HomeMy WebLinkAboutZ-32529FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32529 Date: 08/10/07
THIS CERTIFIES that the building DWELLING
Location of Property 7080 SKUNK LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 0005 Lot 010
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- 32529 dated AUGUST 10, 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 & ACCESSORY GARAGE*
The certificate is issued to PAUL & EMMA O'DONNELL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
Au horized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7080 SKUNK LA CUTCHOGUE
SUBDIVISION: MAP NO.: IAT (S)
NAME OF OWNER (S): PAUL & EMMA O'DONNELL
OCCUPANCY: SINGLE FAMILY DWELLING PAUL & EMMA O'DONNELL
ADMITTED BY: LOU BLANK ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 104.-5-10
SOURCE OF REQUEST: WILLIAM GOGGINS, ATTY 7/16/07 DATE: 08/10/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 2.0 $ EXITS: 2
FOUNDATION: CEMENT BLOCK CHLLAR: FULL CRAWL SPACE:
TOTAL ROOKS: 1ST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0
HATHROOM(S): 3.0 TOILET ROOM(S): 2.0 UTILITY ROOK(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: SLATE
BREHZEFAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTiATER: YES TYPE BEATER: AIRCONDITIONING: YES
TYPE HEAT: OIL WARN AIR: YES HOTWATER: YES
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE COMET.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP#1081-COZ772(ADD)BP#30149Z-COZ30811(ISP)EP#30269Z-COZ30812(ADD)
INSPECTED BY: /`�;� DATE ON IHSPRCTIOR: 08/06/07
GEORGE GILLEN TIME START: END:
Pmrm Na 6
TOWN OFSOU HOLD
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 Deparhnerikwdh 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 Ilealth 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 Plarming Board Approval of completed site plan requirements.
I3. 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 property 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. TemporaryCertificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 7-11-07
New Constriction: Old or Pre-existing Building: X (check one)
Location of Property: 7080 Skunk Lane Cutchocue
House No. Street Hamlet
Owner or Owners of Property: _Paul O'Donnell and Emma O'Donnell
Suffolk County Tax Map No 1000, Section 104.00 Block 05.00 _Lot 010.000
Subdivision Filed Map. [,of:
Pernnit No. Dale of Pernnit. Applicant:
Health Dept, Approval: Underwriters Approval: _
Planning Board Approval:
Request for: Temporary Certificate _ Final Certificate: —X (check one)
Fee Submitted: $ 100.00 Certificate of ¢kuupancy oq Pre-existing Use
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A
GOGGINS & PALUMBO
ATTORNEYS AND COUNSELORS AT
P.O. Box 65
13105 Main Road
Mattituck, New York 11952
Phone: (631) 2984200
Fax: (631)298-4214
July 16, 2007
WILLIAM C. GOGGINS, ESQ.
ANTHONY H. PALUMBO, ESQ.
Building Department of the Town of Southold TRACY L. KARSCH, ESQ.
53095 Main Road OfGoUnsel
Southold, New York 11971 DONNA ParallegaegallM. ER
Re: Paul O'Donnell and Emma O'Donnell;
Premises: 7080 Skurk Lane, Cutchogue, New York
SCTM No.: 1000-104.00-05.00-010.000
Dear Sir/Madam:
In connection with the above referenced matter, enclosed please find an
Application for a Certificate of Occupancy, together with a Consent to
Inspect and a copy of the survey.
Also, enclosed please find a check made payable to Southold Town in the
amount of One Hundred ($100.00) Dollars as and for the application fee.
If you have any questions, please do not hesitate to contact the undersigned.
WCC dmp'
enclosures
Very truly yours
Z L
AM C. GOGGINS
CONSENT TO INSPECTION
aul O'Donnell , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned 6W (are) the owner(s) of the premises in the Town of
Southold, located at 7080 Skunk Lane, Cutchogue, New Yor 11935
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 104.00 Block 05.00 , Lot 010.000
That the undersigned (W) (have) filed, or cause to be tiled, an application in the
Southold Town Building Inspector's Office for the following:
(:e t;f; ate of Occupancy on Pre-existing Building
That the undersigned do(tv) 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, doh) 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, noes or
regulations of the Town of Southold.
Dated: 7-11-07
(, g ature)
re)
..Paul O'Donnell
(Print Name)
BAY AVENUE
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WOOD DECKS
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COMPOSE PILE
W/WIRE FENCE
FD FD
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CMS 79'12'10"W
WOOD FENCE SOUTH OF PROP. LINE 100.00' CM
N/F CRAMER
N/F WOLLEBEN/McMAHON
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND
GUARANTE S ARE NOT TRANSFERABLE Tonmoa
SURVEYED: 15 SEPTEMBER
2003
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
SCALE i"= 20'
UNAUTHORIZED ALTERATION OR ADDITION TO ]HIS
SURVEY IS A VIOLATION OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW.
AREA = 15,000 S.F.
OR
COPIES OF THIS SURVEY MAP NOT BEARING SURVEY OF 0.344 ACRES
THE LAND SURVEYORS EMBOSSED SEAL SHALL DESCRIBED PROPERTY
NOT BE CONSIDERED TO B£ A VALID TRUE
COPY
SITUATE
CUTCHOGUE,
TOWN OF SOUTHOLD
SUFFOLK
COUNTY, N.Y.
SURVEYED
FOR: PAUL O'DONNELL
EMMA O'DONNELL SURVEYED BY
TM# 1000-104-05-010
STANLEY J. ISAKSEN,
JR.
P.O. BOX 294
NEW SUFFOLK. N.Y.
11956
631-73 -5835
GUARANTEED TO:
PAUL O'DONNELL
EMMA O'DONNELL
_
CIDMORTGAGE, INC.
ENSED ND URV
R
ABSTRACTS, INC.
NYS Lic. No. 4927
03R1261
LOCATION: 17 o 7 0
SUBDIVISION:
NAME OF OWP
OCCUPANCY:
(number & street)
(municipality)
lV W11G1-1G11a11L)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- 10 S I o
SOURCE OF REQUEST: DATE: '7-14-07
DWELLING:
TYPE OF CONSTRUCTION: ��� # STORIES: � # EXITS:
FOUNDATION: CELLAR: )= CRAWL SPACE:
TOTAL ROOMS: 1ST F R: 2ND FLR: ,3 3RD FLR:
BATHROOM(S): 3 TOILET ROOM(S):" :"' UTILITY ROOM:
PORCH TYPE: — — DECK, TYPE: PATIO, TYPE: J -
BREEZEWAY: — FIREPLACE: I&Y k GARAGE:
DOMESTIC HOTWATER: LL5 TYPE HEATER: AIRCONDITIONI G:
TYPE HEAT: 0 %k, WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES: e
GARAGE, TYPE OF CONST.: �=O�t�C FAA, STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST: _
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
REMARKS:OP-4 loaf -0O2 =" is [ot 20 f tf?- C -Of flc&) bo -
INSPECTED BY: DATE OF INSPECTION
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