HomeMy WebLinkAboutZ-31627FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 31627
THIS CERTIFIES that the building
DWELLING
Date: 06/22/06
Location of Property 825 (AKA 506) BAILEY AVE. GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 034 Block 0004 Lot 013
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- 31627 dated JUNE 22, 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 ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME GARAGE*
The certificate is issued to TUTHILL LIVING TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
L- \
>r'zed Signa
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 825 (ARA 506) BAILEY AVE. GREENPORT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): TUTHILL LIVING TRUST
OCCUPANCY: SINGLE FAMILY TUTHILL LIVING TRUST
ADMITTED BY: JILL DUNBAR ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 34.-4-13
SOURCE OF REQUEST: ALLAN TUTHILL 6/14/06 DATE: 06/22/06
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2
FOUNDATION: CEMENT BLOCK CRLLAR: FULL CRAWL SPACE:
TOTAL ROOMS: IST PLR.: 6 2ND FLR.: 0 BED PLR.: 0
HATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY-ROOM(S):
PORCH TYPE: FRONT COVERED DECK TYPE: PATIO TYPE:
HEREZEWAY: FIREPLACE: NONE GARAGE:
DOMESTIC HOT[ATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE BEAT: OIL WARN AIR: HOTMATER: STEAM
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: ONE CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE COMET,
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY: DATE ON INSPECTION: 06/21/06
GARY J. FISH TIME START: 9:30 AM END: 10:30 AM
Tlw 213•x329 CAW_
4-77- 2130
•
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL r -- _.-- .ry
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
14
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, Cornrnercial $15.00
New Construction:
Location of Property: Sd 6
House No.
Date,
Old or Pre-existing Building: _X (check one)
V.
Street
Owner or Owners of Property: ArI.IJEnr i!/T H-1 k t W r w I knn 7v� t t
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. N o nr tF Date of permit.
Health Dept. Approval: /t1/4 -
Planning Board Approval: _ A(
Request for: Temporary Certificate
Fee Submitted: $
(9ec 7o y
bite- to �r6a ?
Block .4
Filed Map.
Underwriters Approval:
0
Lot )3
Lot:
Final Certificate: X_ (check one)
CE-yrS newt vz•E}
� icant Signature
CONSENT TO INSPECTION
ALLAN TUTHILL and WILLIAM TUTHILL, the undersigned, do(oes) hereby state:
That the undersigned (is)(are) the owner(s) of the premises in the Town of
Southold located at 506 Bailey Avenue, Greenport, New York 11914,
which is shown and designated on the Suffolk County Tax Map as District 1000, Section
34, Block 4, Lot 13.
That the undersigned (has) (have) filed or cause to be filed, an application in the
Southold Town Building Department Inspector's Office for the following:
Certificate of Pre -Existing Use.
That the undersigned do(oes) 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.
That the undersigned, in consenting to such inspection, do(oes) 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 laws, ordinances,
rules or regulations of the Town of Southold.
Dated ll / , /V� ?e
(Signature)
,4 HIaA/ F J'a T//,�
(Print Name)
(Signature)
(Print Name)
�Ja _3y v- le TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
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TYPE OF BUILDING
2E5.14
SEAS.
VL.
FARM
COMM. CB. ° MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
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AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
rillable
FRONTAGE ON WATER
Noodlond
FRONTAGE ON ROAD
Aeadowland
DEPTH
louse Plat
BULKHEAD
notal
DOCK
W
a.'
}g�j's
SURVEY OF PART OF LOTS 5 THROUGH 8 � LOT Q
MAP OF BUGKLEY FARM
FILED SEPTEMBER 5, 1914, FILE No. 298
SITUATE: NEAR THE VILLAGE OF GREENPORT
TOWN: SOUTHOLD
SUFFOLK GOUNTY, NY
SURVEYED 05-30-2006
SUFFOLK GOUNTY TAX #
1000-34-4-13
Catherine M. Finnigan
Chicago Title Insurance Company
CitiMortgage, Inc
NOTES:
■
MONUMENT FOUND
AREA = 6,699 S.F. or 0.1538 Acre
6RAPHIG 5GALE I"= 20'
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERBEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.—\\Compagserver\pros\06\06-188.pro
LOCATION:
(number & street)
SUBDIVISION: MAP NO.:
NAME OF OWNER(S):
OCCUPANCY:
(*'Pe)
(municipality)
LOT(S):
(owner -tenant)
ADMITTED BY:l ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-_
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONST ION: l''"' # STORIES: Il'� # EXITS:_
FOUNDATION: Cali' IAC CELLAR: —,Lr_—" ► j CRAWL SPACE: '—
TOTAL ROOMS: IST FLR: (p 2ND FLR: 3RD FLR:
BATHROOM(S): 6SD-- TOILET ROOM(S): — UTILITY ROOM:
PORCH TYPE: /! DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:.
DOMESTIC HOTWATER:. TYPE HEATER: AIRCONDITIONING:
TYPE HEAT-. O -Q WARM AIR: HOTWATER: 5-f"zij-�
OTHER:
ACCESSORY STIWCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.:
SWIMMING POOL: UEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTIONq` ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: END: Lo:c�0