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