The URL can be used to link to this page

Home My WebLink AboutZ-34028FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z 34028 10/14/09 T~IS c~TIFIES that the building DWELLING AND ACCESSORY Location of Property 16995 MAIN ST (HOUSE NO.) Cowry Tax ~4ap No. 473889 Section 117 subdivision NEW SUFFOLK (STREET) (HAMLET) Block 0008 Lot 008 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 N--Uq~BER Z- 34028 dated OCTOBER 14, 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 BARN.* The certificate is issued to JOAN B ROBBINS of the aforesaid building. ( OWNER ) N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 16995 MAIN ST ~ OF O~ (S): JOAN B ROBBINS OCC~ANCY: ONE FAMILY DWELLING NEW SUFFOLK NO.: ~OT (S) JOAN B ROBBINS 4 2~ FLR.: --2 STORIES: 2 . 0 # EXITS: f'RLT~R: PIT ~ SPA(~: UTILITY RO~(S): YES PATIO VIOLATIONS: CRAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPIION ART. SEC. P~: BP9871 ADD COZ13033,BP16500 ALTER COZ16662 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA1~ OC!- I 5 : :i BtDG. DEPI, TOWN OF SOUIHOLD Tiffs application must be filled in by typewriter or ink and subm/tted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate locatioo 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. Te~nporary Certificate of Occupancy - Residential $15.00, Co~ranercial $15.00 Date. October 14, 2009 New Construction: Old or Pre-existing Building: X Location of Property: 1~'ff5'5~, II.,,q e~ Main Street House No. Owner or Owners of Property: Joan B. Robbins Suffolk County Tax Map No 1000, Section 117.00 Subdivision (n/a) Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. (check one)For a two-story frame dwelling, detached frame barn and shed New Suffolk Street Hamlet Block 08.00 Lot 008.000 Filed Map. Lot: Applicant: Underwriters Approval: (on file w/Building Dept.- copy attached) Request for: Temporary Certificate Fee Submitted: $ 100.00 Or) -¢q Final Certificate: X / (check one) ' ~ /{p~ant Signature ~/ Abigail A. Wtckham, Agent CONSENT TO INSPECTION JOAN B. ROBBINS Owner(s) Nmne(s) , the undersigned, do(es) hereby state: I~ qs . . That the undersigned~is) (are) the owner(s) of the premises ~n the Town of Southold, located at ~ Main Street, blew Suffolk, blew York 11956 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 117 _, Block 8 , Lot 8 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: a Pre-Existing USe Certificate of Occupancy for a two story frame dwelling, detached frame barn and shed. That the undersigned do(es) hereby give consent to the Building h~spectors 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, roles 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, roles or regulations of the Town of Southold. Dated: October 14. 2009 ~Ablgail (ASi~W~tcU~)am, Agent (Print Name) (Signature) (Print Name) TrFLE NO.: 632-S-8761 I S 85°45'00'' E 102.08' O.3'N IRREG. FENCE FRAME ~~3'~' '~.~%.~o ~ BARN ~~ ~ 37.0'~ ~*~ ~ · OPEN ~.2' ~ .~ I ~ 85°40'00' W ~0~. MAI SUFFOLK COUN~ TAX MAP DISTR. 1000 SEC. 117 BLOCK 08 LOT 08 ~E EXZ~ENCE OF ~GHT OF WAYS AND/OR E~EMENTS OF RECORD, ZF ANY, MEASUREMENT IN U.S. ~ANDARD NOT SHOWN ARE NOT GUA~N~ED THE DZMENSZONS SHOWN HEREON, FROM THE ~RU~UR~ TO ~E PROPER~ ~NE~ A~ FOR A SPECZ~C PUR~SE ONLY. ~EY ARE NOT INTENDED TO BE USED FOR THE ERE~ON OF FENCES~ STRUt'S OR ANY OTHER ZMPROVEME~. GUA~NTEES ZND1~D HEREON SHALL RUN ONLY TO UNAUTHO~ZED ALTE~ON OR ONLY COP[ES FROM THE THE PE~ON FOR WHOM ~E SURV~ 1S PREPARED, AND ADD~ON TO A SURV~ MAP O~GINAL OF TH~ SURV~ ON HIS BEHALF TO ~E ~LE COMPANY GOVE~MENTAL B~NG A ~CE~ED ~ND MARKED W~ AN O~G~L OF AGEN~ AND ~NDZNG [Na~ ~ I d~ON ~ED HE~ON, $URV~OR'S SEAL ~ A ~O~ON ~ND SURV~OR'S EM~ED AND TO ~E ~S~GNE~ OF THE LENDZNG ZNa; t ~ ~ON. OF SE~ON 7209~ SUBD~[SZON 2, SEAL SHALL BE CONSZDERED TO GUA~NTEES ARE NOT T~NSFE~BLE TO ADD~ONAL OF ~E NEW YORK ~ATE BE VA~D TRUE COP~ES. INSTIl ~ONS OR SUBSEQUENT OWNE~. EDUCA~ON ~W. KU L HAN E K & P LAN s~c~o. J BLOCK DATE 9-22-2009 ~ND SURVEYORS~ P.C. GUA~NTEED TO: F]R~ AMERZCAN ~TLE ZNS. CO. OF N.Y. NEW SUFFOLK SUFFOLK ~-8oo-54[-5~24 MAZ~NG ADDRE~: ULCER SAVZNGS BANK COUN~ Z-9~4-7~-0304 P.O. BOX 278 Z-S~6~3Z-g358 73 WE~CHE~ER AVE. ~OB NO.: ~-718-347-3533 POUND RZDGE, NY ~0576 F~:~-800-242-4955 KE[TH HABER 09-69838 EMAZL: KP.LSPC~VE~ZON.N~ ANnA HABER S 85045'00" E 102.08' O.3'N IRREG. FENCE · ~ FRAME VEST c~ FRAME2 STY. R:69838B:9-24-09 OWNER TOWN OF' SOUTHOLD I:~OPERTY RECORD CARD TOTAL SEAS. VL. IMP. LAND AGE FAPUV~ DATE BUILDING CONDITION VILLAGE NEW NORMAL BELOW ABOVE DISTRICT SUB. ACREAGE TYPE OF BUILDING LOT Farm Acre Value Per Acre Value Tillable 1 Tillable 2 DOCK Tillable. 3 Woodland Swampland FRONTAGE ON WATER FRONTAGE ON BULKHEAD Brushland Ho~se Plot Total M. Bldg. Extension Extension BreeZeway //' 7~ /:1 I I I/r~tl .I,-].ilql bi j j Foundation Ext; Walls Fire Ploce 5-,~-~;:~ Porch Patio Driveway ~...~ ~ J F,~ors ~Jj6~J,~'~/,~/~ Interior Finish y~.~ ~ ' Heat Rooms 1st Floor Rooms 2nd Floor )ormer