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HomeMy WebLinkAboutZ-32219 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- 32219 Date: 03/05/07 THIS CERTIFIES that the building DWELLING Location of Property 230 PEQUASH (HOUSE NO.) County Tax Map No. 473889 Section 102 AVE (STREET) Block 0003 CUTCHOGUE (HAMLET) 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- 32219 dated MARCH 5, 2007 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 JOHN E DAWSON (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ~~- Au horized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 230 PEQUASH AVE CUTCHOGUE SUBDIVISIOll: MAP RO.: LOT (S) HAMB OF OHHER (S): JOHN E DAWSON OCCUPANCY: SINGLE FAMILY DWELLING JOHN E DAWSON ADMITTED BY: MARY HOLLAND ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP RO.: 102.-3-2 SOURCE OF REQUEST; ABIGAIL WICKHAM, ATTY 2/23/07 DATE: 03/05/07 DWELLING: TYPE OF COllSTRUCTIOll: WOOD FRAME It STORIES: ~ It EXITS: 3 FOillIDATIOH : CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS; 1ST FLR.; ---1. 2lID FLR.: ---1. 3RD FLR.; --9. BATHROOM (S) : 1. 0 TOILET ROOM (S) : 0 . 0 UTILITY ROOM(S) : PORCH TYPE; ROOFED OVER DECK TYPE: PATIO TYPE; BREBZBWAY: FIREPLACE: NO GARAGE , DOMESTIC HO"l'WATER: XX TYPE BEATER: OIL BURNER AIRCOHDITIOHIHG: TYPE BEAT: OIL WARM AIR: YES HOTWATER: YES OTHER: SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE. TYPE OF COHST.: STORAGE. TYPE COHST.: ACCESSORY SHED SWIMMIRG POOL: GUEST. TYPE COHST.: OTHER , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS , ~ *~ DATE ON INSPECTION, 02/28/07 IRSPBCTlID BY: GEORGE GILLEN TIME START: END, .L V.L.U' .232[1::; TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA1;CY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 17. 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: 1. 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 r reasons therefor in writing to the applicant. C . ~,=es 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 - ~. .2~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy Residential $15.00, Commercial $15.00 Date ..~~~~~~~%.t~,.~QQ?..................... N C t. Old 0 P .. B 'ld' X (for a two story frame dwelling) ew onstruc ~on........... r re-~~~st~ng u~ lng................. Location of Property.. .~~Q..................... .~~g,;,~~l}.1-Y~r:,;,,,............ .~'!~~!t?15!'!'......... House No. Street Hamlet Onwer or Owners of Property. ..:['!I}r: .~~~~'!~ .r!'!'1~C:'!-. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . County Tax Map No 1000, Section....tQ~:QQ....Block..Q~:QQ.........Lot...99?:~~~............ Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map........... .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No............... .Date Of Permit............... .Applicant. . .. . . .. . ......... . . .. . . . .. .. Health Dept. ApprovaL........................ .Underwriters ApprovaL........................ Planning Board Approval........................ Request for: Temporary Certificate........... Final Certicate.....~..... $.~QQ:........................ ;,;1/ ,J/) ~ - .. ~ -~. .~... '#1:it{f1(f:/q/I~............ Abigail A. Wickham, Agent Fee Submitted: ~.tC-. 7 f 7 tr &,/llLCO r:.32:)/r 10131 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS. ~.