HomeMy WebLinkAboutZ-31960
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-
31960
Date: 10/31/06
THIS CERTIFIES that the building DWELLING AND ACCESSORIES
Location of Property 1650 HORTON
(HOUSE NO.)
County Tax Map No. 473889 Section 063
LA
(STREET)
Block 0001
SOUTHOLD
(HAMLET)
Lot 014
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-
31960
dated OCTOBER
31, 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 COVERED PORCH, ACCESSORY SHED AND ACCESSORY
PUMP HOUSE.*
The certificate is issued to JANE E WELZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
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Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LQCATIOIl:
1650 HORTON LA
SOUTHOLD
SUBDIVI8IOIl :
MAP BO. :
un: (S)
HAMB OF OMRKR (8): JANE E WELZ
OCCUPAHCY: ONE FAMILY JANE E WELZ
ADMITTED BY: JANE E WELZ ACCQIIPAHIBD BY: SAME
KEY AVAILABLE: SOPP. CO. TAX MAP BO.: 63. -1-14
SOURCE OF RBQ1JBST: JANE E WELZ
DATE, 10/31/06
DWELLING:
TYPB OF COJISTRUCTIOR': WOOD FRAME
I STORIES: ....!:.Q . BXITS: ~
FOUNDATIOR': BRICK
CELLAR: PART
CRAWL SPACE; PART
TOTAL ROOMS: 1ST PLR.: -!
2BD PLR.; -1:
3RD PLR.: -9.
BATHROOM(S): ~
TOILET RQOM(S): ~ UTILITY RQOM(S); ~
PORCH TYPB; COVERED PORCH
DBCK TYPE: PATIO TYPE; BRICK
BRBRZEWAY;
PIRRPLACB: GARAGE:
DOMESTIC 1IOTIfATER.; YES
TYPE BEATER.; GAS FURNACE AIRCOHDITIOHDIG:
TYPE BEAT: GAS
WARII AIR; YES
BOTWATER.: YES
OTHER; CELLAR ENTRANCE, SEPARATE HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGB, TYPE OF COIIST.:
STORAGB. TYPB COlIST.: YES
SWIMMDfG POOL;
GUEST. TYPE COBST.;
OTHER: 6 X 6 PUMP HOUSE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP32448 SHED/DECK COZ31959 & Z31961
~. ~DATE OR DlSPIlCTIOR, 10/31/06
DJSPBCTBD BY:
GEORGE GILLEN
TIME START:
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
7~S- 6?30
U 3;- '379 - 35Sr
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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:
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 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 bnildings 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 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
I. Certificate of Occupancy - New dwelling $25.00, Additions to dweliing $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
/0 k,./or;,
Date.
New Construction:
Old or Pre-existing Building:
x
( check one)
Location of Property: / b5V
House No.
I+of!-T()"J j...4,qE
Street
Sou711o L1.>
Hamlet
Owner or Owners of Property: ~Mb E:. WflZ:-
Suffolk County Tax Map No 1000, Section 03
I
Lot J '-I
Permit No.
Date of Permit.
Block
Filed Map.
Applicant
Lot
Subdivision
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Underwriters Approval:
Final Certificate:
x
( check one)
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CONSENT TO INSPECTION
-..\ trN"f: E. vJt:l-z-
Owner(s) Name(s)
, the undersigned, do( es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 1050 He fC-nl/J J.../'rtJf' S.OC)T/f~L;P, ,/. Y
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 0 3 , Block I ,Lot 14 .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: B!+tV K.. /(E {:: /NI'tfJOEi
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 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: I () ), r. (0 (,
~~ [. vJ~
(Signature)
;::r-Il1v'E E. WE; Lz--
(Print Name)
(Signature)
(Print Name)
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t/TOWNOFseU'fHol.D fJlOPERTY RECORD. CARD
b :5 () VILLAGE DISTRICT SUB. LOT
/
:T'w ~ /7..
I IND.
SEAS.
VL.
FARM
COMM.
CB.
MISe.
LAND
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'I ,,:!.-t'f~-
IMP.
TOTAL
REMARKS
DATE
,
4DD
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..... ,{... 8' ;. 9/4- ;;.", '7
CO '~:1.5
J'I1 (":il9 a; /z, &'/73 ~s . Co 7'''-61 S i-I
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.:2./;;..'-/1'11/ Bp......(I~17 - .Declc! /0'') ,-7J6~
100
AGE
NEW
BUILDING CONDITION
BELOW
NORMAL
ABOVE
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F
.hJ.;;:::...,.{."
(?'.. 6f "'-0 "': l.Jt.. \"j '0
Farm
Acre
Value
Value Per Acre
Tillable 1
Tillable 2
Tillable, 3
Woodland
Swampland
Brushland
...""" .......,
House Plot
Total
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'6 co 0' .;U) Foundotion ~ '\ \'( I( Both
I.j-:o ..- Basement Ia:d- Floors
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Ext. Walls w.,,! ~:^ Interior Finish
,
S f.t ~....."\.~ \.-e 5.
Fire Place \j Heat /
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0,H. ~ 30 Porch Attic
Porch Rooms 1 st Floor
zs- -z-s- P.atio 10 { l( '/ f() Rooms 2nd Floor
Driveway"
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M. Bldg.
Extension
,Extension
Extension
/0,)( 10 ~ 100
- Garage
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NOTE' /. .:MONUMENT FOUND
2. 0: MONUMENT PLACED
J. SUFF. ca TAX MAP' O/ST. SECT.
/000 063
4. TOTAL AREA: 3.0242 ACRES
erlY
fortl'
or1es
Cl'1
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BLK.
0/
LOT
/3 a /4
REVISIONS
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG
PROFESSIONAL. ENGINEER AND
LAND SURVEYOR, H,Y.S. Lie. NO, 1284!5
~ert
~Oc
SURVEY FOR:
MARILYN GATZ 8 PATRICIA 8. DEERKOSKI
UNAUTHORIZED ALTEAATlON OR ADemON TO
THIS SURVEY IS ,6. VIOLATION OF SECTION
72.09 OF THE NEW YORK STATE E~UCATION
LAW
COPIES Of THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INI<ED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALlO TRUE COP'!':
AT
SOUTHOLO
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE
SURVEY IS PREPARED, AND ON HIS BEHALF
TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE
LENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
TOWN OF
SOUTHOLO
HOWARD W. YOUNG
L.AND SURVEYOR
N. Y... L.le. NO. 45883
BY
(': 50'
SUFFOLK CO., N. Y.
DATE: MAY 2, 1983
SCAL.E:
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