Loading...
HomeMy WebLinkAboutZ-32104FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32104 Date: 12/26/06 THIS CERTIFIES that the building DWELLING Location of Property 250 OAK RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0002 Lot 002 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- 32104 dated DECEMBER 26, 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 STORAGE SHED* The certificate is issued to PAMELA G. SEH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A EkLz PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A -Authorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 250 OAK RD NEW SUFFOLK SUBDMSION: MAP NO.: LOT (S) NAME OF OWNER (S): PAMELA G. SEH OCCUPANCY: SINGLE FAMILY DWELLING PAMELA G. SEH ADMITTED BY: LINDA MERCURIO ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAY MAP NO.: 117.-2-2 SOURCE OF REQUEST: PAMELA G SEH - 12/13/06 DATE: 12/26/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME R STORIES: 1.0 ; EKITS: 3 FOUNDATION; CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 HATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE- DECK TYPE: PATIO TYPE: CEMENT BRHHZEKNY: FIREPLACE: ONE* GARAGE: DOMESTIC HOTKATER: YES TYPE HEATER: HOT AIR AIRCONDITIONING: NO TYPE BEAT: NAT.GAS MARK AIR: YES H0THATER: YES** OTHER: *FIREPLACE IN BASEMENT - ** SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: TYPE OF COMET.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: n:T� DATE ON INSPECTION: 12/20/06 TIME START: END: 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 use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and un I -ual nat ruga or topographic features. M 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 *ificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. �_ L� (1 u. ,� or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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// // Date. / — 4 � 6) - New Construction: Old or �Pre-existing Building: (check one) / L Location of Property: _l] (_ to � Me,,)Jt-Y/fWl House No. Street Ham eft Owner or Owners of Property: / (.(1 C& S�e A Suffolk County Tax Map No 1000, Section /� `� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Q.Rc i15�� U �/Q CDaaq)d_/ Form No. 6 u 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 use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and un I -ual nat ruga or topographic features. M 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 *ificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. �_ L� (1 u. ,� or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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// // Date. / — 4 � 6) - New Construction: Old or �Pre-existing Building: (check one) / L Location of Property: _l] (_ to � Me,,)Jt-Y/fWl House No. Street Ham eft Owner or Owners of Property: / (.(1 C& S�e A Suffolk County Tax Map No 1000, Section /� `� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Q.Rc i15�� U �/Q CDaaq)d_/ CONSENT TO INSPECTION cthe undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned is) ( th ow (s) o the p em se in To of Southold, located at r �j�( , A /d i X11 /1 ,��i9 �� which is shown and designated on the Suffolk Count Tax Maj as Dfsffict 1000, Section, Block �2 ._, Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold�pwn Puiying Inspectors Offlce 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 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: ki, —/�-D 6 (Print Name) (Signature) (Print Name) Ja o - . _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD M -3 OWNER STREET _7 r . y VILLAGE DISTRICT SUB. LOT FORMER OWNER N Q a K /Coad E /'r J'/C p ACREAGE f S CQQ � �� W � / ad I,—e TYPE OF BUILDING RES. 2,10 SEAS. VL. FARM CO fND. I MISC. % 3,� �o U LAND IMP. TOTAL DATE REMARKS AGE y CcUaG �--,7 Sad - - r F6 Sei AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushlan House Plot Total TAX I.D. No. 1000-117-02-02 JOB No. 06-25 O OTlE 20201, F RTA Survey Purpose: C.O. Town of Southold Pol4t4e _ ea9e T _ ` or Pam r_ K.UO ��T O ont AD -_--__I S 23°27,00„E 1 C / O �— J Q I h / 4.5, x brick a tit/o j��.zi..•_ 9.0 n t TF rc walk CiS RA 900 cLLMOE Awl brick a^t 4% conePoti 15, 4 chirp 0 r8' � 0 6,8• V woad shed 6.g• N2377OQ W 7W.QQr 14 COFUS Unauthorized alteration or addition to this document is a violotion of Section 7209 of the New York Education Low. Certifications indicated hereon shall run only to the person for whom It is prepared and on his behalf to the Title Company, Governmental Agency and Lending Institutions listed hereon. Certifications are not transferable to additional institutions or subsequent owners. Copies of this document not bearing the professional's inked seal or embossed seal shall not be considered a valid true copy. The offsets [ or dimensions ] shown hereon from structures to the property lines are for a specific purpose and use and therefore are not intended to guide the erection of fences, retaining wall, pools, patios, planting areas, additions to buildings, or any other construction. The existence of right of ways and/or easements of record, if any, not shown are not guaranteed. CERTIFIED ONLY TO: PAMELA G. SEH DESTIN GRAF P.L.S., P.C. P.O. BOX 704 ROCKY POINT, NEW YORK 11778 PHONE [631]-821-3442 f w` Ote, eter � LIBER 12457 PAGE 644 SURVEY OF: DESCRIBED PROPERTY SITUATE AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/05/2006 SCALE: 1"=30' BY Destin G. Graf N.Y.State License No. 50067 LOCATION: SUBDIVISION: � 0o oa:,_ (number & street) 7, NAME OF OWNER(S): OCCUPANCY: o> A.� (municipality) Ob. - LOT(S): (fie) (/ (owner -tenant) f ADMITTED BY: �-�� T�C.�%LC.a— ACCOMPANIED ;BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- ^ 02 — SOURCE OF REQUEST: DATE: rot r DWELLING: TYPE OF CONSTRUCTION: v��aD # STORIES: # EXITS: 3 FOUNDATION: CELLAR:_ CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): 0 UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: �z GARAGE: DOMESTIC HOT TYPE HEATER: AIRCONDITIONING: TYPE HEAT: "' '• uARM AIR: HOTWATER: OTHER: _p Z, ,, iyc /9 - - n -- ACCESSORY STIWCTURES: GARAGE, TYPE OF CONST.:. SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: Vjyk 14Z dj9iiW' GUEST, TYPE CONST: -- VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE OF INSPECTION: 1A.-;20 1 © a TIME START: END: