HomeMy WebLinkAboutZ-20574FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20574
Date MARCH 9~ 1992
THIS CERTIFIES that the building
Location of Property 1750 BEEBE DRI~-E
House No.
County Tax Map No. 1000 Section 103
Subdivision
ONE FAMILY DWELLING
Street
Block 3
Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot 5.1
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-20574 dated MARCH 9~ 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 ONE FAMILY DW~TI,INGWITH ACCE~SORY~WO CAR GARAGE
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAC~ED INSPECTION REPORT.
Rev. 1/81
ESTATE OF JOHN T. B~-RRE
uilding Inspector
~.~.,= DEP:LqTi.~NT
T0b%f OF SOUTHOLD, N. Y.
HOUSI:[G CODE INSPECTION REPORT
Location
Subdivision
1750 BEEBE DRIVE
~nu~,~oer ~ s~reeu)
C~TCHO~UE. NE~ YORK
~i.[unlc£pali~y
Map Mo. Lot
Name of Owner(s)
ESTATE OF JOHN T. BEEBE'
Occupancy
Admitted by:
A-I RES.
~ype)
STANLEY KARASEWSKI
(owner-tenanz)
Accompanied by: SA~E
Key available
Suffolk Co. Tax No. 103-3-5.1
Source of request
Date
FEB. 25, 1992
DYFELL I~G:
,Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezewa~
Type Heat
CE~T
1st. Fi
I FULL BATH
4
Fireplace(s) YES
Domestic hotwater
Other
COFE~ED IN Deck,
Garage
OIL 'Warm Air
No. Fz~its
~OOD F~
Cellar ru~L
2nd. FI 5rd. Fi
Toilet room(s)
typq Patio, type
Utility room
Hotwater xx
2 Airconditionin~
YES Type heater
CRAPE ARBOR ATTACHED TOHOUSE.
#stories
Crawl space
ACCESSORY STRUCTURES:
Garage, type const. 2 CARWOOD
Swimming pool ~
Other
Storage, type const.
Guest, type const.
VIOLATIOMS:
Location
.CHAPTER 45--N.Y. STATE UNIFOP~M FlEE PEEVENTION & BUILDING CODE
Descriotion I Art.[ Sec.
Remarks: BP ~i450 co Z-I 164
Date of Insp. FEB. 27, 1992
· Time start i0:15 end 10:45
Form ,','o. 6
TOWN OF SOUTIIOLD
BUILDI:;G DEPARTMENT
TOWN NALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This.applicat'ion 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 Dcpt, 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 Comp2iance from architect or engineer
responsible for the building.
6. Submit Planning Beard 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 a Consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector sh~ll 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.O0
3.Copy of Certificate of Occupancy - $5.00 over 5 ycnrs - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
February ~%,. ~%92
~ew Construction ........... Old Or Pre-existing Building x
~ocation of Property.. w/s. of. Beebe Drive~ Cutchogue
llousc No. ' ........................................................
Street Hamlet
Onwur or Owners of Property
~ouuty Tax Map No 1000, Section..~O~,00 ...... Block ....... Q~'QQQ...Lot ..... 0.0~..001
~bdivlsion ....... ' .............
....................... Filed M~lp ............ Lot ...........
~ £t No ...........
rm .............. Date Of Permit ......
.......... Applicant .............
~ ltl Dept Al ................
· ' Underwriters Approval
~ming Board Approval ........................
~,cst for: Temporary Certificate ...... Fin~
~ ~ ~05 79! ....... William Wickham, Attorn~Cg~%~q~t~ ~f Joh~ T
CONSENT TO INSPECTION
Estate of John T. Beebe
Owner(s) Name(s)
state:
That the undersigned
of Southold located at
Which is
Section 103.00 , Block
That the undersigned (~as)
tion in the Southold
· the undersigned, do(es) hereby
(is) (are) the owner(s) of the premises
w/s Beebe Drive~ CutchoKue~ New York
shown and designated on the Suffolk County tax map as District
03.00 , Lot __005.001
(~_~g~x filed, or caused to be filed, an
in the Town
1000,
Town Building Inspector's
Pre-existing C.O.
Office
applica-
for the following:
of the Town
any and all
of Southold to enter upon the above described property,
buildings located thereon, to conduct such inspections
may deem necessary with
tions
rules
That the undersigned do(es) hereby give consent to the Building Inspectors
including
as they
respect to the aforesaid application, including inspec-
to determine that said premises comply with all of the laws, ordinances,
and regulations of the Town of Scuthcld.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in 5ke conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulat/ons of the Town of Southold.
Q ate d: February 25, 1992 ~~~~~~/~
William Wickham, attorney for the
Estate of 3ohn T. Beebe
Print name
Signature
Print name
PLEASE CONTACT MARX KILKENN~ OF MAItlON KING REALTY FOR ACCESS. (PHONE NO. 734-5657)
APPROVED BY
PLANN:NG COARD
__ T.:~W~: O~ ~OUTH9L9 ~r
1990
TEST HOLE
TiK&IL
U