HomeMy WebLinkAboutZ-21188FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-21188
Date DECEMBER 3~ 1992
THIS CERTIFIES that the building
Location of Property 9000 MA~N ROAD
House No.
County Tax Map No. 1000 Section 31
Subdivision
TWO FAMILY DWELLING
EAST MARION~ N.Y.
Block 8
Filed Map No.
Street Hamlet
Lot 2
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-21188 dated DECEMBER 3~ 1992
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 TWO FAMILY DW~3.LING~ ACCESSORY WOOD FRAME GARAGE~
ACCESSORY STORAGE SHED & WOOD PRIVY *
The certificate is issued to SHERRY AMOTT (TIPPEY)
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-255794 - NOVEMBER 4~ 1992
PLUMBERS CERTIFICATION DATED N/A
· PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS UPDATES PRECO Z-21103 DATED OCTOBER 22, 1992
f // Bffilding Inspector
Rev. 1/81
TO'.,]f CF SCUTi~OLD, [1. ¥.
EAST MARION, N.Y.
j'[~? l'ro.
b (S) __
Source of request.
SmZ. RRY L. AMO1'T'(~IP?Ey)
0ccupan~y . 2 FtgllLY DWELLING OWNER
(, ~ype) k o'.met- con:n:)
A~.~ed by: L~A L. SP~GEL Acccmp~ied by: s~
Key available Suffolk Co. Tmc ~o. 31-8-2
~Date .BEC. 2, ~992
~!'~LLDfG:
,Type of construction wood
Foundation BRICK, STONE RUBBLE Cellar
Total roomS, 1st. F1 5 2nd. Fi
~OZ
5
PARTIAL
=" ~* ~ I-I/2 & I
,,, S
Crawl space
Bathroom(s). 2 Toilet room(s) .Std. P!.
Porch, t)~e. 11 SCREENED Deck, Jrype, ..- Patio, type
Bre ..... ay__ Garage rr*-.~ 1 ~-.-
Type HeatG~~L ' Warm. Air Hotwater
F_. -P--c- (s) 2 ~S~g ~ro. ~.~ ~ 5
Domestic Mo&lauer
Other
ACCrSSCRV S~U~,~=~
Garage, type cons<, w~D F~
S %'/ir.~in~ pool
0~her
WOOD _ PRIVY
Ttpe he_~__
A.~r~ondzt:cn:ng_ .
I ELECTRIC-I NATURAL
Storage, type contr.
Guest, ty~e conat.
WOOD · FRAME
VIOLAmZ0NS: .CfL~PTER 45--N.y. STATE UNIFO~ FIRE PREVENTION & BUILDING CODE
J Art.
I {
Remarks: BP ~21097~-CO Z-21187 FOR U~:PAIRS_
Inspected by: ~./~' /'~ Date of In sp.
Ti e start
1/24/92
end
Sec.
~ 4' ' BUILDING DEPARTMENT _ _ _
': ~PLICATION FOR.'CERTIFICATE OF 0C ·
A. This application must be filled in by typewriter 0R ink and submitted ~o th 'building
inspector with the following: for new building or new use: " "~:.: -
1. Final survey of prop&rty w'ith accurate location of all buildings, property,~ides,
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 f{om 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. Co~nerciai building, industrial b~ilding, multiple resideBc~s a~'~ similar buildings
and installations, a' certificate of Code Compliance from architect or e~gineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
8. For exis.tin~ h,~d~ng~ (prior to April 9, 1957) non-conforming uses, or buildings a'nd
pre-ex%st~ng land'~ses:. '
~- 'Accurate survey of property showing ail property lines, streets, building and
unusual natural or to~ograpbi6 features.
2. A properly completed applic~tio~ an~'~ consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, ~be Building Inspector shall state the
reasoos 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~ Swishing pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
. g~ C.ertifica~e of Occupancy on Pre~existing Building - $100.00
3. Copy of Certificate of Occupancy $5.00~ '
o~er 5 years $10.00 '"
4. .Updated Certificate of Occupancy - $50.00
5. 'Temporary Certificate of Occupancy - Resid~n.~ial $15.00, Commercial $15.00
.ew Con~traction ........... Old Or Pre-existing Bailding...~...
llouse No. Street Ham].et
....... ...... .,,... ..
:ounty Ta~ Map ~o 1000, SecCioa ........... Block ................. Lot..
............. " Filed Map Loc
'erin o ................ ale rm ................ Applicant .................
:caleb Dept. ~pproval ..........
................ ~nderwriCers Approval ......
lanol~g Board ~pproval .........
equesc f6~: Te,nporary Certificate .... Final Certic~te. . ~..
ee Submitted: $ ........ . .....................
