HomeMy WebLinkAboutZ-33588FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33588
~te: 03/11/09
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 2450 PETERS NECK RD ORIENT
(HOUSE NO.) (STREET) (HANLET)
County Tax Map No. 473889 Section 032 Block 0001 Lot 008
Subdivision Filed Map No. Lot No.
confor~ st~stantially to the Requirements for a ONE FA~4ILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
~uFAN~ ~BER Z- 33588 ~ted 9L~RCH 11, 2009
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 DECK AND ACCESSORY TWO CAR GARAGE WITH
ATTACHED STORAGE.*
The certificate is issued to STRACHAN,
of the aforesaid building.
MARGARET L PRS TRT
(OWNER)
SUFFOLK COUN~YDEPARTMENTOF HEALTH APPROVAL
ELECTRICAL U~KTIFICATENO.
PLUMBERS U~TIFICATION DA'£~U
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~/u~thLiz/ed~ignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART~ SEC.
I~: BP6450 ADD COZ5840, BP5967 ADD/DECK COZ4809
DATE ON II~SRMCTION: 03/11/09
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. UpdatedCertificateofOccupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Permit No.
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building: ~ (check one)
Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision .~/,,~
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $
Block / Lot
Filed Map. Lot:
.Applicant: X,C~',,,/ .r':,-,e~, c~,,o,.-,
Underwriters Approval: ,,-,'/,,~
Final Certificate: ~ (check one)
Applicant Signature
CONSENT TO INSPECTION
"r"F"'e"'~ ¢ "r"'~'('/'r"~"J'r'~'~ 3 , 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 ~ ,~ ...~o ~'.~ r'.r-~ .r ~/..~"~_~. ~ .~'.
which is shown and-designated on the Suffolk County Tax Map as District I000,
Section _? e_- _, Block / Lot ~-
That the undersigned (has) (have) filed, or cause to be filed, an application in tile
Southold Town Building luspector's Office for the following: _
That the undersigued 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 necessal3, 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, iii cousenting to such inspections, do(es) so with the kuowledge
and understanding that any iufonnation obtained iu 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:_
(Signature)
(Print Name)
(Signature)
(Print Name)
VILLAGE
DISTRI( SUB.
ACREA~E
LOT
LES..,~/~ SEAS. FARM
: LAND IMP. TOTAL DATE
COMM.
REMARKS
ND.
,T?PE OF BUILDING
I CB. MISC.
Est. Mkt. Value
NEW NORAAAL
Farm Ac~e
]liable 1
tlla,ble 2
illable 3
/oodland
~'ampland
' ,ushlanc~,,~ ~
ouse Plot
BUILDING CONDITIOh
BELOW
Value Per Acre
ABOVE
Value
FRONTAGE ON WATER c~
FRONTAGE ON ROAD
BULKHEAD
DOCK
Bldg.
!xfe nsJ o~_~/~
[xtensionM
',xtenslon
z,,F' /
Foundation
Basement
Ext. Walls
Fire Place
/D-~ ~'~f Porch r
/
Pofio
Driveway
Both
._ Floors
interior Finish
~ Hea,
~O'~-Roo f Type
i Roon'~ 1st Floor
I Rooms 2nd Floor
Dormer