~ DATE 3 -- / S - 0 7 INSPECTOR ~~ , CONSENT TO INSPECTION John Elliot Dawson Owner(s) Name(s) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 230 Pequash Avenue, Cutchogue, NY 11935 , which is shown and designated on the Suffolk County tax map as District 1000, Section 102 ,Block 3 , Lot 2 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: a , two story frame dwelling. That the undersigned doles) 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,lrules and regulations of the Town of Southold. The undersigned, in consenting to such inspactions, doles) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- rules or regulations of the Town of Southold. ! / / ',' ,'1" , '~ . s g lations of the laws, ordinances, Dated: 2/16/07 Abi~ail A. Wickham, Agent print name) (signature) (print name) ( \ TOWN OF SOUTHOLD PROPERTY RECORD CARD ;V1~0' IdtJa -/,,~-3-.2. OWNER STREET 23 () VILLAGE DIST. SUB. LOT . ~#AI i:~ DAWSOtV , Pe<l.V3Jh Ave, C I./kk (JQ ve- ld.., DefC, FORMER OWNER N , E v ACR. tV; ilL //INP P.e.Qu..~sJ.. fJ,).e- ^ ~;> C; ,J1fJD~L/1{ f'. RIJRtnW S W TYPE OF BUILDING c 1M .:..d Cl L I A. r. ~ .;r: <I M 921d SEAS. VL FARM COMM. CB. MISe. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2706 1/!;3/7-1 SoLo./t~oo ,~'LlJ /'7. 73Af,h,qU L 77.j",p' ~ot) j :l.o t"'\ ~ 10 J. Dfhv$O IV /~ /1 I.()~ .3 '" P"'(> l,? "0-"0 .J 1//1"/77. '/~"'/'a .6'?//O/3Q l 1.4/./ ~r,<>"I""6< :I, do.. II ,F,(' '/I,so v"',JI(c \ )' ~ AGE . BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM 'Acre Value Per Value Acre Tillable 1 , ' nllable 2 rillable 3 , Noodland , ;wampland FRONTAGE ON WATER .. lrushland FRONT AGE ON ROAD 7-y -fft {!J ~ p'" ,- &"'0 .' 2JJ 0 4' -1-1 -louse Plot DEPTH ~ ........~ ..... BULKHEAD ...., 'otal DOCK . -------.-.---- ----~--- - ------ - --- - ..;. '.-" - . > r ..:;. . , :...r'-. . '"'--,. ~~~~~i. ~." COLOR o. ~ --~x:::.~.?:.~\ .t!,: .~ I :.~ - ,. Nr:rf ~.:. - , ' '" ~ - ~ . . /_.~ '.-:: - ~;,,;'''''j/ ,~ TRIM c ~ f/II I ~ /13 ~ -' ../.-. ....... ~-:.<J w. --.:t- WI+,-'C .~ , . ;l, -:; , r , I IA / .' I 1# . .-. V... Bldg. .,. S'V 2- ~ - I. ~--o ~o-o ,g.2 Co Foundotion t:: B Both / Dinette . ~tensjon S"X i:. "" "3 0 l-~ 7S- Basement rill '- Floors t) "'1 ,'(, K, Extension ~. Wolls Interior Finish LR, cxt, WOO'" <:""N c.. bJl'JJ.-J-. I'J.P Extension I=ire Place /1 ~. Heat -..JEs DR, tr ype Roof Rooms 1st Floor I SR. Porch 1''1:13 : /2-.1 s;-u ,?y ~ecreation Room Rooms 2nd Floor FIN, B. Porch o>x , "- "-^ s-<> /1;,' Dormer . Breezeway riveway Garoge r Patio O. B. Total .3 y:.3 .J / . j . '" :v 1. J :ql , ~ ~I I ~ ~ I ~I ~ .~ 'I ., ~I ct ~ ~ ~ ~ IJ ~ \J ~l ~I ~ ~' E. vv.' FoX' .zO;z.64- ,II) '1... ~ " \J '50"5. ~ .~ ~ Sa 14- 'i:lSl z-~I'fF" ~ ~ 100) ~ Hoens.: l\~ ~ oS.,' 0 . ~ ~ .\\ \l '-? U)i1 ~~ ~O-;t. 64- 11) 1'+' SO' W ~ .3:S .s. 8If/?rl-~.,:/ti ------- --.------ -... cO.O.O- -- MAP or PROPERTV .:s VRV.e-Ve-o FO,<:? MAL/OLIN F BARTEAt./ AT C VTC HOGUE; I\/. V ScQle 40'=1" a = /'HOff~lHeff r Ti"l/~ No. S-3/7Z$ . Gvcn''''H-Ieed 1-0 -/-/?~ /-!O/'ff<:!" T"-I-/~ GU<?rPH;"~ Ce>. os suryc/:'F<=d Fep. Z6, /960. 0"1'1"'0 W I4:Tff ''''9/.9' .sOh' ({;J4G7J'. /h:- ~ L 'ceNsed LdHd .5I';r';C'9'or.s G-1'e'<::N,I:>or'l'; New n;,rx