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Home My WebLink AboutZ-31991 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- 31991 Date: 11/08/06 THIS CERTIFIES that the building DWELLING (STREET) Block 0002 CUTCHOGUE (HAMLET) Lot 009 Location of Property 4885 COX LA (HOUSE NO.) County Tax Map No. 473889 Section 096 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- 31991 dated NOVEMBER 8, 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 ATTACHED TWO CAR GARAGE" The certificate is issued to MINNIE T BORAWA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "PLEASE SEE ATTACHED INSPECTION REPORT. ~o~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOlI : 4885 COX LA CUTCHOGUE SUBDIVI8IOR : MAP RO.: un: (S) RAMB OF ONBER (8): MINNIE T BORAWA MINNIE T BORAWA OCCUPAHCY: ONE FAMILY DWELLING ADJIITrBD BY: BARRY NOVICK ACCCIIPAHIBD BY: SAME mY AVAILABLE: SUFF. CO. TAX MAP RO.: 96.-2-9 SOURCE OF REQUEST: DEBORAH DOTY, ATTY 10/31/06 DATI" 11/08/06 DWELLING: TYPB OF CQBb-:LKUl,.;,uOlI: WOOD FRAME " STORIES: ~ I EXITS: -1 FOOliDATIOR : CEMENT BLOCK CELLAR: FULL CRAWL SPACE: BATHROOM(S), ~ 2HD FLR.: -1 TOILBT R.CK>>I (8): -.l.Q. 3RD FLR.: --9. UTILITY ROOM(S): ~ TOTAL R<X>>IS: 1ST FLR.: ---.! PORCH TYPB: COVERED DECK TYPB: PATIO TYPE: BRERZBWAY : FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC BOTIIATBR: YES TYPE BKATBR: OIL BURNER AIRCOIIDITIQlIDlG : TYPB HEAT: OIL WARM AIR: YES BO'l'WATBR : YES OTHKR , CELLAR ENTRANCE & ATTACHED STORAGE SHED ACCESSORY STRUCTURES: GARAGB. TYPB OF COBST.: STORAGE. TYPE COHST.: SWDUIIHG POOL: GUEST. TYPB COBST.: OTHKR , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Rl<IIARKS , IHSPBCTBD BY: ~ ~TB 0lI IH8PBCTIOIl: 11/06/06 GEORGE GILLER TIMB START: """, Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 (Jet ::S I 0 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY I This application must be filled in by typewriter or ink and submitted to the Building Department with ~e tollowing: i' " 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 2/1 0 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 Kpre-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. 10/31/2006 New Construction: Old or Pre-existing Building: 4885 Cox' 5 Lane * x (check one) Cutchogue Hamlet Location of Property: House No. Street Owner or Owners of Property: Estate of Minnie T. Borawa Permit No. rohi Date of Permit. Filed Map. Applicant: Underwriters Approval: rotA Lot 09 Lot: Suffolk County Tax Map No 1000, Section 96 Block 02 Subdivision Health Dept. Approval: N/A Planning Board Approval: N/ A Request for: Temporary Certificate Fee Submitted: $ 100.00 Final Certificate: x ( check one) ,-- --D~__ ~-~ Applicant Signature ....,.. ~Pr--t ~~ * built in 19405 ~.7fJIO 6'1lt C.O -c 3' qq ( CONSENT TO INSPECTION Contact: Barry Novick at 734-2958 for access Estate of Minnie T. Borawa 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 4885 Cox's Lane, Cutchoque, NY which is shown and designated on the Suffolk County Tax Map as District 1000, Section 96 , Block 02 , Lot 09 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-C/O 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 Southold. 