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Home My WebLink AboutZ-32459FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32459 THIS CERTIFIES that the building DWELLING & ACCESSORIES Date: 07/11/07 Location of Property 48110 MAIN RD SOUTH/PEC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 069 Block 0006 Lot 006 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- 32459 dated JULY 11, 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 WITH REAR ENCLOSED PORCH, ACCESSORY TWO CAR GARAGE AND ACCESSORY CHICKEN COOP.* The certificate is issued to IDA NEWBOLD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NIA *PLEASE SEE ATTACHED INSPECTION REPORT. A hor'zed gignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 48110 MAIN RD SOUTH/PEC SUBDIVISION- MAP NO.: LOT (S) BANE OF OWNER (S): IDA NEWBOLD OCCUPANCY: ONE FAMILY IDA NEWBOLD ADMITTED BY: GARY QUIST ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAR MAP NO.: 69.-6-6 SOURCE OF REQUEST: GARY QUIST DATE: 07/11/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: BRICK CELLAR; PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: 4 2ND PLR.: 3 3RD PLR.: 0 BATHROOM(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED REAR DBCK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: AIRCONDITIONING: TYPE BEAT: KEYSPAN NORM AIR: X HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE COMET.: OTHER: CHICKEN COOP VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REKARKC. EP33236 DEMO ACCY SHED & BATH ALTER INSPECTED BY: ON INSPECTION: 05/29/0 GARY J FISH TITO; START: END: Form No.6 �6 9��p b 0 TOWN OF SOUTHOLD o I BUILDING DEPARTMENT TOWN HALL l 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 11621 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. 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 12. 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. New Construction: t_t p 1 OldPre n Pre-exiisti Building: (checkone) p Location of Property: `O\l� '�1r��N IU\- House No. Street Hamlet Owner or Owners of Property: Ee,1N ri gy�m"" F-_J—�� Suffolk County Tax Map No 1000, Section (OT Block �� Lot Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: &V Filed Map. Lot: Applicant: Y ✓ r 1`15d ✓ic /Uc-z-iwj Underwriters Approval: /Ba �+^- �c r 9�✓�, Final Certificate: (check one) 16 AA � 9- �_ tl TOWN OF SOUTHOLD PROPERTY RECORD CARD 0z / OWNER STREET �. rr VILLAGE DIST.1 SUB. LOT i e.. FQRMER OWN R �G:.. /�-�. F�J T' '�LL,. .,°t=t ACR. •SAO S W TYPE OF BUILDING RES.X/ D SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 acQ 6� o 0 3 To a 3 7 ,0 0 -1- v 7 311199,—carr G✓ ` 112cc t 6 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot� BULKHEAD Total DOCK � : : . :��y ��» < .� .� «: . 3\\mow . ��:«ate` � \� \ � � .: \( � . � \ � � ��^ � � <� 2y1 lN�s R OAS 97 R y M A N 3430' P " AREA = 1.9,188 sq f ANI AL IEBA;m OR App NW 10 INS .CI AYYEY 6 A VIOLA NON W SEr,TKFI AN a I1F NEW YMk STATE FOLCATION LAR, WITFON ARE ALO I'M Tom; wr Jv cwts TwArw ONLY Fu SAD MAP W COMS BEAM TIE MPWSSFO SEAL W THE SIATWVOR MKISF SK•NAIINI! AI'F'EARS WHEW. ALNBIKYUI LY TO COM'LY MITI SAN) LAW TIF TERM 'AL TERW BY' WS? BE WFO BY ANY AM ALI. SURVEYORS UrSIZN6 A COPY W ANOIIIF.R SLNTVEYOR;S MAP TERNS SUCH AS 'MSPECTFD' AM' BI- 'RNI TO BATF' ARF NOT M rMMI UNCF WITH rI F I AW. oll ", MLq. j4cj NO. ryaR/R 17.30 TRA VEL FR SMff.1 .SOIIIIIOLO, N.Y. 11971 9.5 - .717 prF9` m V { l o N ♦ pffi7P� Z 1 I vi T 1 n l O Z II O A D I. N x s v jjSsnn U n n ti SURVEY FOR D q IDA NEWBOLD AT SOUTHOLD BNj6 TOWN OF SOUTHOLD pK� SUFFOLK COUNTY, N Y. s. ZAZE e I N'o'd Scare: 1" = 30' Feb. 16, 1996 I MAR. 11, 1996 ICORRECTIONI AREA = 1.9,188 sq f ANI AL IEBA;m OR App NW 10 INS .CI AYYEY 6 A VIOLA NON W SEr,TKFI AN a I1F NEW YMk STATE FOLCATION LAR, WITFON ARE ALO I'M Tom; wr Jv cwts TwArw ONLY Fu SAD MAP W COMS BEAM TIE MPWSSFO SEAL W THE SIATWVOR MKISF SK•NAIINI! AI'F'EARS WHEW. ALNBIKYUI LY TO COM'LY MITI SAN) LAW TIF TERM 'AL TERW BY' WS? BE WFO BY ANY AM ALI. SURVEYORS UrSIZN6 A COPY W ANOIIIF.R SLNTVEYOR;S MAP TERNS SUCH AS 'MSPECTFD' AM' BI- 'RNI TO BATF' ARF NOT M rMMI UNCF WITH rI F I AW. oll ", MLq. j4cj NO. ryaR/R 17.30 TRA VEL FR SMff.1 .SOIIIIIOLO, N.Y. 11971 9.5 - .717 CONSENT TO INSPECTION 41hic- 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 y0110 MAIN U sn7)7„e,6 .vy ii 47/ which is shown and designated on the Suffolk County Tax Map as District 1000, Section 6f Block_ ,Lot_ __. That the undersigned (has)Qavfefiled,or cause to be filed an a lic tion in e d Town Building Inspectorce for the following: /1— ppm ` Q a--?- &A S N2 " Z C /t 'b �T 6 At-/fb - - - lad d 'L 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: V1, 07 (S'gna e) ✓�Si �a Print ame) -9dot&� AJEk)0OL) (Signature) ��Gu�t- ESQ al' (Print Name) /1%,e M NEZ--')6L"! LOCATION: (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: LOT(S): (type) (owner -tenant) ADMITTED BY: C` w► ®rtes ACCOMPANIED BY: JL< KEY AVAILABLE: / BUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # S RI : # EXITS: oV- FOUNDATION: fi-4 uc CELL �CRAWL SPACE: l y TOTAL ROOMS: IST FLR: 2ND FLR: _.3 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: G(%�,� /�t�,,` DECK, TYPE: BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER:S' TYPE HEATER: TYPE HEAT: R WARM AIR: OTHER: PATIO, TYPE: GARAGE: AIRCONDITIONING: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: C/d CAS TORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. a a-3Ex-A A-14- 4- REMARKS: REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: �®� � END: If aso m Q �o c� 00UMV,�`� i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL �f 4�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESI[dT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR