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Home My WebLink AboutZ-32903FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32903 Date: 02/27/08 THIS CERTIFIES that the building DWELLING Location of Property 625 DEPOT LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 0005 Lot 016.001 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- 32903 dated FEBRUARY 27, 2008 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 ROSEMARY MULLEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELSCRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aubfiorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 625 DEPOT LA CUTCHOGUE SUBDIVISION• MAP NO.: LOT (S) NAM OF OWNER (S): ROSEMARY MULLEN OCCUPANCY: SINGLE FAMILY DWELLING ROSEMARY MULLEN ADIITT19D BY: ROSEMARY MULLEN BRENNAN ACCOMPANL® BY: SAME KEY AVAILABLE: SO". CO. TAE MAP NO.: 102.-5-16.1 SOURCE OF REQUEST: ROSEMARY MULLEN-BRENNAN 2/11/08 DATE: 02/27/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORES: 2.0 ; EXITS: 3 FOUNDATION: CEMENT BLOCK CEIaM: FULL CBANL SPACE: TOTAL ROOKS: LST FLR.: 3 2ND FL.R.: 3 3RD FLR_: 0 BATHROOK(S): 1.0 TOILET ROCK(S): 1.0 UTILITY ROCK(S): FORCE TYPE: DEAL TYPE: PATIO TYPE: BR1OffiIpY• YES FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC BOTIEITER: YES TYPE NEATER: OIL AIRCONDITI(NDNG: TYPE BEAT: HOT WATER MUM AIR: HDT ATER: YES OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SKIPECU1G POOL: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPEC`YE D BY: DATE ON INSPECTION: 02/2210 TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY EB S t i NI 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. 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. A - New Construction: Old or Pre-existing Building: (check one) Location of Property: _L;2� f7Q Lrl-rhaga House No. Strejet HarQet Owner or Owners of Property: �Qp xjV I . �jY!oh f1Qn Sul -folk County 'Fax Map No 1000, Section Block S Lot Subdivision Filed Map. t.ot Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Fee Submitted: at 7;&t� ,�itQ �0 t 3o 103 Final Certificate: ?" - /'Q +AAppltjct Signature (check one) •M -is- /,, ,, , _ /,, � _,�_ I TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET- VILLAGE DIST. SUB. LOT ?oma m (a2 L Lr_ D e o i' �L a h e C' v f c /e o ✓ e- /.Z. ,Qe Sc t- ed FORMER OW E1? Vl" cl N ,('c.�ooii�ov:e /fadd E b2 07 /,ane R. ff .T S n W 0, 6, S % %.'mow TYPE OF BUILDING RES,2,/0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 5 em 3 9 da ys'aa , o z a � (- � u m w�r� . , �s ( e > / 01/ i"o AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD /,f-9 f} House Plot DEPTH ) BULKHEAD Total DOCK CONSENT TO INSPECTION K�10` mang WI)1 � l — Qnnw), the undersigned, do(es) hereby state: -Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the remises in the Town of Southold, located at � Q5 wn4 kAne CLUnwiw which is shown and designated on thd Suffolk County Tax Map as istrict 1000, Section /0 Q- , Block QS , Lot OI/�. / . That the undersigned (has) (have) filed, or cause to be filed, an a plication in the Southold Town Building Inspector's Office 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, dotes) 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: (Sig a u ) Q 5 Uj , r11U=&e)j /AAj ( rint Name) (Signature) (Print Name) SCHOOL HOUSE LANE 25.00' CUTG"Ul - ---- SURVEY OF DESCRIBED PROPERTY SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROSEMARY MULLEN TM# 1000-102-05-016.1 (GUARANTEED TO: ROSEMARY MULLEN 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 INSRMTION IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO AOOIPONAL INSTITUTIONS OR SUBSEOUENT OWNERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VOLA PON OF SECTION 7209 OF THE NEW rGRK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY 0 m 0 z m SURVEYED: 3 DECEMBER 2007 SCALE 1"= 30' AREA = 19,291 S.F. OR 0.442 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW FFOLK. N.Y. 11956 631- 4-5835 „ may/ NYS Lid. No. 49473 07R1644 LOCATION: 6 °Z`S (number & street) (municipality) SUBDIVISION: MAP NO.: OT S): NAME OF OWNER(S): OCCUPANCY: 1v L4 (type) (owner -tenant) ADMITTED BY: _ 6!t:!� ItW ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- _1 O X— r SOURCE OF REQUEST: DATE: —r-0 or DWELLING: TYPE OF CONSTRUCTION: # STORIES: �— # EXITS: 3 FOUNDATION: CELLAR:_ZT _ CRAWL SPACE: — TOTAL ROOMS: 1ST FLR: .3 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: _ — DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: 01VE GARAGE: 02 Gyq DOMESTIC HOTWATER: YE'_5 TYPE HEATER: pj L AIRCONDITIONING: TYPE HEAT: ul/}T-° WARM AIR: -- HOTWATER: yes OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: N6 Al C STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE OF INSPECTION: r,2- — 'A — -0 d TIME START: END: