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Home My WebLink AboutZ-20807FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 20807 Date: 06/19/92 THIS CERTIFIES that the building DWELLING Location of Property 1265 CALVES NECK RD (HOUSE NO.) County Tax b~ap No. 473889 Section 063 Suk~ivision (STREET) (H/~4LET) Block 0007 Lot 035 FiledMap No. Lot No. confor~s substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purser to which c~KTIFICATH OF ~cu~ANC"f ~ Z- 20807 dated J%TNE 19, 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 DWELLING WITH ATTACHED GARAGE AND OPEN BREEZEWAY.* CORRECTED 10/11/11 FOR HOUSE NUMBER ONLY. The certificate is issued to EHTEL BETZ of the aforesaid building. (OWNER) SuFfOLK COUNTY DEPART~ENT OF H~ALTH ~PRO%rAL EI~t-rKICAL c~KTIFICATH NO. PLIERS C~KTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATI(~: 1265 CALVES NECK RD S~DI~ISI(H~: NAP NO.: LOT (S) ~ OF (~ (S): EHTEL BETZ OCCUPANCY: 1 FAMILY WITH DENTAL OFFICES -3 EHTEL BETZ SOIH~C~ OF P.~: F HEP~R DAT~: 06/19/92 STOP/ES: 1.0 # EXITS: --3 C]~.T~%R: 75% CP3~L SPACE: 25% 3RD FLR.: ~0 0 ~TILITY ROON(S): SUITE OF 3 ROOMS AND BATH WAS USED AS DENTAL OFFICE ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOC~TION DESCRIPTION ART. SEC. 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-20807 Date JUNE 19~ 1992 THIS CERTIFIES that the building ONE FAMILY DWRI.LING Location of Property 1165 CALVES NECK RD. SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 7 Lot 35 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-20807 dated JUNE 19~ 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~I~.ING WITH ATTACHED GARAGE & OPF/q B~.z~wAY * The certificate is issued to ETHEL BETZ ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / Bu~ing Inspector Rev. 1/81 UI~DI...u. DEP:LRT}~NT T0',',7,I OF SOUTHOLD, M. Y. HOUSL~G CODE INSPECTION Ra. ORT LocaZion Subdivision 1165 CALVES NKCK ROAD bIap No. SOUTHOLD, N. ¥. [Nunzczpa±zty) ot(z) Nm,me of Owner(s) Ei'm~L BETZ Occupancy Admitted by: I FAMILY WITH DENTAL OFFICKS-3 ROOMS PLUS BATH VACANT ( type ) (own er- ~ enanv) P. VO~O~a~IN Accompanied by: $~ Key available Suffolk Co. Tax No. 63-7-35 Source of request F. ~ERR Date MAY I, 1992 D_E~ELL I N~G: Type of construction MASONAR¥ BRICK VENEER ~ . =storzes I Foundation CEMENT BLOCK Cellar 75Z Crawl space 25% Total rooms, 1st. F1 6 2nd. F1 3rd. F1 Bathroom(s) I Toilet room(s)~ Porch, t)-pe SCREENED Deck, t~e Patio, t~e. TI~ Breezeway OPEN Garage ~ Utility room ~pe Heat OIL 'Warm Air ~ Hotwater l_eplace(s) I No. ~cits 3 AirconditionSng Domestic hotwater ~ .T~e heater E~C~IC Other NOTE: PART OF HOUSE (SUITE OF THREE ROOMS & BATH WAS USED A DENTAL OFFICE) ACCESSORY STRUCTURES: Garage, type const. Swir~ming pool Other Storage, type const. Guest, type const. V~iOLAT!ONS: _Lncation .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE D Remarks Date of Insp. MAY 28, 1992 · Time start 9:20 end 9:40 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application 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 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~ C~er_ttificat~ of Occupancy on Pr¢-~e~isting_ Buildin~ - ~i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~-/ /~z Date ............................ .. .. . ....... . New Construction ........... Old Or Pre-ex±sting Bullding ............... ~ocation of Property ...... ~.~..~: .~:. ?...~..~... !V..~..'...{!4,. ...... 5~?.~ .............. House No. Street Hamlet Onwer or Owners of Property ..... ~.~...~. ............. County Tax Map No i000, Section ...... ~..~. ..... Block.. (O i' ...Lot ~.... ~%1 Subdivision .................................... Filed Map ............ Lot ...................... ............. Date Of Permit ................ Applicant ............................. Permit No . .. Health Dept. Approval ...................... ... . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ....... Final Certicate ......... Fee Submitted: $... { .~..T~.. fZ~.,~___~.~8~' TO INSPEC'F[ON do(es) hereby state: the undersigned, Dated: That the undersigned (is) (are) the Owner(s) of the pre niser; in the Tovm --------._ _, which is shown and desicmated on the ~. '~ '- That the undersigned (has) (have) filed, or caused ~o be filed, an applica- tion ia the Southcld Totem Ruilding Inspeeto~,s Office for the That the unders~ned do(es) hereby pipe consent to the Build~g Inspectors of the Town of Southold to enter upon ~h_ 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, ~c!u~Lng 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 ~spections, do(es) so ~5th the knowledge and understanding that any ~fOrmation obtained in the conduct of such inspections may be used as evidence in subsequent Prosecutions for vio- lations of the laws, ordinances, rules or repletions of the Town of Southold. (signa~re) (priut name) (print name) N V~ E $ THIS I~ TO C.E~TF¥ TH~ T THIS SUBDIVI.~I PLAN HAS BEEN APPROVED BY THE PLANNING BOARD OF THE TOWN OF $OU77-1~_D BY R~$OLUTTON OF APPROVAL DA TED Prepared in accordance with the minimum standarda for title aurvey6 aa eatabliBhed hr%the L.LA.L.S. and approved and adopted or auch uBe b~v The New York State Land Title Aeaociatlon. HOUSE TYPICAL SEWAGE DISPOSAL SYSTEM ROAD TYPICAL PLOTPLAN SURVEY OF PROPER T Y A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. 1000 - 63 - 07 .- 34 & Scale 1" = 100' June 3, 1991 SEPT. 4, 1991 (bldg. envelope) BUILDING ZONE R-40 OWNER/APPLICANT: PHILIP P. BETZ & ETHEL H. BETZ YOUNGS A VENUE SOUTHOLD, N Y. 11971 CONTOUR UNE$ ARE REFERENCED TO FIVE EASTERN TOWNS TOPOGRAPHIC MAP. AREA of I000-63-07-34 = 26,097 sq. fL AREA of I000-63-07-35 29,692 scl. ft. TOTAL AREA = 55,789sq. ft. (or 1.281acres) I HEREBY CErTiFY T~4T THIS MAP WAS MADE BY US FROM ACTUAL SURVEYS COMPLETED ~/J/~/~ ~T ALL CON~ETE MO~M~T$ ~WN ~ ~ ~LL O~L ~ ~E~ET~ D~T~8 ~E CO~EC~ APP_ O VE · ........ ......... · DIVISION OF PUBLIC HEAL'tN ~', DEPt', OF HEALTH SERVICES, HAUPPAUGE, N.¥. u~,, ,-,, ,..,.,, PECONIC~LSURVEYOR$, P.C. (576) 765 - 5020 P.O. BOX 909 MAIN ROAD