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HomeMy WebLinkAboutZ-31590FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31590 THIS CERTIFIES that the building DWELLING Date: 06/02/06 Location of Property 4200 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0013 Lot 019.002 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- 31590 dated JUNE 2�, 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 SEASONAL ONE FAMILY DWELLING WITH ACCESSORY GARAGE. NOTE:THIS UPDATES PRECO Z-10184 DATED 10/6/80. The certificate is issued to RUSSELL F PELUSO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Authorized Signature Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 I % 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 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. ham_ �/) 06 New Construction: /Old or Pre-existing Building: U p �D� �P D (check one) Location of Property: `r,�Ko i 've / ecil `�G� House No. Owner or Owners of Property: CJS Sci Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ S /,, C�� Bne C 6 - 3 15 � 0 Street 7-7-16L' J Hamlet Block Lot 9 toe 3 Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: one) F�- 101)6 -�2D-i3-i9: 2 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET L '?''; VILLAGE DIST. SUB. LOT ORAA R OWNER N y E . ACR. S'h le ley K Mgn/ey LIQ �✓da! S Wi(ee✓s e W cL Q'TYwGNPS TYPE OF BUILDING" RESJ`C) SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ro�/z,, c= Z- -e7 00 S4,1 3117# 13 3 o a � �� L ^80oe /s^ /, 74lrs -s C—kasb�fwF-01-o-NGS Ckosbr 'sv o S�7P' G�UA` �aLe 3LBoG5 Q os T "J 15 c 210 Z 4"On 2 27 - SZ� i SC I 2 .S 1v%�✓! T �l�fl � 9E3 O - -i+�t �, �o Mcg lkr+.•fr, =,.1 t.�,c' ::';!`a fT, z -L11-7i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. Z 10184 ....... Date .... October . 6! ................. 19.80 THIS CERTIFIES that the building ................................................ Location of Property .. 42Q0, Pine. Neck, Road,,. .Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section .... Q?Q ....Block ..... 1� .......Lot ....19.• 002..... . Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a one -family dwelling built prior to conforms substantially to -&e 1- conforms Cert of ficate ..... AprI .2'3........ 19 5.7, pursuant to which iBt&dtTigftff irtM7 .. Occupancy . Z1.10.164 ...... dated ......October . 6.,........... 19 ...$(vas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .. (Seasonal). One--Family..Dwelling.......................................... The certificate is issued to .... Shirley. K.. Manley. (owner, Wro of the aforesaid building. Suffolk County Department of Health Approval ....... N/R......................... . .... . UNDERWRITERS CERTIFICATE NO ............... R�R.............................. . rfA �Zf��W V Building Inspector Rev 4/79 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ,September 9, 1980 New Building ............. Old or Pre-existing Building ... XX ...... Vacant Land ............. Location of Property Pine Neck Road, Southold . House No. Street Ham/et Owner or Owners of Property ..Shirley K. Manley 019 County Tax Map No. 1000 Section . , , .070.00 Block . , , 013.00 , Lot . , .....002 Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate , , Updated Fee Submitted $ ..5.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant .. , ,Shirley K. Manley By: Rev. 10-10-784c�t h/ I q11 o/g�i William H. Price, Jr. Attorney/Agent C� hPr .L A_r Of 16 l 4,0 fir _77 • Aw 41+�'n&M"f r 7�' I. a I ;z 4" f V4 44" 45, vt 04 A I iz TER4P6# 6R- DDI 4: 'A OF y. A YORK STATf TMM 04TRINQV f„ M�A L)', A k SSW RUN , w2vty, I,Y 111�1'i U j"t .1 NYA: A- LENDING At,L r,'OTI-N.W.IAAL* '"DDLTIONAL LNSf!,OjK* 5 OR SU"iQvemy IRS. c' 6; 'fir" X, Alrl?"? er �Ae I 1 0' WN, 4r 41 - Z11 TOWN OF SOUTHOLD PROPERTY RECORD CARD IV -17 OWNER STREET VILLAGE DIST.! SUB. LOT LAND IMP. TOTAL DATE FOWEP OW ER 6j) (7 N PIA/ l Alf- C E ACR. S W TYPE OF BUILDING S /,, 3117 4e tot mKe ov�� RES.IZO SEAS. VL. FARM COMM. CB. mics. Mkt. Value LAND IMP. TOTAL DATE REMARKS J� 6-6 0 S /,, 3117 4e - '!!-4 4- 6, 7 rT"e4'*-c kg )p .5- ojol 6 s 614 if -41 —7-c., ^ 6,- h go 6 J( A/ 9 A 10 WeN42 Z Z 1Yie FRONTAGE ON WATER .oVoodkind FRONTAGE ON ROAD o s le+ t4 /o c 4 - wkmW DEPTH �bkm plo BULKHEAD w ., � , . �. �\���2Z� �`��~/ . '!. `` ��f ^� \� � � � \��� \ � .�¥ ®� �� © . _ . � � :� / © � � ��tt�� : ./ 2 ) � z ��: :, / � � � ; «^ r. ��\� ^ /\�/\ � � \ \ `�.\�� ��� ��, a, � . � � :a«*� . ^� �.i.�� s� \a;/ ~ � . , , � /22 . ._ &-a .,� r.ty� ���\��\/:4R>� \���©22t.y« a«: a �� .!£\ «�.��\�»��\y�` � \¥�M©�. .. c�. �_ .. @■ °}. /:.��� � °�^� / / � ��\/ � 3 �� pl,� w :� y� J © � y, � . w� � ». . .- . . y©� .� �_,�: �� , , . �-� / � :�° ` � 'j �����y \ BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location q,:2 D 0 n cA (numTe s rBet) (Municipali1 Subdivision Map No, Lot(s) Name of Owner(s) Occupancy - ,e6ne&,IVa ,e4r-w t e Admitted by: �i �Q % Accompanied by: �ga� Key available -- Suffolk Co. Tax No. /000 -70-(3-A7.O0-Z- Source of request JL(/i1y N A4 U -�9 Date '7 l of'F-V DWELLING: wa,, Type of construction- c #stories_ Foundation s ' Cel ar_Crawl space /11- ` Total rooms, 1st. Fl Ll 2nd. F1 3rd. F1 Bathrooms) Oe_ Toilet room(s) Porch, type f06 mr,(,o.-4 Deck, type Patio, type Breezew$y Garage Utility room Type Heat- 'farm Air Hotwater Fireplaces)- No. Exits Airconditioning_ Domestic hotwater L,_e, Type heater c Other ACCESSORY STRUCTURES: Garage, type const.kW A-ki-" Storage, type const. Swimming pool X72_ Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Seca Remarks: Inspected by: Date of Insp. �/G�`C1117- /If 14 Time start �;*3s end F'S -V