HomeMy WebLinkAboutZ-23473FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
PRE EXISTING
CERTIFICATE OF OC~umANCY
No Z-23473
Date FEBRUARY 2, 1995
THIS CERTIFIES that the buildin~
Location of Propert~ 8255 BRIDGE LANE
House No.
County Tax Map No. 1000 Section 84
Subdivision
ONE FAMILY DWK~W.ING
Street
Block
Filed Map No.
Hamlet
Lot 4.6
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-23473 dated FEBRUARY 2~ 1995
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 3 ACCESSORY OUT BUILDINGS *
The certificate is issued to
WILLIAM & VIRGINIA ASIP
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
*PLEASE SEE ATTAc~u~D INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 8255 BRIDGE LANE CUTCHOg~Ig, N.Y.
(number & street) (municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) WILLIAM & VIRGINIA ASIP
OCCUPANCY SINGLE FAMILY (type)
ADMITTED BY: WILLIAM & VIRGINIA ASIP
KEY AVAILABLE
SOURCE OF REQUEST: WILLIAM ASIP
OWNER
(owner-tenant)
ACCOMPANIED BY: SAME
SUFF.CO. TAX MAP NO. 1000-84-1-4.6
DATE: JAN. 26, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION BRICK CELLAR MOST
TOTAL ROOMS: IST FLR. 4 2ND FLR. 4 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) ONE
PORCH TYPE FRONT & SIDE COVERED - SIDE
BREEZEWAY
FIREPLACE
DOMESTIC HOTWATER YES TYFE HEATER
TYPE HEAT OIL FIRED WARM AIR
OIl~t,~R: WOOD STOVE ( INSTALLED 1973 )
DECK,
NOI~
OFF BOILER
[ STORIES 2 ~ EXITS
CRAWL SPACE PART
UTILITY ROOM KITC~t~N PANTRY
PATIO
GARAGE
AIRCONDITIONING NOI~
HOTWATER YES
3
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, T¥FE CONST.
(3) WOOD FP, AI~ OUT BUILDINGS
WITIt ELECTRIC
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
?
DATE OF INSPECTION JANUARY 27, 1995
TIME START !1:45 AN END 12:15 AM
BLDG, DEPT.
TOWN OF $OIJTNOLD
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
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 residence~ 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.
For existing buildings (prior to April 9, 1957) non-conforming or and
uses,
buildings
"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 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.
~2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15·00-, Commercial $15·00
..... .................. "' · ·
New Construction ........... Old Or Pre-existing Building ..... ././... .....
Location of Property.. Z.'~.~..~. .... ~.~_ / ~ /--/~'/~/~' .~.'.(~.~.~..~...~%.
· .... £ ......... ~. ........ ~.,/~. ......... ~i~. ....
House No. Street Hamlet
Onwer or Owners of Property...~.~.~.~l...
County Tax Map No 1000, Section .... ~.~.... .Block...
Subdivision ........ .~.~. ........................ Filed Map ............ Lo t ......................
Permit No ...... ..../~.J.....Date Of Permit................Applicant .............................
Health Dept. Approval....~..// ................... Underwriters Approw~l .........................
Planning Board Approval ...............
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted' $..f ........
...................
~..~, V,~ 3 · ~ .' ..................
.... ~ t~-?_ ~ 3 ~ ~ 3 APPLICANT//
Owner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
· the undersigned,
That the undersigned~ (are) the owner(s) of the premises in the Town
of Southold located at O~2-:p/-~ A/~/.,~IS" ~//~'%/~' C~>~-g'/r~f&~g-
· which is shown and designated on the Suffolk
County tax map as District 1000, Section ~, Block / , Lot /~5 ~
That the undersigned (l~a.s) (have) filed, or caused to be filed, an applica-
tion in the Southold To~m Building Inspector's Office for the following:
That the undersigned do~'~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 cf 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: f,/%/~ / ~ .//.~~~, ~
(signatui'e) /
(print name)
(signature)
/7,
(print name)
F~
SOCIETY FOR THE PROPAGATION OF THE FAITH
FORMERLY LALLY
N 45'-39'-45" E
48J. 11
AREA = 4.3'108 Acre.,
.~ROACHES ~
$ 44'-00-~35j' If
96.56' S 45' -43 '-~5"
368. ££'
Z
I'rl
5O
~ ZNCH - 50 FEET
0 50
SURVEY OF PROPERTY
S~tueted et
CUTCHO6UE
TONN OF SOUTHOLD
SUFFOLK COUNTY
NE# YORK
Surveyed August 24. ~gg2, by
SNITH & JUNG
Profe, s.s~Jons] ~_an~Y Surveyor
leu HedfoP~ Avenue
Petchogue, NY ~177R
Phone: 475-3~9E
N/F Mc6UINNIGLE ~ OF qET ESTATES
6390
SURVEY CERTIFIED TO:
WILLIAM ASIP
VIRGINIA AGIP