HomeMy WebLinkAboutZ-31869
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-
31869
Date: 09/28/06
THIS CERTIFIES that the building
DWELLING
Location of Property
345
(HOUSE NO.)
No. 473889 Section 110
HOLDEN AVE
(STREET)
Block 0002
CUTCHOGUE
(HAMLET)
Lot 013
County Tax Map
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-
31869
dated SEPTEMBER 28, 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*
The certificate is issued to PHYLIS A. GRAEB & ARLENE VOSS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~~
AutHorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOH:
345 HOLDEN AVE
CUTCHOGUE
SUBDIVISIOH :
MAP BO. :
LOT (S)
RAIlE OF OWHER (S): PHYLIS A. GRAEB & ARLENE VOSS
OCCUPAHCY: SINGLE FAMILY DWELLING
PHYLIS A. GRAEB & ARLENE VOSS
ADMITTED BY: PHYLIS GRAEB
ACCaIPAHIED BY: SAME
KEY AVAILABLE:
SUFP. CO. TAX MAP BO.: 110.-2-13
SOURCE OF REQUEST: LARK & FOLTS. ATTYS 9/15/06
DATE: 09/28/06
DWELLING:
TYPE OF CQllSTRUCTIOH:
WOOD FRAME
. STORIES: ---1.:..Q I KXITS: ----1.
FOUJIDATIQJI :
CEMENT BLOCK
CKLLAR: PART
CRAWL SPACE: YES
TOTAL ROOMS: 1ST FLR.: ....&
2RD FLR..: ~
3RD FLR.: ~
BATBROllM(S), ~
TOILET Roar (S): --2..:..Q
UTILITY ROOM(S): ~
PORCH TYPB:
CEMENT
DBCIC TYPB:
PATIO TYPE:
BREEZEIIAY ,
FIREPLACE :
ONE
Gl\IlAGB ,
DOMBSTIC ROTIIATER.:
TYPB IIBATBR:
AIRCORDITIOBIRG :
TYPE BEAT:
GAS
WARM AIR:
YES
ROTWATER. :
YES.
OTHER: SEPARATE HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE. TYPB OF COBST.:
STORAGB. TYPE CORST.:
SWIMMDlG POOL:
GOES"l'. TYPB CQlIST. :
OTHKR ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP #3573-Z-COZ-3042 (ACCESSORY GARAGE)
DlSP8CTBD BY:
~ 4d~ n."" 011 IBSPBCTIOII, 09/25/06
GEORGE GILLEN
TIME START:
"'II"
[') ~;- [;jl':'r;~-'s , ~
J"'I
i 'i5.', i 1
I , ,..1
. .-- \~~.~T~.---J
L-'OG_.. 'MUQ!,,"
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 nse:
I. 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 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 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. September 15, 2006
New Construction:
Old or Pre-existing Building:
x
(check one)
Cutchogue
Hamlet
Location of Property:
345
House No.
Holden Avenue
Street
Owner or Owners of Property: Phylis A. Graeb and Arlene M. Voss, deceased
Suffolk County Tax Map No 1000, Section
110.00
Block
Filed Map.
Applicant:
Underwriters Approval:
02.00
Lot 013.000
Subdivision
Lot:
Permit No.
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Final Certificate:
x
(check one)
~.u....lI0{,lf
BM-CRJ 2:::"'?tCb~~
CONSENT TO INSPECTION
PHYLIS A. GRAEB , the undersigned, do(es) hereby state:
Owner(s) Name(s)
one of the
That the undersigned (is)/(mertlre-owner(s) of the premises in the Town of
Southold, located at 345 Holden Avenue, Cutchogue, New York
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 11 0 , Block 2 , Lot 13
That the undersigned (has) (ftaverfiled, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on pre-existinq Buildinq
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 regnlations of the Town of South old.
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 South old.
Dated: September 15. 2006
~ (2 4~oir-
(Signature)
Phylis A. Graeb
(print Name)
(Signature)
(print Name)
.9'
U
TOWN OF SOUTHOLD PROPERTY RECORD CARD
:i ,
.j ;4t-r .
