HomeMy WebLinkAboutZ-34956FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34956 ~te: 05/19/11
THIS CERTIFIES that the building DWELLING
Location of Property 240 WEST LA
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 031 Block 0015 Lot 009
Subdivision Filed Map No. Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs~-t to which CERTIFICATE OF
~cuFANC~f ~ER Z- 34956 dated MJ%Y 19, 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 ATTACHED SHED AND OUTDOOR SHOWER.*
EAST MARION
The certificate is issued to ITA LOUISE pAM
of the aforesaid building.
( OWNER )
N/A
N/A
N/A
Au~ed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
EAST MARION
MAP NO.: I~T (S)
ITA LOUISE PAM
~Y A%SAXLABLE: ~UFF. CO. TAX MAP NO.: 31.-15-9
SO{]~2E OF~E~: J KEVIN MCLAUGHLIN, ATTY DATE: 05/19/11
DWELLING:
TYP~ OF C~STP~J~-Z'AON: WOOD FRAME
ACCESSORY STRUCTURES:
GARAge, TYPE OF CONST.:
SWIlliNG POOL:
(~K: OUTDOOR SHOWER
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILOING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP5029 ADD COZ4168, BP17333 ADD COZ17642
TOWN QF SOUTHOLD
TOWN Ib\LL
76S-1~Q2
APPLICATION FOR CERTIFICATE OF OCCu~
6. Submi= i'ianning Board Approval Qf compl~c~ si~e plan requirements.
unusual nacura% or topographic
C. Fees
[. Carcificaga of Occupancy - New duelling $25,00, Additions ~a dwelling $25.QQ,
Al~aracion~ ca dwelling ~25.00, Suiuuning pool ~25.a0, Accessory building $25.0Q,
2. Curzifica~c of Occupancy on Pru-cxiaEing Building -
]. CoHy of Certificate of Occupancy - $5.00 aV=~' 5 yuaru -
4. Updaccd C~r~ifiagge of Occupancy - $50.00
5. Temporary Cur:~fica~a of Occupancy - R~idan~ial $15.00, Commercial ~lS.OO
! .... ...............
':ow Consgruccion ........... Old 0r Pre,ux~i1 . . .
Cauncy Tax Map No IOOO, ~ ~zon ..... ; ................. Lo~ ......................
]uhdivi~zon ..... . ......... Filed Map ............ L~ ...................
· 'urmig No DaLe Of Permit..... Appli~ang
~uaich Dcp~ Approval
' · ......................... Uaderwri~ers Approval .........................
'lanning ~aard Approval ........
~'~ S~i'=:'e~: $ ........................ .'" ·
LOCATION:
(number & street) (municipality)
SUBDIVISION: ~ MAP NO.: -- LOT(S):
NAME OF OWNER(S): ~ ~e2O'~Z,x~,_ ~°t:~r~ f0
OCCUPANCY: ~ .~---,~zJ fl'~¢-~¢~ ~
(type) ~ (owner-tenant)
ADM,TTED.Y: 5 ACCOMPAN,ED BY:
KEY AVAILABLE: - ,-¢ SUFFv%Q. TAX MAP NO. 1000- ..~ I
SOURCE OF REQUEST: ¢~p~...~.rx_~¢ ~&--~ DATE: .~qt -II
DWELLING
TYPE OF CONSTRUCTION: [d~/t~ _~ # STOR!F~; ,~ [ # EXITS:
FOUNDATION: ~_~?~24_~ f'~'- BASEMENT: ~ CRAWL SPACE. ~
# OF BEDROOMS: 1ST FLR:
2ND FLR:
TOILET ROOM(S): /
DECK, TYPE: ~
~ FIREPLACE: ~
v//_
~/~"- WARM AIR: ~/~
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:,/~,~ TYPE HEATER:
TYPE HEAT:
# OF KITCHENS: ~
FINISHED BASEMENT: YES ~
OTHER: ~
NO '/
3RD FLR:
UTILITY ROOM:
PATIO, TYPE:
GARAGE:
AIRCONDITIONING:
HOTWATER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
J~";J~ DATE OF INSPECTION:
TIME START: END:
OONSENT
TO
INSPECTION
· the undersigned,
Ot~er(s) Name(s)
do(es) hereby state:
That the undersigned (is) {are) the owner(s) of tl~e premises in the Town
of Southold located at
County tax map as District 1000, Section
which is shot~m and desl~nated on the Suffolk
Block l~' , Lot (Z~o~ .
That the undersigned (has) (have) filed, or caused ko be filed, an applica-
tion in the Southold Toxvn Building Inspector's Office for the following: ~_~
That the undersigned do(es) hereby give consent to the Building Inspectors
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 nece_ssary 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 h~spections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lations ~f the laws, ordinances, rules or regulati;n~f the ~o~/~d.
Dated: ~[(~c~O~(
(signature)
(print name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD /~-W
WNER
ORMERVOWN ER
STRE~ %qO
FARM
LAND
SEAS,
IMP.
VL.
TOTAL
DISTRICT SUB.
ACREAGE '~'9
TYPE OF BUILDING
LOT
COMM. IND. / CB. MISC.
DATE REMARKS
oo #,6.
NEW NORMA' BELOW ABOVE
Farm Acre Value Per Acre Value
Ila,b. le 1
liable 2
liable 3 i
foodland ! /d'~ ? / ~ -~" ~'~ F-~ ~ O0
vamplond
ushland
ouse I
cf al '
M. Bldg. z/(2 )~ ~q(~ z- / 'gLJ'].. ~ ~ i 3,~ ~'~ Foundation i Z~.r~ o c/( Bath
Extension /~ X ~ ~ -- ~ ~ ~ ~ 3 ~D Basement Fl~rs
Extension Fire Place / Hem
Porch Attic
Porc~ Rooms 1st Floor
Patio Rooms 2nd Floor
Garage /~ ~).~ ~(~ O / ~O ~ ~ 0 eway
BUS>~MANN
CON( R r'~,[ lO
~Z~- 0