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: 10/31/2006 c\ ~ ~ ~(' 14" -' ~ ~ (Signature) ~ Deborah Dot.}'. Esq '''' "ttorney for (Print Name) owner ---- (Signature) (Print Name) /-- / . . TOWN OF SOUTHOLD PROPERTY RECORD CARD - o M- 2.6 ('8) 'J /Ooo-~(,-.:<-? OWNER STREET t.j ~'K' 5 VI LLAGE DIST. SUB. LOT /1/1, . A '17A ell x :r L 0. ^ e. 0 ($ ,r,J. <? D J! . '. i ",_J, ... ~. ~ " E's-c h -iJ ea FORMER OWNER Na . P. ~ r.:-. . J' Er..~ -pU ACR~ ' ;<1 '/':711 (' ~ J ~ ~ ,,}o.-" 0 S ~.~. . u W . TYPE OF BUILDING ~ ;fl:. . -"., , a.. , .p~.I.. A I 1ft-J'A;...y Woo" F'rA""~, ~ /I ~ ~/o VL. FARM COMM. CB. MICS. ":": SEAS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ';<00 ;3 t:l 0 Cl .""1.2...00 tthr-1cp, - ) III 031.0 q l \ - ~ ra wc;l.. .ot. 4.nn +0 Bor (JiJ)/j HIe... too '13tH t/Q()O ../ / .z/J.:,-/7/ I I , - 4J.,1nn 1Z.7 / oj; ?/O~ / . AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE -..- FARM Acre Value Per Vclue Acre --.. - Tillable FRONTAGE ON WATER Woodland FRONT AGE ON ROAD . 0(.00 /':'0 ~. L/.r. Meadowlond i DEPTH I ()! Hause Plat I ' BULKHEAD ~~ I --- Total , DOCK ~ - ) . , ~ .-:, , COLOR GJ? H .; TRIM 4/1+I,-r-E , I \: - , ;. - - .~..,." ..-'-- Yo'. I , .. - , ::>-< , . , . '\ 1-;1 R. . I", :::i Ir'" . " ~.. '1'- / 1// / .Y '- I I... , , - ;.0 ' 2 F'Tp< 1.\ . - i~ 0 M. Bldg. . .:7.2 1I 3.7 ' 7.V l/ 50 ~It.~ J:l, .-., Extension' I"'''; H5 ';~f /.2- x. I ~ , Extension . ... .. . .... ~ )( " - .... & I. . .3(. - Extension - Foundation C:lJ Bath .I j:. Dinette Porch I h , ,.. ~D If) 0 Basement l' v t l- Floors "I'IK. K. ....00 Porch Ext. Walls ylG6 Interior Finish W'f)tL BL /LR. I Breezeway Fire Place y[s Heat 1-1. u/. I DR. i Garage ';<'0-1';' '7 S '/D / D 6 S" .., D Type Roof G1=I><1 ,:- Rooms 1 st Floor i BR. : Patio I Recreation Room Rooms 2nd Floor FIN. B . O. B. Dormer I.?!m., ,i {P"" Driveway LAUE Rel/' Total L./-3J),,, 'c) -" 10/17 - S...,,,,J. D" MVA., I.:>""J 'fo,< .J3"fOK. . . /[/;"j "~r" '-' " . -, Cox':S L4NE .3e.v.~ ' 4'6. co';:' '"6-- .I. ,00' , ~ ~ ~~ ~ ~.~ f F=l . ~ t ~ ~ ~ ~ ~8 / f/f! 6'J'i:It'Y ~~ ~ ~~ !'\R ---"1 i~ ~ i ....---~ Il!Ialy I ~,~ l ~ ~ , ~t ~ l=I ~~ i ~ fJ)~ ~ ~I ~ t ~ ~. , - 6.7" ~ --N.(/~'OO'.!!J()"W /50.00' ~ ~ r<:'...etV4"",LV F~ .$U,,*,/~k/ 4~64/ '~~?I!'i!'IV/G'Z ~VA!V~Y ""OA?MiNN;~ J:Bo~W..4 4NrM:;WY JlY-LEIt'ANPoM'K/' . L4NP .?'ae'v~ ~.rI,lOU' AI. y. t.ccA7.'ON' cur~ ;OwN l?.If' .~i:::w'~ /II, y. ,. 1JU-dA!4V7E<fEP n>'~~~&.e.l1l:~~4Mw~:r.~ 047E. .IV...v.F 7;/9?~ SC4U'/"'''!JO' , ."'N$a-r. .a~~~ ~V/f:I, . ';4 ./.