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HomeMy WebLinkAboutZ-30992 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30992 Date: 06/17/05 THIS CERTIFIES that the building DWELLING Location of Property OREGON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 095 Block 0001 Lot 004.002 Subdivision 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 NUMBER Z- 30992 dated .NNE 17, 2005 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* The certificate is issued to ROBERT SCHRIEBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: OREGON RD CUTCHOGUE SUBDMSION: MAP NO.: LOT (S) NAME OF ONNRR (S): ROBERT SCHRIEBER OCCUPANCY: RESIDENTIAL ROBERT SCHRIEBER ADMITTED BY: AMY O'DONNELL ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 95.-1-4.2 SOURCE OF REQUEST: ROBERT SCHREIBER - 6//08/05 DATE: 06/17/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EYITS: 3 FOUNDATION: BRICK CELLAR: YES CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 5 3RD FIE.: 0 BATHROOM(S) : 1.0 TOILET ROOK(S): 2.0 UTILITY ROOK(S): PORCH TYPE: CEMENT DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: 2-NONWORKING GARAGE: DOMESTIC HOTKATER: TYPE HEATER: OIL AIRCO DITIONIRG: TYPE MEAT: HOT WATER MARK AIR: HOTHATER: OTHER: *SEPARATE HOT WATER HEATER RADIATORS ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.; STORAGE, TYPE CONST.: SWIIBIING POOL: GUEST. TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART SEC. REMARKS: IHSPECTHD BY: DATE ON INSPECTION: 06/16/05 GEORGE GILLEN TIME START: 10:00 AM END: 10:30 AM Form No.6 • TOWN OF SOUTHOLD 1(/72� 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 Department with the following: A. For new building or new use: 1. 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 of 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. Commercial 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 Planning 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 dwelling$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 J Date. WVu 8 ' 2,C0 S� New Construction: n/ Old oorPre-existing Building: V, (check one)( Location of Property: m c �/(Q 0 0 ko ud C���V`� VIS'/ House No. II ^' Street 1 Hamlet Owner or Owners of Property: (O b fwT i �✓e c Suffolk County Tax Map No 1000, Section 1 Q 0 U Block Lot 1 —4. Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V/ (check one) j Fee Submitted: $ C• u Applicant Signat e . bt353 (!F/vro � 3a99Z CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned i e) the owner(s) o the premises in the Town of Southold, located at 0 c '( ' ©�F/X 8 VI k 0 , which is shown and designated on thcuSuffolk County Tax Map as District 1000, Section Block I Lot 4. '- That the undersigned(las)(have) filed, or cause to be fi , an application in the Southold Town Building Inspector's Office for the following: lYlu,l CPXfi{1 C U f E 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 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 information 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. 1 Dated: ,A�Ai "Obey i a e��IhQV (Print Name) (Signature) (Print Name) Form No.6 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 Department with the following: A. For new building or new use: 1. 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 of 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. Commercial 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 Planning 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building $50.00,Additions to accessory building$50.00, 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. 12- I I I y New Construction: II -- Old/or Pre-existing Pre-existing BBuilding: %-/ (check one) r� Location of Property: l� � l� Y e V l n acA CI I fLr I qlA L House No. II Street ((� \ Hamlet Owner or Owners of Property: ��YJ e✓� `` M . S(,VI V-&l J V Suffolk County Tax Map No 1000, Section _I nn J Block Lot 4 ., Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ pp /7 tT,'GQ t` G Applicadt Signature CONSENT TO INSPECTION )Z*e o sckV2 i be the undersigned, do(es)hereby state: Owner(s)Name(s) That the under i �jd is) rT e owner(s),-of the preypise i the Town of Southold, located at ` V �� o n YL d l k��q uL , which is shoe and designated on the Suffolk County Tax Map as Dist6A 1000, Section, Block ( , Lot 4, -3 . That the undersigned (has) (have) filed, or cause to be filecan applic do the Sold Town µilding Inspector's Office for the following: Zl� • C Gl t �1� U INa ti i— o ✓,n 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 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 information 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: 1 Z- 1 z OAU�Jc(Nsgnatur�,{fie b e (Print Name) (Signature) (Print Name) 0 *30-10; 12: 27 666047 # 1/ 2 �� ho��pk SOUryo6 Town Hall Annex01 54,173 765.1802 54.975 Main Road x_(631)765-9g50 P.O.Box 1179 Q _roiler.richert £o n,5OUtf10 d.nV.US Soudiold,NY 11971-0959 y� BUILDING DEPAltrmEN'1- TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: (p Company Name: cty G -�Y-1 ` Name: 01 d- License No.: I)c Address: rlr0 Phone No.: 31— 66t — ©q-7 JOBSITE INFORMATION: (*Indicates required information) *Name: y CILer r--_----------------------------------- *Address: 0 20VX -RA *Cross Street: *Phone No.: (031— Permit No.: Tax Map District: 1000 Section: A,�i Block: Lot: , *BRIEF DESCRIPTION OF WORK (Please Print Clearly) CSO �VD10_%V_ 1�-11.7 0 /.n (Please Circle All That Apply) *Is job ready for inspection: YES /0 Rough In Final *Do you need a Temp Certificate: YES /®O Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Reconnect Underground Number of Meters Change r coer" E Additional Information: PAYMENT DUE WITH APPL D _ 9 2012 82-Request for Inspection Form G\ ` TOwN Of SDl'THOLD /aoo_ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET / -75 VILLAGE DIST. SUB. LOT ca[3/�reiber �rP Q IeV a r ve4 III i� =NEIRbe r N E AC (' / S W TYPE OF BUILDING j0t/J9f� I've k/ XS S. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value o° 14 aV LAND IMP. TOTAL DATE REMARKS / 6 !s 6dI Ze6 0 C o 'J /2y /d�G/ Shy 324 So Saun�u;< v /e Schreiber '� ¢a,2C ( as sab, yc2.r _�5ow , J9000 74 o-DJ0 Li f /e PAlr l° � 9 � r bta 000, Schre Estr- X15 v i 1 Z 1 0 12 50o Fv Iso -I0 31l 63 Cy/ 7LO) moo Z D 10500 l Z D c7 2 / q9 a �r /� 8707) a t o �ll7zo -76r?) 3/ li -7&rD llo�s`6�5 (l 71 —76"0 dct�} ` —76"0 J L1 4' - Tillable '� Z 50 p FRONTAGE ON WATER \ `� ' ✓li U Woodland FRONTAGE ON ROAD ��' —7DQ •Meadowkdnd DEPTH. 1 House Plot 1 , .