1000 -//0-.;1. -/3
OWNER
,
VILLAGE
Gt,d'~o G" e
E
DIST.
SUB.
LOT
~/.5
FORMER OWNER
Ie
;'L-\'C-1I. ~
'1 iftn<!.. M. Merson
's!. ~IIN /v. NIlSOA'
tES;'/O SEAS. VL.
S
b I Cots reI;;} ~
FARM COMM. CB. MICS. Mkt. Value
l .N- /ve
LAND
IMP.
TOTAL
DATE
REMARKS
00
00
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
'illable
~eadowlOl"ld
FRONTAGE ON WATER
FRONTAGE ON ROAD I,J~ 1- f, ~ 7 ,!:--"D '-
DEPTH !S-r ~f(
:nd+.
IDS 0
~oodland
louse Plot
'otal
DOCK
V'U~ ....
~
-..t
OWNER .
STREET
VILLAGE
DISTRICT SUB. LOT
't /Je..rC f
ACREAGE .S3Y
TYPE OF BUILDING
~/_4
...'t~
,
i
./_-
SEAS.
tIo /c:/e.-. /Jve, Ct/7'cA6 IN.
N ,a f./,h E A"'u /1 - ,k.k
S D /C/CS P6J'" t {(d, W lit) II el1 live.
FARM COMM. I IND. I CB.
MISC.
J' () An tYJ, /VI ~ oA r--Ih.
FORMER OWNER
,
-if",,,,,-!- ./C;s~/
RES.
LAND
ob
~66
oJ '" 0
.)IJ 0
soo
AGE
NEW
Farm
Tillable
Tillable 2
Tillable. 3
Woodland
5wampland
Brushland
House Plot
Total
VL.
IMP.
DATE
REMARKS
TOTAL
+
-
;;.,?? ;-
7crcr
NORMAL
Acre
Value
Value Per Acre
-
-
.c. / 1"-
i-
, 8 I 17
V- I.A (' "" ) l
. 1\ ,,, -- ;..-
.-
... U. / V
{
~
'S
M. Bldg. . . _ nLief.f ~ ..<" I d... 1_ 9' Foun'dation I:, Bath / 1/10-
.24 7. A 4. ~ j,H'"i, '-
Ilv II V"-- , ;'4 Floors
Extension /51)(,;1 4' :: c';!l?f 0/) .. Basement 01-t.4::-7,k + 11/", () n./1
Extension Ext. Walls ~f~~. Interior Finish p (J.)V'I I- I-. K JC. -l I, ilt
,'fe' I (.....-. -I..
:1
Extension Fire Place 1J/j8 Heat FfI.~ ,
Porch Attic
Porch Rooms 1 st Floor r"""'
-~")
Breezeway Patio Rooms2nd Floor
Garage [';d )() f : S ,;8 ./ 190 S-.7J' I/priveway
--.- _n_n -- -- - ------ - ,--- ------
O. B.
It'T&' --_.-- .-
t/ .
......
/~
'>..../
~ -...
"-..,1
_J
:/':"''-'
,
.st:~.. .
,." : .,' " ~ . .
'.~~,Js,~~,;.~~
"
_. ,L.
,
,
-
-
t.~'1 ~
~..~..'St
· : l:
, ~ :11
';- i~ ~:!; ~
'i) ",'
!; ...~
,~ . )"'.Ii'
..':. "",
. ;
, .. i
\;
~~
f'
.....
1-
~
- ~
~~
~
-
~~,.
f
~
~
r
-. ,
- ~ ~~
"I I~ "
i I ~=11l' '- ~
JII ~ "\
,,~~I ~ \.~
1~~ - l
I.:~ J; llJ ,~
.1 8 ;v !!ll..
i p ~
- ~
.~,~~
,r1f
~ ...;,~ . ~~ -
----..
-
/~~~;'. '. .
,,,.l~.
. ." ::>'i.t!it;~~.:,~;;:~(. " .
'-'>".'., y
__..~,t'..;,