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Home My WebLink AboutZ-33734 FORM NO. 4 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33734 Date: 05/26/09 THIS CBRTIFIES that the building DWELLING AND ACCESSORY Location of Property 90 OAK ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473689 Section 136 Block 0001 Lot 054 Subdivision Filed Map No_ Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant t0 which CERTIFICATE OF OCCUPANCY NOMBER Z- 33734 dated MAY 26, 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 PORCH AND ACCESSORY GARAGE.* The certificate isissued to DOUGLAS C & MARY LOU FOLTS (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A - PLDFIDERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT./C A horized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 90 OAK ST CUTCHOGUE SUBDIVISION- MAP NO-- IQP (S) NAMH OP OWBHR (S): DOUGLAS C & MARY LOU FOLTS OCCOPANCY: ONE FAMILY DWELLING DOUGLAS C & MARY LOU FOLTS ADMITTED BY: hIARY LOU FOLTS ACCOMPANIHD BY: RHY AVAILABLH: SUFF. CO. TA% MAP NO.: 136.-1-54 SODRCH OP RHQi1HST: MARY LOU FOLTS DATH: 05/26/09 DWELLING: TYPH OF CONSTRUCTION: WOOD FRAME $ STORMS: 1.0 R HXTTS: 2 FOOlB1ATIOA: CEMENT BLOCK CBLLAR: PART CRAML SPACE: PART TOTAL ROOMS: 1ST PLR.: 6 2ND PLR.: 0 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM (SI: 0.0 UTILITY ROOM(S): PORCH TYPH: YES ~ DHCR TYPH: PATIO TYPH: BRHBZHfU+Y- FIRHPLACH- ONE GARAGH: DOMHSTIC ROTNATHR: YES TYPH HHATSR: HOT AIR AIRCOZIDITIONII7G: TYPH RHAT: OIL WARM AIR: YES NO14II~THR: OTfffit: ACCESSORY STRUCTURES: GARAGH, TYPH OP CONST.: WOOD FRAME STORAGH, TS'PH CONST.. SWDMING FOOL: GUHST, TYPH COMST_- O17B;tt: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ _,ART. ~ SEC. xRyaxrS: HP513 ADD COZ232 MsPHCr~ aY: nATH oN INSFHCrxox: as/z6/a9 GEORGE GILLEN TL1R START: END: Form No.6 F~ ~ ~p TOWN OF SOUTHOLD D L+C t'L=a~ D BUILDING DEPARTMENT Town HALL MAY 1 4 2009 765-1802 APPLICATION FOR CERTIFICATE OF OCC AN BLDG. DEPT. TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to the Buildin r ent 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 a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in wilting 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. May 14, 2009 New Construction: Old or Pre-existing Building: R (check one) Location of Property: 90 Oak Street Cutchogue House No. Street Hamlet Owner or Owners of Property: Douglas C. Folts and Mary Lou Folts Suffolk County Tax Map No 1000, Section 136 Block 1 Lot 54 Subdivision Map of Property at Eugene Heights Filed Map. 856 Lot: 1, 2, 3, 4 & p/o 5 Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: R (check one) Fee Submitted: $ 100.00 ~ 3~'1 ~ /~l7ly~ ~k ~y ~ (p ~C/ S Appli t Signature Mary Lou Folts l o a o - i,~• YOiIVN OF SOUTHOLD P~OPERTY RECORD CAkD ~ OWNER STREET ~ VILLAGE DISTRICT SUB. LOT ~ ~{J ~ cis - roan( ~ ~e ! ~ 8 iC"~J f C.1 C.r 7`c Lio v e ? c°~ 2 .r FORMER OWNER N E ACREAGE 4` S W TYPE OF BUILDING Q ~ L W ~ fle lei, ~a RES.~~f~ SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS y a od d ~ o o a ~ tZ - f~ ~ I~ ~r~G d d e~ rt ~ 9 a 4 ~ z a a- L q -(s ~ - _ ~ U O~ o- 1 ?ten I-1-s c sed t~ o ~ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ' ~ v Farm Acre Value Per Acre Value FRONTAGE ON ROAD lj Z Tillable 1 BULKHEAD Tillable 2 DOCK Tillable. 3 ~Ck'S Woodland Swampland Brushland House Plot Tota I 4 I t`rt;» 4 'fj~~ A ~"'I ~ ~ ~ ~ n N ~ ~ ~ ~ it l1 ) 1 ~ ` II C. 1 - 7~ -t r C ~ I ° ~ ~ i r.. i ~ I i I ~~I y, '1 i If ¦ ~ ~r n ~ _ ~ ~ ~ I I - i I I ---I-:, i ~ ~I i I I I ~ 'I l -r-~--*-~-t'-I'i Bath I ~ 'Foundation ~ + i M. Bidg. i X ~te. - `..(-n-' i I, 4 ~i Floore vC ~ Basement ' Extension ~ { U I I Ilnterior Finish X ` Ext. Walls Extension - ~ ~ 0 ~.f.~ti ~ b ~ Fire Rlace ~I ~ ~ Haot ~j i Extension I ~ x ! i ~ _ .rt] .y~ ~ Qj Porch I Roof Type ! 0 d ~f ~ 1/~ '"I I Porch I I Rooms 1st Floor 0~ i Patio ~ ~i Rooms 2nd Floor Breezeway Q Driveway ~ ii Dormer I _ Garage ~ ; I ~ 'i ~ ~ o. s. ~ { I 3 I ~t w ' /dcc -`/3,~ . ~ - s=s~ T~YIVN _ RD t`ARD ~ - .vu.~ ern a= - - .----~K_ 1000 -/3 - ,S` OWNER STREET VILLAGE DISTRICT SUB. LOT ~ , ~/~~fl l ~ Ol/f c7 /~V/i-c°C f d tC~o v2 ~ ` FORMER OWNER N E ACREAGE 9 fj i g W TYPE OF BUILDOIN/G RES./~ SEAS. VL. ~ FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS o d 300 AGE BUILDING CONDITION ' NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ,'Z ~ ~ ,(-U -h" Lt d Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Tota I CONSENT TO INSPECTION Mary Lou Folts ,the undersigned, do(es) hereby state: Owner(s) Name(s) a co- That the undersigned (is) (ane~j#he owners) of the premises in the Town of Southold, located at 90 Oak Street, Cutchogue which is shown and designated on the Suffollc County Tax Map as District 1000, Section 136 ,Block 1 ,Lot 54 That the undersigned (has) (kaxa) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-Existing Certificate of Occupancy (house and garage) 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: May 14, 2009 ~/C ~'2~ L~T/i'L~i ~gnature) Mary Lou Folts (Print Name) (Signature) (Print Name) a ~ _ tf ~ N i .ti`.43`08 34"~ir - ti1.0 ot__.__,r-_ G~'(~ -Qft~•.» ~.r t ~ ~ ll1 _...Y / , i ~ t ~ ~ /t I ~ fat. ~ ~ ~ ~ ~ / ~ 7 ~ i . e t r~. ~r P }y , 1y ~ ~ ~ M'A ~ . ~ f - ? y _ t` ~ ' '2s~ t'S~If~F~k Cv.frle .yo. BSF,~ E ~ j , ~ " ~ ~~"L.~~~' ~L..T. ~ i l ~ ~ ia': _ ~ i °.r 5ur,rdea~e~'t9d~c. S, L5~p1 i ~ t &.''oC1~t'~t~,~ 1~/ptr 7'ttyf. C. o t- 5D ~ h,..r;!+r. ~Irtp... ~jr~ R'1l~2~" } ,i!#. Tr 4`.. 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