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HomeMy WebLinkAboutZ-34780FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34780 ~te: 01/07/11 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 5405 PEQUASH AVE (HOUSE NO.) County Tax W~ap No. 473889 Section 110 subdivision CUTCHOGUE (STREET) (HAMLET) Block 0004 Lot 008 Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,ant to which CERTIFICATE OF ~U~NC"I N[~ Z- 34780 dated JANUARY 7, 2011 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 GLASS ENCLOSED PORCHES AND ACCESSORY TWO CAR GA~RAGE (ROOF OF GARAGE NEEDS TO BE REPLACED).* The certificate is issued to STANLEY W & BARBARA J ENGLAND (OWNER) of the aforesaid building. SUFFOLK COD1TTYDEPART~ENT OF H~ALTHAPPROVAL ELEt-i-KICAL C~KTIFICATHNO. I~ ~TIFICATION DA-i-~U *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TO~N OF SOUTHOLD HOUSING CODE INSPECTION REPORT ACCESSORY STRUCTURES: C~, ~ OF C~T.: 2 CAR WOOD FRAME STOP~, ~ C(~.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. GAP. AGE ROOF NEEDS TO BE REPLACED ~: BP 36125 DE C0Z34779 TOWN OF SOUTHOLD BUILDING DEPAI~TMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( BLDG. DEPI. TOWi~ OF SOUfHOLD This applicatiou must be filled itl by typewriter or ink and submitted to th~Building Depamnent xvith the followdrg: A. For new building or new use: 1. Firm] smwey of propeIW with accurate location of all buildings, property lines, streets, and uuusual 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 tile solder used m system contains less than 2/10 of 1% lead. 5. Commercial buildiug, industrial buildiug, multiple residences aud si~mlar buildings and i ss a latious, 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 buildiugs (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accm ate smwey of property showing all property liues, streets, building and unusual nam al or topographic features 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy ~s denied, the Building Inspector shall state the reasous therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $2500, Alterations to dwel[in~ $25 00, Swinm~mg pool $25.00, Accessow building $25.00, Additions to accessory bnilding $25.00, Businesses $50 00 2. Certificate of Occupancy on Pre-existing Building $100.00 3. Copy of Certificate of Occupancy - $25 4. Updated Cedificate of Occupancy- $5000 5. Temporaw--Cefti.ficate of Occupancy - Residential $1500, Commercial $13.00 Date. December 3, 2010 New Constmctioo: Old or Pre existing Building: * (check one) ~1 fmntly d~aelling, enclosed porch, rood deck ahd-del:acned trame garage Location of P~opel~y: 4505 Pequash Ave., Cutchogue, W/ 11935 H6use No. Street Hamlet Owner or Owners of Property:_ Stanley England & Barbara England Suffolk County Fax Map No 1000, Section 110.OO Block 0/,.00 Subdivision Filed Map. __ Lot OO8.OOO Lot: Permit No Ilealth Dept. Approval: Date of Permit Applicant:__ Uodel~,vriters Approval: Plmming Bored Approval: Requesi fo~: Temporaw Certificate Fee Submitted: $ 100.00 Final CerTificate: OLSEN & OLSEN LLP 82495MAIN ROAD PO BOXT06 CUTCHOGUE. NY 11935 (check one) Applicant Si._maature CONSENT TO INSPECTION David Worthing£on Olsen as Attorney for Stanley England & Barbara England Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 6505 Pequash Ave., Cutchogue, 1~ 11935 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 110.00, Block 04.00 , Lot 008.000 That the undersigned (has) (have) filed, or cause to be filed, m~ application in the Southold Town Building Inspector's Office for the following: 1 fa,~tl? aw,~lli,,g, enclosed porch, wood deck and detached frame 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 any and all buildings located thereon, to conduct such inspections as they may de6m 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 infom~ation 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: December 3, 2010 (Signature) (Print Name) LOCATION: (number & street)' (municipality) SUBDMSION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: LOT(S): (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: SLrFF. CO. TAX MAP NO. 1000- DATE: DWELLING: TYPE OF CONSTRUCTION: _ ~Y,~o'-e~ FOUNDATION: ~.~.~-,.-~ f~c_.~ - # STORIES: ~'-~,.~ # EXITS: L--- CELLAR: /~, jd,~ CRAWL SPACE: ' TOTAL ROOMS: 1ST FLR: - ~ 2ND FLR: ..... : "' 3RD FLR: BATHROOM(S): ~?--c,...,Z~ · TOILET ROOMt~q¥ -"~' ~ -'-~/. . . · UIILITY ROOM: PORCH TYPE: ~ DECK, TYPE: /k/.d,~vl6~..~e.P~TiO, TYPE. -- BREEZEWAY: Z ~ FIREPLACE: ~ GARAGE: ' ~ _' - r, , ~;. z.~ / ! HOTWATER. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHi~,R: STORAGE, TYPE CONST.:~,'~C~..~ GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION TIME START: ,/6~.%'E) END: ,/~) [ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FOP. M ER o~,,IE R . STRE _Sz./0 VILLAGE DISTRICT SUB. E ^CREAGE o~61 S W TYPE Of BUILDING I IND. MISC. Est. Mkt. Value LAND AGE NEW Fa rm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland Ho,~e Plot Toto I IMP. NORMAL Acre TOTAL .,~ ? ,~ o V FARM DATE BUILDING CONDITION BELOW Value Per Acre COMM. CB. ABOVE value FRONTAGE ON WATER FRONTAGE ON ROAD v~. Bldg. :xtension -'xtension Foundation Basement Ext. Wails :xtension ~reezewc~/ ~arage Fire Place Patio Driveway i _ Floors ~ v.-~ ~'~" Interior I J/ Heat Porch Porch Finish Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer OLSEN <~XT~ OLSEN2 L.L.E ATTORNEYS AT LAW GARY FL^NNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAVd 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 FAX 631-734-7712 olsenlaw@opronline.ner December 3, 2010 Re: England to Vasaday-Koyaks Our File 9565 To Whom It May Concern: Enclosed please find the following: 1. Application. 2. Consent to Inspect Form. 3. Survey. 4. Check in the amount of $100.00. Please contact Sandra DeRose at Century 21 (335-5750) to arrange for the inspection. Very truly yours, DAVID WORTHINGTON OLSEN DWO:lmk Enclosures Southold Town Building Dept. P. O. Box 1179 Southold, NY 11971