HomeMy WebLinkAboutZ-31988
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-
31988
Date: 11/06/06
THIS CERTIFIES that the building
SEASONAL DWELLING
(STREET)
Block 0005
CUTCHOGUE
(HAMLET)
Lot 044
Location of Property 800 WEST RD
(HOUSE NO.)
County Tax Map No. 473889 Section 110
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 NUMBBR Z-
31988
dated NOVEMBER
6, 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 SEASONAL DWELLING -
The certificate is issued to LEONARD & MARILYN SCOTT & ANO.
(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.
~ze1:!!:::-
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
800 WEST RD
CUTCHOGUE
SUBDIVISION :
MAP BO. :
rnr (S)
BAMB OF ONHBR (S): LEONARD & MARILYN SCOTT & ANO.
OCCOPABCY: ONE FAMILY SEASONAL RESIDENCE
LEONARD & MARILYN SCOTT & ANO.
ADMITTED BY: JOY LEO
ACcalPARIRD BY:
KEY AVAILABLB:
SUFP. CO. TAX MAP BO.: 110.-5-44
SOURCE OF REQUEST: MARILYN SCOTT 10/30/06
DATE, 11/06/06
DWELLING:
TYPE OF COlfSTRUCTION: WOOD FRAME
. STORIES: ~ , EXITS: ---1.
FODHDATION: CEMENT BLOCK
CRLLAR: PART
CRAWL SPACE:
BA'l'IIRO(>>t (S), -L..Q
TOILET ROOM(S): ~
3RD FLR.: -9.
UTILITY ROOM(S):
TOTAL Roam: 1ST FLR.: -1
2BD FLR.: -1
PORCH TYPE: COVERED
DECK TYPE: WOOD
PATIO TYPE:
BREEZEWAY :
FIREPLACE:
YES
GAlIllGE ,
DOIIESTIC BOTWATER: YES
TYPE HEATER:
AIRCORDITIONIBG :
TYPE BEAT:
NO
WARM AIR:
BO'l'WATER :
YES
OTHER: OUTSIDE SHOWER, HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPB OF COlfST.:
STORAGE. TYPE COHST.: WOOD FRAME SHED
SWIMMIHG POOL:
GUEST. TYPE COIIST. :
OTHER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
RBMARI<S ,
~~
DATE OR INSPBCTIOR: 11/03/06
INSPECTED BY:
GEORGE GILLEN
TIllE START:
EIIIl,
7f~-1-[51{- O!5:J- .
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~! TOWN HALL
, 765-1802
'~\4~l;; PPLICATION FOR CERTIFICATE OF OCCUPANCY
--,,~------
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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:
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 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.
~) 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 I /
Date. / 0 30 / 0 ~
. I /
New Construction: Old or Pre-existing Building: (check one)
Location ofproperty: '7\ () D We 5 + r\ oct d ( u +r L) qU (J
House No. Street U Hamlet
Owner or Owners ofproperty:.J1J ClV'11y 1/1 Ci- hpovt,~y,j Sco 4-+. q -rh pod()l/'(' Sc ~Cf Q g
Suffolk County TajC Map No 1000, Section I J 0 Block ~-) Lot f Y
Subdivision
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Permit No.
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
( check one)
"~~~~
Applicant Si e
&.tt..1 \ ,09-
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CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, doe es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
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 Southold.
Dated:
!O]PO!o(t
/ (
~~fQA
~gnatur,s:.) -1 I
JiVi Cf V" V'\ ::J C. 0 T-/-
( rint Name)
(Signature)
(Print Name)
, .
<-
-
TOWN OF SOUTHOLD PROPERTY RECORD CARD
1000 - In ...j--</if
OWNER STREET ,)(f"n VILLAGE DIST. SUB. LOT
L e.tJ"d,...-d1l < JC () tT I'- Or.f. We.d-~~aj . C <./ tc ;. & q ve /2.
FORMER OWNER Nz: pl.zA>>-rt-/~k E ~ ACR. YL
'F'N.. Ie,'" 1. - hAUi/;,
S ' W , TYPE OF BUILDING
S, E. Ref, erur"f-AniJ. tfeJf ~oI d I H ~YCl HCC\
RES...,.?to 'sEA~ VL. FARM COMM. " CB. MICS. Mkt. Value
TOTAL I DATE Vl/( ",. ~ tI/, . . p"J. 'foW~
LAND IMP. REMARKS...fc At t. '6J4.iJ 7/, nJ !/J'/,f' J~ /.2, if, ,.,~.,/' r,. eiH
..J---;'~ /2d t1 j7(j() V , fh/7/ ...ro/<(~ia"6 f(-d,,/ur <r-/fq. fa L~'Sc.."# 4- ,,""".
J~-o l'l 3.",c.o hCS-o 6" I 1/ 6- /7~
. .
.
.
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
,
Tillable FRONTAGE ON WATER "0
,
Woodland FRONTAGE ON ROAD /S7JH ~ /D,p 0 : ISoc)
Meadowland DEPTH 2L17J~f,
Haus\.!:Jot..., ~ BblLI{II~~ A.... t- /~~7",
Total DOCK
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M. Bldg.
Extension
Extension
Extension
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Porch
Breezeway
Garage I
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Patio
O. B.
Total
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Ol.t> y ~ t> ~ 1/ 0 "
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300
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Basement PAl;: + Floors
'7S '2,2'1 Ext. Walls ..4$13 Interior Finish
Fire Place "'-c ~ Heat
I Type Roof Rooms 1st Floor
Recreation Room Rooms 2nd Floor
Dormer Driveway
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FIN. B
SURVEY OF PROPERTY
SITUATE: GUTGH06UE
TOHN: SOUTHOLD
SUFFOLK COUNTY, NY
SURVEYED, OCTOBER 25,2006
SUFFOLK COUNTY TAX II
1000 - 110 - 5 - 44
N
W-+E
S
CIlR'l'IflIJlI) TO:
Leoaard H. Scolt
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIe. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Compaqserverlpros\06\06-246.pro
AREA = 31,518 S.F. OR 0.8613 ACRES