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HomeMy WebLinkAboutZ-33058FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33058 THIS CERTIFIES that the building DWELLING Date: 05/29/08 Location of Property 2950 VANSTON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 0005 Lot 007.002 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- 33058 dated MAY 29, 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 COTTAGE.* The certificate is issued to RONALD F GALLAGHER & ANO TRUST (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. 7 S Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2950 VANSTON RD CUTCHOGUE SUBDIVISION• MAP NO.: LOT (S) NAME OF OIINIUR (S): RONALD F GALLAGHER & AND TRUST OCCUPANCY: RONALD F GALLAGHER & AND TRUST ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 111.-5-7.2 SOURCE OF BEQUEST: RONALD GALLAGHER DATE: 05/29/08 XM�M- Cottage TYPE OF CONSTRUCTICM: WOOD FRAME # STORIES: 1.0 # EXITS: 1 FOUNDATION: CEMENT CELLAR: CRAWL SPACE: TOTAL ROOKS: IST FLR.: 2 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOKS): 0.0 UTILITY ROOM(S): PORCH TYPE: DEM TYPE: PATIO TYPE: RRE6ZK AY: FIREPLACE: GARAGE: DOMESTIC HOTiATER: YES TYPE HEATER: ELECTRIC AIRCOI TYPE HEAT- {ARM A32: B0T7ATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CCHST.: SWIMMING POOL - OTHER: STORAGE, TYPE CONST.: GUEST, TYPE COKST.: SEE DESCRIPTION ABOVE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 05/27/08 GARY J FI TIME START: END: Form No. 6 TOWN OF SOUTHOLD 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 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. 5 - QQ "r� New Construction: Old or Pre-existing Building: ( JV (check one) �` l Location of Property: IQ9 5O V C1ns 0� f�— 1 ���` "` t ' House Nonn Owner or Owners of Property: C5 Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Street to k-er AYJJ Block Filed Map. Date of Permit. Request for: Temporary Certificate Fee Submitted: $ \ D C-) QQ 3-30sk Underwriters Approval: 74 USS Lot--) • 3�— Lot: Final Certificate: (check one) ? 44z,.l �- pplicant ignature 73q -s� L/ CONSENT TO INSPECTION F G;4//nq �e,e_ , the undersigned, do(es) hereby state: Owner(s) ame(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at4LSm 1494/o7.--4/ .eZ 6t,7a4 my ve, which is shown and designated on the Suffolk County Tax Section ice, Block _f- , Lot 7, Y as District 1000, That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: (_' pfi fir, Yo 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: a�0,Y 6,re�z___ (Si na /3," CmI14j4e.4e%, (Prin4 Name) (Signature) (Print Name) y � 4 w cD ►1'7 Cc /f 7- a L %�C 0 z L[nteriorFinish0 Foundation m Attic �iciens�gn -l.L fC _ 0 f. 93'Y o Basement Rooms 1st Floor ~ 0 Ext. Walls 0 s Rooms 2nd Floor Fire Place N lbf23 = 368 3.ra /288 Porch Pesch M Patio ° /<zx 3 ° = 3G a - 6 ° `. Driveway e CD N o FM ( N m B 92 Y97 I w cD ►1'7 Cc /f 7- a L %�C 0 z L[nteriorFinish0 m Attic o Rooms 1st Floor ~ 0 0 s Rooms 2nd Floor N M M M CD N r Cu ( N m _ TOWN OF SOUTHOLD PROPERTY RECORD CARD G STREET j � VIL1A DISTRICT SUB. LOT 3 fy OWNERIU o t�I dl F� MtirE iy n /4 A a �v fc;�a /�Zs ra Par - _ E ACREAGE y� d FORMER O N BUILDING W TYPE OF BUILDSNG ta, FARM COMM- IND. �• /D SFAS. VL t� .p � imp. VL DATE REMARKS ¢/ ! l �f fa DQ Lr✓/tC�' �i�0� 494 rd Y A40 0 . . Q If 0r D r N 2 AD 7f Z ai 6C° f � I• LaT - a �1/ I �y� '3Odq a- q ! _ r' t3f7 K a ZSriO -_ l!_9�- � w Value r o Acre value Per Acre 3 6 z Farm t o Tillable I r - m Tilloble 2 0 0 Woodland o s.ai Iand " v -77 �. Snushlmd* m IDD Hey Belot' N N ' - 0 Total . err LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) MAP NO.: (municipality) LOT(S): (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLIN : C,)}#�_ TYPE OF C U,�,,# STORIES: # EXITS: FOUNDATION: C_,,,�r-- CELLAR: CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR: Z 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: VAS TYPE HEATER: )CE_c._ AIRCONDITIONING: TYPE HEAT: F(f�, WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: W �iU_ GARAGE, TYPE OF CONST.: Ai ►`,qc.{{c_.�, (CW_ STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. I SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: