HomeMy WebLinkAboutZ-32278
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-
32278
Date, 04/03/07
THIS CERTIFIES that the building
DWELLING
Location of Property 2800 PINE
(HOUSE NO.)
County Tax Map No. 473889 Section 104
TREE RD
(STREET)
Block 0002
CUTCHOGUE
(HAMLET)
Lot 016
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-
32278
dated APRIL
3, 2007
was issuedl and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is
SINGLE FAMILY DWELLING WITH ACCESSORY SEASONAL COTTAGE*
The certificate is issued to IMELDA CORCORAN FARRELL
(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.
~r~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
2800 PINE TREE RD
CUTCHOGUE
SUBDIVISION:
MAP NO.:
LIJT (S)
NAME OF OWNER (S): IMELDA CORCORAN FARRELL
OCCUPANCY: RESIDENTIAL
IMELDA CORCORAN FARRELL
ADMITTED BY: IMELDA FARRELL
ACCOMPANIED BY: SAME
KEY AVAILABLE:
SUFF. CO. TAX MAP NO.: 104.~2-16
SOURCE OF REQUEST: IMELDA M.C. FARRELL 6/9/06
DATE: 04/03/07
DWELLING:
TYPE OF CONSTRUCTIOH: WOOD FRAME
# STORIES: ---1..:..Q # EXITS: 3
FOUNDATION: CEMENT
CELLAR: PART.
CRAWL SPACE:
TOTAL ROOMS: 1ST FloR.: -2
2ND FLR.: ~
3RD FloR.: ~
BATHROOM (S): ----.!...:....Q
TOILET ROOM(S): ~
UTILITY ROOM (5) :
PORCH TYPE: COVERED
DECK TYPE:
PATIO TYPE: ENCLOSED
BREEZEWAY:
FIREPLACE:
GARAGE:
DOMESTIC HOTWATBR: YES TYPE HEATER: OIL
AIRCONDITIONING:
TYPE HEAT: HOT WATER WARM AIR: NO HOTWATER.:
YES
OTHER: CELLAR ENTRANCE, OIL HOT WATER
ACCESSORY STRUCTURES:
GARAGE. TYPE OF CONST.:
STORAGE. TYPE CONST. :
SWIMMING POOL:
GUEST. TYPE CONST.: SEASONAL COTTAGE
OTHER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP#32867Z-COZ-32278 (HEATING SYSTEM IN COTTAGE)
INSPECTED BY:
~4r}fp.
DATE ON INSPECTION: 04/03/07
GEORGE GILLER
TIME START:
END,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
1-LtMJS--
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:
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 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,
ccesso buildin $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
- 3. Copy 0 e I Icae 0 ccupa
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $l5 .00
Date. fe/erl ok
,
.
New Construction:
(check one)
Location of Property:
2.. 'if 00
House No.
Street
Cxk~OjV~
Haml
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision ~a :s-S<:M\ ~rl'V\ S
/10
Lj)
Permit No.
Date of Pennit.
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Ceriificate
Final Certificate:
~k;'~
-
Applicant Signature
Fee Submitted: $
B...u....- '7:J. 3 0 C)
8M-. to !C.322?~
CONSENT TO INSPECTION
. ~z~J {<YL \
-:LVV\e-\ JO\ M, (.A)rc.-o rGVY\ , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 2-CZO 0 I f1eV..e..e a.J 0 V~
which is shown and designated on the Suffolk County Tax Map as istrict 1000,
Section (O~ ' Block 2- , Lot / f, .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
(Ie - (I,((),
That the undersigned doe 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
complywith 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:
(010/ (6~
(Signature)
(Print Name)
.....,.--..,~.
TOWN OF SOUTHOLD ~OPERTY RECORD CARD
Q). .
11
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OWNER STREET 2"?CO VILLAGE DISTRICT SUB. LOT~ 1//
. f - (?DJ-Cn<z r7 f11l' e ?; ~elf~.d CO' *~b9Ve ~ V ffi vvcll/ ;;;; rrt if'
FORMER OWNER N E ACREAGE , '-/73
!l'ft, >>p S W TYPE OF BUILDING / (,?/;-t;;,.
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RES. ;!. / 6 SEAS. VL FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
t.;'tJd 'It 00 S7f~d ... ~ .sj;~~r/ ::2 (DJ!V>..--t6'J
7&'0 Lf'l t:10 f600 J 4/'/;;P /h. ?'lL-/f J..- .1'-<-_ ' '/1 -,.,.r, Pi /0 'J1~ ;!. .e"l'"t.dJ1'A.h .;, 9/s':J..
7/'.-:foo '11..500 j",.l 7-
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONT AGE ON ROAD 7 () -if, 6 "1 A? < (r,.ee /?E!' ct' ,....-,o;::.l 0" f c.rv
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rillable 2 DOCK
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OWNER
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FORMER OWNER
RES,
LAND
AGE
NEW
FARM
Tillable
Woodland
Meadowland
House Plot
Total
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TOWN OF SOUTHOLD PROPERTY RECORD CARD. '
,'-
STREET
Pl L~ N--f.-,
IMP,
NORMAL
Acre
N
S'
VL
TOTAL
BUILDING CONDITION
BELOW
Value Per
Acre
FARM
DATE
ABOVE
Value
VILLAGE
E
W
COMM. CB.
MICS.
REMARKS
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
DIST. SUB. LOT. I. . L/I
,50' ~~ )-.;<.4-/.',"" J
Ac~.t/7) .
TYPE OF BUILDING
Mkt. Value
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lotio Recreation Room Rooms 2nd Floor FIN. B '.
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LOCATION:
?-loo
Ik~~
j
~
(municipality)
(number & street)
SUBDIVISION: - MAP NO.: - LOT(S): -
NAMEOFOWNER(S): ~,+1.~ r~
OCCUPANCY: / :5-rol.y-~c. / rffM/LY R<=5ilJ&l/Ct::: _ "I.(/.N'~
, (type) / (owner-tenant)
ADMITTED BY: ~ ~ ACCOMPANIED BY: r
KEY AVAILABLE:.-- SUFF. CO. TAX MAP NO. 1000- /O'{ - ~ _ ;(:J
SOURCE OF REQUEST: ~e~.R.", -"1, C, F~TE: (,-r~o.6
--.,
DWELLING:
TYPE OF CONSTRUCTION: .W40'J> F~~~ # STORIES: I # EXITS: .a
FOUNDATION: ~ CELLAR: ~~ CRAWLSPACE: ~
TOTAL ROOMS: 1ST FLR: S 2ND FLR: ~ 3RD FLR: .....--
BATHROOM(S):' TOILET ROOM(S):.-- UTILITY ROOM: _
PORCH TYPE: <OVee,E) DECK, TYPE: --:" PATIO, TYPE:_Edc L O!>E"t>
BREEZEWAY: NID FIREPLACE: ,lVP GARAGE:
DOMESTIC HOTWATER: )/};f:3 TYPE HEATER: Ii>/L AIRCONDITIONJ,NG:-
TYPE HEAT: !fll;-- ~ WARM AIR: #-0 /hJ HOTWATER: yO'
OTHER: ~'~ ~ eJ/l- r WIJ-r~
ACCESSORY STIWCTURES:
. GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: S€,/}5ofo//J-L/ F4A1/l-..y , / ..sr"~Y /f~5'//Jt::A/<::u:::
~ F~~ ~~ .-x,,-~
~~ ~~)~/~~J-~ I~,
~ ~,:,~'-~/ ~ ~ ~ -' -'
~ --~. J
VIOLATIONS: CHAPTER 45 & NY STATE UNIFOPM FIRE PREVENTION & BUILDING CODE
\
ifr
DESCRIPTION'
ART. SEC.
,
i:ir-
?
.
REMARKS: .
~.~
DATE OF INSPECTION:
{, ~/S -'0 k
INSPECTED BY:
TIME START:
END:
-~.