'~^"' ~ r~~ ~ i = ' ' ~y°.t~ ~ r. li g "~L?~?s~~lY r yu ,..:Y' i t I ~ ~~IyT~I . .r. P A ] Y,a t, ,y _ ~r "N; d5~+' f4 2 l FQ 1 ~ t ~F4 Y l e S, P~ i~+e4 PS. µv P ~~YY~~ _ y ~ ! 'a,~ s' ' ~i ~ 1 ~n1 + - ' ~"tA~ ra 'j • ~ C r'y .~t[ ~ 1 ~ a^.., 4^,~,?t~ , ~ „e, 1 _ ~',r: a ~,~.'r . , rn ,n ',Vh P., s.a q ,,33 '.u r r r l -'sk->'.',~ + . 14 ,~,k r: r rz.. rn .ej:, ~,'d"IFr"; rah IJ-:. 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