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG= ~
1~101e93 BUREAU OF ELECTRICITY
·
85 JOHN STREET, NBW YORK, NEW YORK 10038
Date ]]OV]~HBBR e4,1992 Application No. oflfile 03759~.92/92 ~ 255794
THIS CE~IFIES T~T
~y ~ ~t~M ~u~nt ~ ~d~ ~ a~ i~t~ by ~ ~nt ~ on t~ a~ ~t~ numar in the p~m~s of
8HBRRT AKO?? ?[~BT. 83t6
,~*examlned,m 0C?08B8 29°[992
BAST I(ARTOff, N.Y,
~ 2nd /~. 3FL/GAR/OU? .%-~*io. Block
and found to be in compliance u'ith the requirements of this Board.
Lot
RXTUII! ~ I~DeSCtN~ RXTUE~
]
EXHAUST FANS
DIMMIlS
DB~BC?R RB#OVBD I.B??BR 0~' le/2e/92-1
GARY DOROSK[
425 KO#SBLL LABB
CU?CHOGUB, #Y, 11935
OF CC. COND.
This cerl'ificate must not be altered in any manner; return to the office of the BOard if incorrect. Inspectors may be identified by their credentials.
~ I IN ANY MM'IHER. ~
0
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~21103
Date OCTOBER 22, 1992
THIS CERTIFIES that the building.
Location of Property 9000 MAIN ROAD
House No.
County Tax Map No. 1000 Section 31
Subdivision
ONE FAMILY DWELLING
EAST MARION~ N.Y.
Street Hamlet
Block 8 Lot 2
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-21103 dated OCTOBER 22~ 1992
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 TWO FAMILY NON-HABIT~RL~ DWET~.ING WITHOUT REPAIRS
AND VIOLATION CORRECTIONS~ ACCESSORY WOOD FRAME GARAGE
ACCESSORY STORAGE SHED AND WOOD PRIVY *
The certificate is issued to
of the aforesaid building.
SHERRY AMOTT {TIPPEY)
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~/ B~di~g Inspector
Rev. 1/81
Locatio~
Subdivision
N~me of Owner(S_),, S~ERRYAMOTT
OccupanCy.
A~itted by:
Key available
Source of request.
2 FAMILY NOR-HABITABLE WITHOUT REPAIRS
L~ype)
LYNDA L. SPANGEL
OWNER
{, O./~lC~. - ~ ~."l ....
Accompanied by: SAME
Suffolk Co. Tazc No. 31-8-2
S~ERRY L. AMOTT' ['TIPPEY) _Date_9/25/92
.D!:~LL! NG:
,Type of construction
Foundation BRICK, STONE RUBBLE
Total rooms, lat. F1 5
Bathroom(s ) 2
Porch, t~-pe '1 SCNEENE~
Breezeway
PARTIAL
WOOD FRAME ,.!'stor!es I-I/2 & I
Cellar .~OZ Crawl space 80Z
2nd. Fl., 5 5rd. Fi~ _
Toilet room(s)
Deck, i-ype. -. Patio, type
Garage Utility ro~m
· Warm Air Hotwater
F_._p__c_(s) 2
Other
~CCESSCF, Y STRUC~'~EE:
Garage, type consz, w~D F~
Swimming pool,
Other/ W~O .PRI~
No. W.'~.it$ 5
T/pa heater
Airconditicnin~
ELECTRIC-i NATURAL G~
Storage, type Const.
Guest, type const.
WOOD FRAI~
V. iOLATIONS:
_g~cation
EXTERIOR
DWELLIN~
I~XT~-KIOR
.CIIAPTER 45--N.y. STA'rE UNIFOI~! FIR/'% PKEVENTION & BUILDING CODE
ACCESSORY 5X~UCTUIOIS (NON-RABITABLE) '~N SEEP OF RE~AIRS
I)wKLLING IS NON-_HABITABLE REPAIRS REQUIKIIU,
FLOOR BEAMS, CHI~K~, MEAxlm~, PLUMBING A~9
Sec.
CHAPTER F.
PART. -
ELECTRIC - ELECTRICAL INSPECTION REQUIRED BY
NY BOARD OF FIRE UII~EI~IRITERS FOR ANY UNSAFE
CONDITIONS.
PORCHES IN NEED OF REPAIRS, CELLAR STAIRS IN
~KU OF REPAIRS.
R oma r!r.s: '
Inapccted
.Date of Insp. SEPt. 29, 1992
"THOM.~t~ J~I~ISHER 'Time start.!l:00 end 11:30
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~ APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 an8 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. '
For existing buildings (prior to April 9, 19~57) non-conforming uses, or buildings and
~e-exi~s t~ng" landauS§:
1. .Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and 'a 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
I. 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.
~--~ Certificate of Occupancy on Pre~existing Building - ~100.00
3. Copy of Certificate of Occupancy - $5.00 ov--er~5~ y~ears~-/- ~10.00
4. .Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Reside~ntial $15.00, Commercial $15.00
Date . ~. ~.. ! .~..~. .............
:ew Construction Old Or Pre existing Building ..~...
~.oca~on o~ Property :%~ l .O.. ~.~..k .~..~ .~...~..~.O.O..O..~..~..~.~;..~+....~X~.. '~.~ .......
"' House No. Street Hamlet
;nwer or Owners of Property...~...~..~..~'.~....~f~.~....~..'~.'~.~> ........................
:o~nty Tax Map No 1000, Seetion....%l ........ Bloc~ ..... %. .......... ~ot.. 2~ ................
ubdivi-sion ...................... . ..... ~ ........ Filed Map ........... ..Lot ......................
crmit No Dat~ Of Permit
................ · ............... Applicant .............................
iealth Dept. Approval .......................... Underwriters Approval .........................
lanning Board Approval ........................
equest for: Temporary Certificate ........... Final Certicate ...........
ee Submitted: $ /.O~) ~ ................
ck.~,q$o~ ' · ...... · ~ ' ' ......
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
Town Hall. 53095 Main Road
P.O, Box 1179
Soulhold, New York 11971
Fax (516) 765-1823
Telephone (516) 765- 1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 2, 1992
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Cascom Syndication-Cincinnati
John Tippey, Representative
1049 Montaque Road
Park Hills, KY 41011
Dear Mr. Tippey:
Please be advised that your check no. 221 in the amount of $100.00,
dated September 25, 1992, has been returned by the bank unpaid due to
insufficient funds. I am enclosing a photocopy of the check and advice
of charge from the bank.
This office is required to collect a returned check charge in the
amount of $15.00 to be added to any amount owing on the check when
checks are returned by the bank unpaid.
Please remit $115.00 cash,money order, or certified check to this
office by 4:00 P.M. closing on Wednesday, November 4, 1992. Your
failure to pay this amount in a prompt manner will result in the
revocation of your Pre-Existing Certificate of Occupancy issued by
the Building Department on October 22, 1992 and referral to the
Town Attorney's Office for collection. Thank you for your anticipated
cooperation.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures
cc: Tow/n~Attorney
L,,,~j~ d i n g Department
September 25, 1992
Re: Certificate of Occupancy/Pre-Existing Use
To Whom It May Concern:
This house was owned and occupied by Kathryn Gardiner and had been in the
Gardiner-Tuthill family for generations as a two family house. My grandmother rented the
east side for at least 20 years.
Since pumhasing the house in 1981, I've rented out both sides at various times.
The last tenant in the east apartment left it in such a mess that it was unrentable. I and my
family moved into the west apartment and started to clean up and renovate the east
apartment. We took down a wall between the two apartments to facilitate finishing the
floors.
There have always been separate services to the two apartments: electric power
systems, heating systems, hot water heaters, and telephone lines. There is a common
water supply, a private well with electric pump.
The outbuilding along the east property line was used by "Grandma Tuthill" to do
some cooking in, and the back part was used as a wood shed.
The large outbuilding in the back was built as a carpenter's shop and used as a
summer house for friends and relatives in Kathryn's family. They slept upstairs and used
the downstairs as their living area. The garage area adjoined it on the east side.
Yours sincerely,
Sherry Lynn Amott Tippey
TO
INS PECT[ON
O~'ned~s) Nam .V~:;) "-- ~
do(es) hereby state:
That the Undersigned (is) (are) the owner(s) of thc premise..: in thc Tov.nn
°£SoUthold located at ~f3~O _~,~i~k _~_~ ~0~ ~OOO ~ ~R
-
~ ~ ~ _. which is shown and dcsh~nntcd on the SuFfolk
County tax map as District 100O. Section_ .{/ .. Block~. Lot ~
Tha~ the undersigned (hms) (have) filed, or causect ~o be filed, an applica-
tion in the Southcld To~ Euilding Inspector,s Office for the follow,g:
That the undersigned do(es) hereby give consent to tile Buildhng Inspectors
of the Town of Southold to enter upon the above described property, including
an;.. and all buildings located thereon, to conduct such inspections as they may
deem necessary vzi[h respect to thc aforesaid application, inc!uc~Lng inspections
to de:ermine that said premises comn!~,, with ali of the laws; ordinances, rules
and regulations of the Town of Southold.
The undersigned, in COnsenting to such inspections, do(es) so with the
knott'ledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent r .... ·
P o-~cc.~ons for
lations of the laws. ordinances, rules or regulations of [t~e Town ofSouthold. '
/(prfut name) I~- /
name)
STATE OF NEW YORK
COUNTY OF SUFFOLK ~S.:
Re:
Premises at Main Road, East Marion, N.Y.
District 1000, Section 031.00
Block 0800, Lot 002.000
MARILYN QUINTANA, being duly sworn deposes and says:
I reside on Old Orchard Road, East Marion, New York 11939.
I have lived in East Marion all of my life. For many years
I lived in the house next door on the west to the subject premises.
I know of my own knowledge that since before 1957 the above-
captioned premises has been used and occupied for two families
and to my knowledge is still being used as such.
Mar~yn Qui~tana
sworn to before me
this ~ day of October, 1992
Notary Pu~c
FREDERICK J. TEDESCHI
· NOTARY PUBLIC, State of New York
No. 52-3945400
~ QueJh'ied in Suffolk Count,/ __
~: ComrnJs~,ten Ex~freg March 30 1B~.--~