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Home My WebLink AboutZ-34716FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34716 Rte: 11/30/10 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 3490 VANSTON RD (HOUSE NO.) County Tax Map No. 473889 Section 111 Subdivision CUTCHOGD-E (STREET) (HAMLET) Block 0005 Lot 011 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 ND]~BER Z- 34716 dated NOVEMBER 30, 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 SCREENED PORCH, BRICK PATIO AND ACCESSORY ONE CAR GARAGE. * The certificate is issued to MADELEINE R COLLINS (OWNER) of the aforesaid building. SoFMOLK COUNTY DEPARTMenT OF HEALTH APPROVAL ELEt-rKICAL CERTIFICATE NO. PLOMBEI~ C~U~TIFICATION DA-r~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N?A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOUSING CODE INSPECTION REPORT MAP NO.: LOT (S) MADELEINE R COLLINS D%TE LLING: · %~PE OF C~I~C'CION: WOOD FP. AME (STUCCO SIDING) ~ STOP~IES: 1.5 # EX/TES: 3 F(~TIOlq: CEMENT BLOCK (~: 1/2 C~ SPAin: 1/2 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORR FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION A. RT. SEC. IIAT~ ON IN~PEC'T'/(~: 11/29/10 TI~ START: 10:15AM END: 10:45AM Form No. ti TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building A. For new building or new use: 1. B[DG DEPT. TOW,q OF SOUIHO[D 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 o f 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. Cormmercial 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 Plarming 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 dwellhag $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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. X Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ _ ~ no 00 October 8, 2010 New Construction: Old or Pre-existing Building: (check one) Location of Property:_ 3490 Vanston Road Cutchogue House No. Street Hamlet Owner or Owners of Property: Estate of Madeleine R. Collins Suffolk County Tax Map No i000, Section 111 Lot 11 Lot: Date of Permit. Block 5 Filed Map. _ . Applicant: Underwriters Approval: _ Final Certificate: (check one) OLSEN & OLSEN LLP Applicant Signature 82495 MAIN ROAD PO BOXT06 CUTOHOGUE, NY 11935 CONSENT TO FNSPECTION David Worthington Olsen as Attorney for , the undersigned, do(¢s) hereby state: Owner(s) Name(s) the gstate of Madeleine R. COllins That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at a~.0n l/~rm~-cm Road. Cutchogue, NY 11935 which is shown and designated on the Suffolk County Tax Map as District I000, Section 111 , Block 5 , Lot 11 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: One family dwelling with attached decks and detached garage 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 an.y and all buildings located thereon, to conduct such inspections as they may deem necessary witti respect to the aforesaid application, including inspections to determine that said premises comply with ail 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, roles or regulations of the Town of Southold. Dated: October 8, 2010 (Signature) _David Worthington Olsen (Print Nmne) (Signature) (Print Name) Nathan Taft Corwin III Land Surveyor R=25.52' R=86.28' R=188.48' R=$9,$8' SURVEY OF P/O LOT 318 AMENDED MAP A OF NASSAU POINT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK CERTIFIED TO' R=279.90' LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner-tenant) ADMITTED BY: KEY AVAIl,ABLE: SOURCE OF REQUEST: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING: ~,~ ~ ~SS~RI TYPE OF CONSTRUCTION: ~/~~ # ES:j / FOUNDATION: ~;-- ~ ~ FLR: · o~ ~OOMS: ~ ~ c~. BATHROOM(S): 2ND FLR: ~3~ FLR: ". PORCH TYPE: ~ ~ TOILET ROOM(S): B~EZEWAY: DEC~ TYPE: _ 7~ TYPE HEATER: ~~& AIRCO~IT~ON~ TYPE HEAT:. ~ WA~ AIR: f HOTWATER: OTHER: ' ACCESSORY STRUCTURES: GAUGE, TYPE OF CONST.:/c~ ~"~TO~GE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST: VIOLATIONS: LOCATION CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ~ DESCRIPTION INSPECTED BY: DATE OF INSPECTION: TOWN OF SOUTHOLD PROPERTY RECORD CARD 'OWNER FORMER OWNER S VILLAGE W DISTRICT I SUB. ,' ACREAGE TYPE OF BUILDING LAND SEAS. IMP. VL. FARM TOTAL DATE _TJ~o AGE BUILDING CONDITION NEW NORMAL BELOW Farm Acre Value Per Acre 'illable 1 -illable 2 -illable 3 ~/oodland j ,wampland [ lrushland I -{ouse Pi'~~ '~' I Fatal ABOVE Value M. Bldg. Extension Extension Extension Breezeway Ga rage Foundation Basement Ext. Walls Fire Place Patio Driveway Porch Porch Bath Floors Interior Finish HeGt Attic Rooms Ist Floor Rooms 2nd Floor