HomeMy WebLinkAboutZ-22598FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22598 Date SEPTEMBER 22~ 1993
THIS CERTIFIES that the building
Location of Property 2260 SKUNK LANE
House No. Street
County Tax Map No. 1000 Section 97 Block 3
Subdivision Filed Map No.
ONE FAMILY DW~3.LING
CUTCHOGUE ~ N.Y.
Hamlet
Lot 18.5
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-22598 dated SEPTEMBER 23r 1993
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 DWFJ.LING *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
DAVID S. & ELIZABETH BRANCH
N{A
N{A
BUILDING DEPARTMENT
TOWN OF SOUT~IOLD
[lOUSING CODE INSPECTION REPORT
LOCATION: 2260 SKUNK ~
(number & street) --
SUBDIVISION
NAME OF OWNER (s) DAVID S. BRANCH
CU'I~HOGuK, NEW YORK
MAP NO.
(municipal ity
LOT (s}
OCCUPANCY A-I RES.
(type)
ADMI~-r~D BY:
KEY AVAILABLE
SOU~C~ OF REQUEST:
DAVID S. BRANCH
OWNER
(owner-teoant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-97-3-18.5
DATE: JI/LY 9, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD F~
FOUNDATION STONE
TOTAL ROOMS: ]ST FLR. 3 2ND FLR. 3
BATEROOM (s) 2 TOILET ROOM (s}
PORCH TYPE DECK· TYPE
BREEZEWAY FIREPLACE
DOMESTIC H0~ATER YES. TYPE HEATER
TYPE HEAT OIL WARM AIR
O~IER:
~ STORIES 1-1/2
CELLAR
3RDFLR.
UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONING
HO~ATER XX
~ EXITS 2
CRAWL SPACE
ACCESSORY STRUCTURES:
GARAGE, TTPE OF CONST.
S~D~ING POOL
O~R:
NONE
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOKATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
BAS~NT CEILINGS, WALLS, FLOORS AND STAIRWAYS SHALL BE MATI~i'ATNI~n N.Y.C.[ .R. 9 (B)
IN A SAFE AND SO[]ND CONDITION. PART. l: 62.7 (C)
REMARKS: SEE ATTACHED LE'i-r~R FRO~ MATTITUCK PLI~IB.&HEATING DATED 9/I/93.
DATE ON INSPECTION AUC. UST il, 1993
TIME START 9:30 ENI~ 9:50
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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 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 applic/ant.
If a Certificate of Occupancy is denied, the Building Inspector shall stat~he
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwellingS25.00, 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 - $5.00 over 5 years - $i0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
1993
bate .. .............................
New Construction ........... Old Or Pre-existing Building ..... ~ ...........
Location of Property ............. ~? PAq~ ~ne.. .. . ..................................... Cutchogue ....
House No. Street Hamlet
, ..... ~-,, David S. Branch and Elizabeth T. Branch ...%
Onwer or Owners of ~Lv~L~ ..............................................................
County Tax Map No tO00, Section.p.9.7.~.0P ...... Block.. 03.00 .... Lot. q .8:.0q5.
Minor Subdivision for David S. and
7: ch Fil
Subdivision . . Bran Two
....................... ed Map ......... Lot ......................
Permit No Date Of Permit Applicant .....
Health Dept Approval Underwriters Approval .........
A ...... ~ November 2, 1992
Planning Board ~ .............................
Request for: Temporary Certificate ........... Final Certicate...~ .......
%~~.~Branch . ~ APPLICANT Elizabeth T. Branch
CONSENT
TO
INSPECTION
DAVID S. BRANCH and ELIZABETH~T. BRANCH
the undersigned,
Owner(s) Name(s)
do(~) hereby state:
That the undersigned (f~) (are) the owner(s) of the premises in the Town
of Southold located at 2260 Skunk Lane, Cutcho~ue, New York
· xvhtch is shown and designated on the Suffolk
County tax map as District 1000, Section 97 , Block 3 , Lot 18.5
That the undersigned Sh~ (have) filed, or caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following:
Updated Certificate of Oc ~c~cy
That the undersigned do(a~) 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(mm) so ~vith 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 To~vn of Southold._
(sigdature)
David S. Branch (print name)
- 0 (signature-)
Elizabeth T. Branch
(print name)
Z
SKET~W PLAN OF
OF I:~C)PEI~Ty S~IE'VEYEp
CUTCHOGUE
T0~,/N QF ~I'r~IOLD
~PF~OPE~Y ;5 t~ BUILPl~ ZONE ~'4~
i.c~4~ORS EEFE~ ~ HE~ SEA LEVEL.
SG~.L E- I00', J'
~QD,~i'~IC~ k/~d TUYL,