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HomeMy WebLinkAboutZ-33947FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33947 Date: 09/15/09 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 4870 STILLWATER AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 0002 Lot 010 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- 33947 dated SEPTEMBER 15, 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 SCREENED PORCH AND ACCESSORY ONE CAR GARAGE.* The certificate is issued to DONALD P IRWIN JR & ORS (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. Ax-�, � ;?� , or'zed S' nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4870 STILLWATER AVE CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): DONALD P IRWIN JR & ORS OCCUPANCY: ONE FAMILY DWELLING DONALD P IRWIN JR & ORS ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 137.-2-10 SOURCE OF REQUEST: JERRY CIBULSKI, REAL ESTATE DATE: 09/15/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 $ EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 1/3 CRAML SPACE: 2/3 TOTAL ROOKS: IST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 ]BATHROOM (S) 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: SCREEN DECK TYPE: PATIO TYPE: BE 23CHAY: FIREPLACE: GARAGE: DOMESTIC HOT7ATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE NKAT: OIL MARK AIR: HOTDATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL- GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP16910 ADD COZ17071 INSPECTED BY: GARY J DATE ON INSPECTION: 09/14/0 TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TION 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 I% 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. 1%' 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. New Construction: Old or Pre-existing Building: V""" (check one) Location of Property: T S Q G _ House No. Street Hamlet Owner or Owners of Property.-vOcLLd R _- 2iL) , n —* r—t a Ix RC_( Suffolk County Tax Map No 1000, Section Block _ 02 Lot 1(� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: .Request for: Temporary Certificate Final Certificate: � (check one) Fee Submitted: $ d 0 + 0 y IAC ` 6 `� I 4Appant Signature I CONSENT TO INSPECTION — & � AS Ato E l , the undersigned, do(es) hereby state: Owner(s) Name(s) That the the owner(s) o the Southold, located at $_%t -1 -` 6 R2 which is shown and designated on the Suffolk County Tax Map as Section I37 , Block '1 Lot 10 in the Town of 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: � -,,0 ,C*4 THe S12LJMJQZ 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: ff— f U --07 Agna ze)�(Print Name) , S AE�4 (Signature) (Print Name) ■ v �� �� yr avv rw�.v rnvrcn ■ vnv �rr+nv 4�4 _ OWNER STREET o V 1 • � 4� V VILLAGE DIST.1 SUB. LOT -borta-1 CLom ac . .:� '. .. .., V �l���wi eY. YC. - C U / 12 0 V2 `Z ,FOR R OWNER '-frwi PA 91,GinD. I # . N fez e K E �c L�Nia 7�PF �I Vt ACR. �Y ' l)of4-K �ru/Y1 �� S�} W TYPE OF BUILDIN /TEf'6ptY{.C! 9�/#Ho RES.Zjo SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE ar REMARKS 6 - f �,/ ycer d7d UJi Ste, i f 7"o Qb 23wo . 2�6 :i SQL (aT7J2bJIU M2 q- QaS, L. -95o t�-9 Al y -o p o a 3 a o c r. _ as - t� n ce 7 t, .ox _Are-aD �i oo- L 7 7/03_ Ln�j�7- fr��r ftp Iru�ly�1n conn. - ,ulv Imo= Dona 3 © - P- 3 /oi o 3 LcJ 21074 - d fano. r € AGE _ BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable ed Woodland FRONTAGE ON ROAD 9 6 4-6 ta%Y �r<,i (? Meadowkmd DEPTH G Hous*fJiet.ar BULKHEAD Total DOCK ;w� v4i-qqq MAP OF PROPERTY 5[/FZ VE YEO FOR ARTHUR 4 HELEN 5,l-lERRA R® AT FLEETS NECK CuT'CNOGUE, N. Y SCALE: SO'=I" Q=MONUMFNT O e /ICON PIPE GdLOW&-!-I' i NOTE LOT NUM�L/j5 SHOWN RCPfF{ TO 'MAP Oa FLf CTW000 COYC /i F/LEL' /N TTO W. •f 50N OVANI THE sU•�'FOLK CO. CLERK d ovvlGE /�S �/�//�� ' ` MAP 3 �FCN4E cN </NC I 8 4 '. 6REENP�RT. NSW Yb AJ( OF w � 4. 0` NE{y c s•47^38'20'W P MAP OF PROPERTY 5[/FZ VE YEO FOR ARTHUR 4 HELEN 5,l-lERRA R® AT FLEETS NECK CuT'CNOGUE, N. Y SCALE: SO'=I" Q=MONUMFNT O e /ICON PIPE NA'>-rO N.!.L BANK AS 3UR ✓EYED OCT. 8? /�J.TA. s i NOTE LOT NUM�L/j5 SHOWN RCPfF{ TO 'MAP Oa FLf CTW000 COYC /i F/LEL' /N TTO W. •f 50N OVANI THE sU•�'FOLK CO. CLERK d ovvlGE /�S �/�//�� ' ` MAP NO, /26J. ' LICLNSEID'LTNO SURVS'✓�I>< '. 6REENP�RT. NSW Yb AJ( w � 0` NE{y i iJ.2i W. � 9b ybrsns ,� <6TQ n _ 5. PJ p O ly GVRRANTEFO TNG -000NTY T/TLE 6V•w RAN'rY � MoRT6A6E Co. CO. PNp TNL FK,tNKLIM- NA'>-rO N.!.L BANK AS 3UR ✓EYED OCT. 8? /�J.TA. s i NOTE LOT NUM�L/j5 SHOWN RCPfF{ TO 'MAP Oa FLf CTW000 COYC /i F/LEL' /N TTO W. •f 50N OVANI THE sU•�'FOLK CO. CLERK d ovvlGE /�S �/�//�� ' ` MAP NO, /26J. ' LICLNSEID'LTNO SURVS'✓�I>< '. 6REENP�RT. NSW Yb AJ( LOCATION: )3� lltkW (number & street) t�kipality SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): n at d- P --V;- w OCCUPANCY: (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: (owner -tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000 - DATE: DWELLING: TYPE OF CONSTRU TION: 629r� # STORIES: _ # EXITS: FOUNDATION: CELLAR:_ CRAWL SPACE: TOTAL ROOMS: 1ST FLR:_ 2ND FLR: 3RD FLR: BATHROOM(S): Xt-e_, TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: --- BREEZEWAY: FIREPLACE: GARAGE: ---- DOMESTIC HOTWATER:J TYPE HEATER: � AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: �- fSTORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. I SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: l© -'/0 END: /O r'/Af&