`.v BULKHEAD x TOWN OF SOUTHOLD OPERTY RECORD, CARD STREET VILLAGE DISTRICT SUB. LOT Gf t1�6N /�nW� 19 7-,7-1 11-4y ClY `AFS xp! ©c,p N n ! / E ACREAGE FOR ER OWNER SW TYPE OF BUILDING , �� -� � �.�.-�-✓ l�z ate-, `cid . �C�t T �u r#i�s RES. SEAS. . . VL. 01FARM comm. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS S S L N3 _ it `f0� 2 bo 0 e1h)in 3 ,2 d 70 �30d7 `�GUV os--0a . 171 �0 //`/ O o r l 300 3 7 007Z i7 7 ✓ GEG U BUILDING Cg l e f- °s NEW NORMAL, BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 . aa- f 6 dry ata v Tillable. 3 S o 1 ;-- ZSR v Q 50 Woodland r Swampland 9 -70— 71 z Brushland O— Brushland House Plot A� 1 t2U J� o 4 *140 4e, 5 ar 'F Total �. _, n ■■■■■■■■■■■■■■■I■■■■■ ■■■■■■■■■■■S■■■13i■■■ Basement Ext. Walls Interior FinishPorch � mom .. .. SUBDIVISION PLAN FOR ROBERT SGHREIBER SITUATE: MATTITUGK ... xyP . TONN: SOUTHOLD Ww�s• 6•Yi•elNlxlTr' �'• SUFFOLK COUNTY, NY APPROVED BY rr �1:••rw�a..rr.a !�'1RVEYED II-.1-99 INNING B04gp _ `I,I �r•�g•—,� g AMENDED 10-24-0010-30-00, TOWN OF SOIRNOLD 11-21 GO,O8-24-0I 02-05-02, .'®r, �,.,�yyn„�•,•,� f 01-02 02 07-23-02,01-12-04 PATE a//f JIF '� 4 �'r '�-4IIIALTETJ.NFBEm xg � aJFFOLK GOUNTY TAX a ✓e-4ddae '*L9�� 1000-4�,-4 �''v�c. '4qs Nr 4, we �R F,1 Suw[ei TO[4YExnnr;u R¢•R1ox9 Fl- 1]IMP Prci CERTIFIED TO D a_ ROFiERL SGHREIGE� JAN 2]'0y PEGONIG LAND TR-ST -r" E c,m•ew psu e 110 70#FILE. No. _ 1 15123 #ABS. No. n ,STEM CFTnI_ Av WV129 ID04 FILED LIAR 2 32004 TO Al \ M \ 4,v "$ �. =u FILED M ' I \ ;P MAR 2 3 100 , - �.""' M ,]:b N^. �_JL�I, \ GUNMWPPI]Y�NE �I•- (YEftl'.OF&fiTIX1I C W NIY �`9� a R A w dp�d F 1 0,.ole T ro 1- a� c"$ 4 \_ 4 TYPIGAL PLOT PLAN " M-Li -1 I10 IND111-IL L— 11F P X ITIL TIFFEm LI - —1511—TAIII 1, ILL I� T66r0/dIFT"TM�'a55Enw:4n'w6 a3nlHWaFne nF 3NMe d?A i �� A ----------- so-Koacerax cf mlan s'mnm w� ,. �EF,...r,s __ • M?U£M WrtaY`lP,be C RPF N[ cnniwe.r A outs R •�.�' AREA-41b PGRES ii 11�1 JEEO L 10411 1,EVAT..1I REF£ K 4'y NSVpX TYo`rv'<</rsM yv- L" -ca.Al'.NFY5'}igVN[M *; SHEET ?_ OF 3 AR E NS. 6RM1111.S ALF. 1•. 00 3. rf sTAren of cove 15 Ano Rczm c-ias ,�Pin - JOHN C EHI.ERS LAND SURVEYOR s F1 E� ,FE 1r1� CGMIY L9Ea OD1]]93 PPEF_513nT9. _ 1f9 .NY�Zg'lll PEP.\WVrw�P� 39hpo *®* o nom. .� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ l RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL( REMARKS: izadDL A c DATE INSPECTOR LOCATION: 6 / 7-5- o/PEGo ly /e D , (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): o EKT M SCH K E�-1 B E,O OCCUPANCY: (type) (owner-tzaagt) ADMITTED BY: 4M Y 01 D O/V/1/C L-L- ACCOMPANIED BY: KEY AVAILABLE: I k I I SUFF. CO. TAX MAP NO. 1000- 95 — SOURCE OF REQUEST: S C// ol'E-/BE/f DATE: DWELLING: �IOa D TYPE OF CONSTRUCTION: ����E # STORIES: vZ #EXITS: 3 FOUNDATION: BiP/C CELLAR: vis CRAWL SPACE: -- TOTAL ROOMS: IST FLR: S 2ND FLR: S 3RD FLR: BATHROOM(S): I TOILET ROOM(S): A UTILITY ROOM: �-- PORCH TYPE: CCMEN ODECK, TYPE: Woo PATIO,TYPE: BREEZEWAY: FIREPLACE: 2,WeN-W°kk N6GARAGE: DOMESTIC HOTWATER: TYPE HEATER: OIL- AIRCONDITIONING: TYPE HEAT: �T �✓/�rEI —WARM AIR: HOTWATER: S 4z0e4 OTHER: A107— i� bFTF/p ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: —� VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION ART. tSEC b0 eE K S red L REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: /O • do/)*'( END: Ifs"(