HomeMy WebLinkAboutZ-33842FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33842 I~te: 07/21/09
THIS CERTIFIES that the building DWELLING
Location of Property 3200 KENNYS RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
Cowry Tax ~p No. 473889 Section 059 Block 0002 Lot 002
Su]~division Filed ~ap No. __ Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which U~TIFICATE OF
~C~3P~/~C~f NI~BER Z- 33842 dated JULY 21, 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. THIS C/O REMOVES ELECTRIC & PLUMBING VIOLATIONS
NOTED ON C/O Z-6196 ISSUED 11/6/74.
The certificate is issued to GLORIA BEEHLER
of the aforesaid building.
(OWNER)
SuF~OI~ ~I~q~f DEPAR~T OF ~TH ~%PPRO~-AL
EI~t-rKiC~%L ~TIFICATH NO.
PL~S C~RTIFICATION DASD
N/A
N/~
N/A
Au~r~zed Si~ature
Rev. 1/81
TOWH OF SOUTliOLD
BUILDIHG DEPARTHENr
TOWH HALL
765-i802
· APPLICATION FOR.CERTiFICATE OF OCCt
BLDG. DEPL
TOWN OF SOUIH0tD
This application'must be filled in by typewriter OR ink's d uubmi~e~ to tile building
inspector with tha followi,~g! for new building or new use:
Final survey of property .with accurate location of all buildings, property, lines,
street9, and unusual natural or topogrcph£c features.
Final Approval from liealth Dept,' of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn state~heu: from plumber certifying that the solder used in system contmlus
less titan 2/IO of 1% lead. "
5, Commercial building, .indus. trial building, multiple residences and st~nilar buLlding9
and installations, a certificate of Code Compliance from;arohitee~ or engineer
responsible for tile building,
6~ Submit Plashing Board Approval of completed site plan requirements.
For e×is~ing buildings (prior to April 9, 1.957) non-conforming use&, or buildings nnd
"pre-existing" land uses:
[. Accurate survey of property showing all property linest streets~ building and ..
unusual natural or topographic features,
2.' A properly completed application and a eonseqt to inspect signed by tile applicant.
If a Certificate oF- Occupancy ts denied, the Building Inspector shall state tho
reasons therefor iu writing to the applicant,
i, Certificate of Occupancy - Hew dwelling $25.OO{ Additions to dwelling $25.00,
' Alterations to dwelling $25.00, Swi~mnlng poet $25.001 Accessory building {25.00,
A. dditions to accessory building $25.00. Businesses $50.00.
2. Curtificato of Occupancy on Pre-existing Building - $1OO.00
3. Copy of Cer~ificat~ of Occupancy - $5.00'~ver 5 years - $10.00
4, Updated Cer~ifiuato of Occupancy - $50~00
5, Temporary Ger~ifiuate of Occupancy - Residential $15.OO~ Commercial $15.00
,.,, ..........................
Hew Construction .... ~ ...... Old Or Pre-existing Building .... ~,,, ..........
3200 Ke'nnvs Road .
Loc~tion of Property...~.,,,..*~,~ ...... ~,,~,,**.~.~, ........ ~,, ....... ~qq~bP.~ ..........
' House [{o. aka 80 Street Dogwood Lane Ih~et Southold
Gloria Beehler
Onwer or Ouner9 of
. _ .. 059.00 97 ,o,q
County ~ax Hap Ho 1000,
SubdiVision.. ~ . ~ . · * ....... ,, ~**.** ~,,, ~,,.,* ,.,Filed Hap., .... , ..... Lot ........ ~,~..; ......
Permit Ilo,**.$,,,,~,'c~,~',Date Of permit,,,,,~,{.,,,..,,Applicutle,,.,.*i,.,,.,,'..~"--~ ....
/[ealth Dupe, Approval.,.~.**~.,.,,,..****~,*,.Uaderwriters Approval,.,~.~.~, .... , .........
Planning Board
Request for: ,Temporary Certiflcate,;,*,*~*,,. Final Certieate~ .... ,~ ....
, 50.00 '
Fee Submittedl ~ .....
...................
William H. Price,-Jr. ''
FORM NO. 4
TOWN OF SOUTHOLD
BU~,BING DEPARTME. NT
Town Clerk's Office
$outhold, N. Y.
Certificete Of Occupnncy
THIS CERTIFIES that the building located at .K~ .n~..B..o~.d. & .~..og~...o..o~....LaStreet
Map No. :XX ......... Block No:~ ....... Lot No... ~;....B..~..t.h.o.l.d., .~. ?.~: .......
conforms substantially to the
d ~U:[lt before
ated ............. $~l~'~[~. .2. 3, 19..~.7. pursuant to which Z.
dated ........... ~.OY ....6...., 19.7.~.., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is /~ oC o Prlv&~;e one
The certificate is issued to . .~.(~bm..~ ,. ][~ck ....... . .0~,~ .......
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ...~.r.e.-.e..x.~.s.t.i.~ .g ...................
UNDERWRITERS CERTIFICATE No. ~VO-.~X~,~./~.g ...........................
HOUSE NUMBER .... ]~(jO ...... Street... ~.e/~.ey..l~.o.a.d. .........................
Building InspectOr
HOUSING CODE INSPECTION
November 6, 1974
#80 Dogwood Lane & 3200 Kenny's Road
Southold, N. Y.
Tax Roll: John R. Buck & Wf.
Occupant: Owner
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling. I was admitted to the building by Mr. Buck and began
inspection at approximately 3:00 P.M.
The Building is built on a slab and contains a kitchen,
dining room, full bathroom off hallway, two bedrooms with one
having full bath. Forced warm air heat is supplied to all
rooms by oil fired furnace located in utility room. An electric
hot water heater is located in this utility room, this room has
access from kitchen and hallway. On the northwest corner of build-
ing there is an unheated sunporch.
The following violations of Housing Code, Chapter 52, Town
of Southold, were noted.
Outside entrance to sunporch, no me~s of controlling
light in room on entry. Article V, Section 52-56,
B.2.
2. Kitchen- cold water line to kitchen sink has leak.
Article V, Sec. 52-51, A.2.
Exterior of building and grounds in good order. Inspection
com~pleted at approximately 3:20 P.M.
EH:mm
Res~ctful~ submitted,
Building Inspector
FORM NO. 6
TOWN OF SOUTNOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
.5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 19,57), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $.5.00
2. Certificate of occupancy on pre-existing dwelling or land use $.5.00
3. Copy of certificate of occupancy $!.00
New Building ................., ~/x~Additi°n ................ Old or Pre-existing Building ......~... ...... Vacant Land ..............
Location Of Property ..~....~.....~........~..,....~0~,~(~l .........
Owner Or Owners Of Property._. ./' '- ...................................................
Subdivision .......~ .................................................. Lot No.......-~...... Block No....~. ..... House Nc~.~.~.c~..~o~
Permit ~o ...... .~ ..... Date Of Permit ...~ ......... Applicant ...~¥~ .......................................................
Hea,th Dept. Approvo~ ..... £~..-...~ ......... Labor Dept. Approva, ~..'./.~. .........
Underwriters Approval .............................................. Planning Board Approval .......................................
Request For Temporary Certificate ........................................ Final Certificate
Fee Submitted $ '~-
Construction on above described building and,~ it meets all applicable codes a~nd regulations.
Sworn to before me this
............ ..~.. day of .......... (.~/~./~ ~-.. -~....~-.27 (stamp or seal)
Notary Public ..........