HomeMy WebLinkAboutZ-34553FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 34553 ~te: 09/13/10
T~IS CERTIFIES that the building DWELLING
I~cation of Pr~rt¥ 670 FOL~qDERS PATH SOLVfHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0002 Lot 019
S%~bdivision Filed Map NO. __ Lot NO. __
conforms substantially to t-he Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs,,~mt to which u~TIFICATE OF
~uUFAN~ ~ Z- 34553 ~ted SEPTE~ER 13, 2010
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 WOOD DECK, FRONT ENCLOSED HEATED PORCH AND
ACCESSORY METAL SHED.*
· ~me certificate is issued to GENEVIEVE FIELD & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUN~"f DEPART~K~T OF ~EALT~ ~PRO~rAL
BLBt-rKICAL u~aTIFICATE NO.
PLUmPnESS CERTIFICATION DATKU
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTBOLD
HOUSING CODE INSPECTION REPORT
~ OF ~ ($): GENEVIEVE FIELD
OCCUPANCY: ONE FAMILY DWELLING
Al~ll-l-rmu BY: DAVID JANUZZI
SOUTHOLD
MAP NO.: LOT (S)
GENEVIEVE FIELD & ANO
ACCESSORY STRUCTURES:
GARAGe, TYP~ OF CO~ST.:
~ POOL:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
IZOd%RKO: BP14189 ALT COZ24703, OPEN BP 35810 ALTER
GARY ~ /~ /- ~
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application mu~t be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
"1. Final. survey Ofprop~ty with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
.2. Final App~ovui from Health Dept. of water supply and Sewerage-disposal (8-9 form).
3. Approval ofeleOtri~nfl installation.from Board of Fire Undem, riters.
Sworn statement fi'om plumber eartifying that the solder used m system contains l~ss than 2/10 of 1% lead..
'5. Comme~:oial building, industrial building, multiple residences and ~imila~ buildings and iustallatiom, a Certificate'
of Code Compliano~ fi~om architect or enginecr re~pousible for the building.
'6' Submit Plannin~ Beard Approval of~ompleted site' plan requirements.
B..For exi~ing.building$.(prior to April 9, 1957) non-~nforming us~, or buildings and ~'pr~.-~xistlng' land us~s:
I. Ac°urate survey of prop6rty, showirig all property lines, streets, building and unusual natuial or topographic
features.
2. A pr°per!Y completed application and conseat to inapect signed by the applicant, if a Certificate of Occupancy is
deuieni, the Building Inspector shall state the reasons therefor in writittg to the applicant.
C. Fees
1. Cortifieate of 0ceupancy _ l',/ew dwelling $25.0G, Additious to dweliing $25.00, Alterations to dwelling $25100'
SWimmin~ pool $25.0~, Accessory building $25.0~, Additions to accessory building $25.00, Businesses $50.00.
2. Ce~tificateofOaoapaneyonPre~exis~ingBuilding_ $100.00
· 3. ' Copy ~fCertificate of OcCupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Tempo~u-y Certificate of Oc~upancy- Residential $15.00, Commercial $I5.00
Hew Construction:
Location of Property:
House
' ~.qffolk CoUnty Tax Map No !000, Section
Subdivision
Date.
'. . Old or Pre-existing Building:
Permit No. . ..
Request for: Temporary Certificate _
Fee Submitted: $
Street
Block.
Filed Map. =
Appl/cunt:
Undervn-iter~ Approval:
Final Ce/tificate:
'Date'Of Permit.
~'/3/
(check One)
Lot.
Lot:
Ham[et
(check one)
TOWN OF SOUTHOLD BUILDING DEPT. --- ~-~ 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FmREPLACE & CHmMNEY [ J FIRE SAFETY m~
[ ] mRES~I'~C0NSTR~ [
REMARKS:/~ ~c_~_Y_ F_(~
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
(type)
,MAP NO.:
(municipality)
LOT(S): ..
(owner-tenant)
ADMITTED By: ~/)Vil~
KEY AVAILABLE:
SOURCE OF REQUEST:
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE: '
DWELLING:
TYPE OF CONSTRUCTION: ~:~/~ ~ # STORIES:
FOUNDATION: ~--~9'-- ~ ~ CELLAR: ..2J~
TOTAL ROOMS: 1ST FLR: ~, 2ND FLR: .,~ ' 3RD FLR:
BATHROOM(S): ~,2 TOILET ROOM(S): ----- UTILITY ROOMi'
PORCH TYPE: ~ DECK, TYPE: t, Ooo3 ~ PATIO, TYPE:
BREEZEWAY: '
FIREPLACE: OT/C-P~ GARAGE: ~
DOMESTIC HOTWATER: ~/~f TYPE HEATER:~AIRCONDITIO~G:
TYPE HEAT:/~rr~g46 ~f WAoRM AIR: HOTWATER:
OTHER:
//~/'~"- # EXITS: .2-
CRAWL SPACE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.: /~/~/~. 6~//~¢._~'
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: 5/g"q'"' END: _.
TOWN OF SOUTHOLD PERTY RECORD CARD
OWNER
EORMER OWNER
STREET
VILLAGE
W
DISTRICT SUB.
ACREAGE
PEO BU,LD,NG
RES. ,,2./~ SEAS.
LAND IMP.
CoO
Farm Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
VL. FARM COMM. J IND. CB. MISC. ] Est. Mkt. Value
TOTAL DATE REMARKS
Volue PerAcre V~ FRONTAGEON ROAD /6~ ~/~ ~ ~ /~ ~ ~
Brushland
House Plot
M¢~. ~,~t~) X, ~.~'- -~,~0/ j ~ Foundation ~ ~ . Bath /,
Porch Roo~ 1 st
,/-/ q "7 7 ,/2ece
GUARANTEED TO:
THEODORE McGANN
GEN~/IEVE FIELD
CFIMORTGAG~ CORP.
FIRST AMERICAN TITLE INS. CO.
PROP UNE
L'HOMMEDIEU LANE
64'05'00"E
LOT 26
LOT 27
LOT 25
ASpH~.T
R~SIDENCE
150.00'
0
0
S
~ ~ 150.1
LOT 28 '
SURVEY OF
DESCRIBED PROPERTY
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK, COUNTY, N.Y.
SURVEYED FOR: THEODORE McGANN
GENEVIEVE FIELD
Tid# 1000-064-02-019
SURVEYED: 1 MARCH 2006
SCALE 1 "= 30'
AREA = '15,000 S.F.
OR
0..344 ACRES
SURVEYED BY
STANL---------EY d. ISAKSEN, ,JR.
P.O. BOX 294~
NEW SU,~OLK. N.Y. 11956