HomeMy WebLinkAboutZ-20395FORM NO. 4
TOWN OF SOUTHOIJ]
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20395
Date DECEMBER 6~ 1991
THIS CERTIFIES that the building
Location of Property 1550 CENTRAL DEIVE
House No.
County Tax Map No. 1000 Section 106
Subdivision
O~E FAMILY DWRLLING
MATTITUCK ~ N.Y.
Street Hamlet
Block 2 Lot 11
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-20395 dated DECEMBER 6~ 1991
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 DWRLLING & ACCESSORY WOOD FRAME GARAGE *
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
~L~ANDER & DOROTHY CHASE
./A
N/A
N/A
NOTE: THIS UPDATES PRE CO Z-17159 DATED 8/4/1988.
Rev. 1/81
Loc~ ~n
BUILDING DEP~LRTi.~NT
T0~'~T OF SOUTHOLD, N. Y.
HOUSING CODE IHSPECTION REPORT
1550 Central Drive Mattituck
~n=moer ~ szreev)
Subdivision
Map No.
([,iuni¢ipaiizy
Lot(s)
Nmme o£ Owner(s)
Harriet Charalambides
Occupancy Single one family dwelling.
{type) (owner-~enan~
A~mz .... d by: Harriet Charalambidea .... .~.
Key available
Suffolk Co. Tax No. 106-2- 11
Source of request
Date 8/2/88
DP~LLI~!G:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway
Type Heat Oil
Fireplace(s) ~
Domestic hotwater
Other
Wood Frame
Cement Block Cellar
1st. F1 8
#stories 1
2/3 Crawl space 1/3
2nd. F1 3rd. F1
Toilet room(s)
Deck, type
Garage 1
Warm Air
No. ~its 2
Patio, type 1
Utility room
Hotwater x
Airconditioning
Off boiler Type heater
cement
ACCESSORY STRUCTURES:
Garage, type const. Wood Frame
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location I De~c~Dt_on= ~ ~ I Art. I Sec.
Rear of dwelling ] I
Main supply for electric is
pulling away from the house.
more support.
Outside bedroe
No smoke detector
Needs f
Chp.{
1243.8
Remarks:
House in
good condition?
~'isn
Date of Insp. 8/2/88
· Time start 3:15 end 3:35
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17159 Date AUGUST 4~ 1988
THIS CERTIFIES that the buildingsONE FAMILY DWELLING
Location of Property 1550 CENTRAL DRIVE
House No. Street
County Tax Map No. 1000 Section 106 Block 2 Lot 79
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a private one-family
dwelling built prior to APRIL 23, 1957 pursuant to which
MATTITUCK~ N.Y.
Hamlet
Certificate of Occ. #Z-17159 dated AUGUST 4~ 1988
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 & ACCESSORY WOOD FRAMED GARAGE
The certificate is issued to
HARRIET CHARALAMBIDES
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
ui~ldi~n~'~nspector
BUILDING
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
1550 Central Drive
(number & s~reet]
Map No.
Mattituck
(Municipality)
Lot(s),
Nmme of Owner(s).
Harriet Charalambides
Occupancy Single one family dwelling.
(type) (owner-tenant)
'~-o Harriet Charalambide~ ~ · ~
A~z~.~d by~ , .i~ i~ ~,,c~mpemze~ 'by:
Key available
Suffolk Co. Tax No. 106-2-79
Source of request
Date
8/2/88
DI'fELL ING:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway
Type Heat Oil
Fireplace(s). ~
Domestic hotwater
Other
Wood Frame
Cement Block
1st. FI 8
#stories
Cellar 2/3 Crawl space
2nd. Fi 5rd. Fi
Toilet room(s)
Deck, typq Patio,
Garage. ~ Utility room
Warm Air Hotwater x
No. ~its 2
Airconditioning.
Off boiler ~ype heat'er
I
l/3
ty~e.l cement
ACCESSORY STRUCTURES:
Garage, type const. Wood Frame
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52 ~
_Location
Rear of dwell
Out~ide bedroof
Description
.ng Main supply for electric is
pulling away from the house.
Need
Sec.
more support. 1243.8
No smoke detector I
Remarks: House in good condition?
~ry
Inspected by:
Date of Insp. 8/2/88
· Time start 3:15 end 3:35
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANC~
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Su bm it P lann lng B pard approval of comp leted site p lan requirements where app l icable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
. . Certificate of occupancy New Dwelling $25.(10, Accessory ~$I0.00 Business $50.00
Certificate of occupancy on pre-existing dwelling $ 50 00
Copy of certificate of occupancy $ 5.00, over ~ years $|0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property !..~..~.~...C..~-_.~'j:~_,.
House No, Street Ham/et
Owner or Owners of Property .H. ~l~ ~. ~."~'... ~ ?.,I .~.~%~/'-~Y'~:~,I ~t~-. ~ ....................
County Tax Map No. 1000 Section . J.~j~ ......... Block .... .~.~ ........ Lot.. I'.~ ............
Subdivision .~.'~,,~'~.. K~.I~.I~ .............. Filed Map No ........... Lot No. '~.9 ..........
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building a~d~perrj~t-r~ll applicable
codes
and
lations.
regu
Applicant. 1 .~,~..~, .~.:, .~~ ,~.% ....................
Rev, 10-10-78
3S 3 ,o
Owner(~)
do(es) hereby state:
CONSENT
TO
INSPECTION
Name(s)
TOWN OF Sou'r:IJlOLD
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ] ~-.5~) C lX[T AL D _lx/U-
~-~[q~DC...~. ~X~ % , which is shoxvn and aesifnated on the Suffolk
County tax map as District 1000, Section I {~ (o, Block .=Q , Lot ~ ~
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) 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(es) so xvith 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.
/~"(signature)
(print name) '
(signature)
(print name)
Form No. 6
TOWN OF SOUTUOLD
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 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·
5. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-exlstzng" 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. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
Updated Certificate of Occupancy - $50·00
Temporary Certificate of Occupancy - Residential_$1~.00_f Commercial $15.00
~.ew Construction ........... Old Or Pre-existing Building.~..' .............
I.ocation of Property..~.~...~~~k~ ...........
House No. Street Hamlet
ch~er or Owners of PropertyA~(~N~.~...~' ~~(..~. ~..~:~.~ ............
~:oo,ty ~ax ~ap ~o ~000, Section..~ .... S. ...... ~loe~....~ ........... ~ot.27. ..................
Subdivision ................................ Filed Hap .....
Permit No ..... Date Of Permit
...................... Applicant .............................
~{ealkh Dept· Approval .......................
· · · Underwriters Approval .......................
P!anuing Board Approw~l ...................
~{equest for: Temporary Certificate ........... F '%a~ate.~k~~~
:'~e Sobmitted: T..~...?.: ................... ?O~ ~.lk~ ----~ '
~t~ t~ ~ ~03 ~ 5 ~PLICA×T
rk:)W ~
He
NOTE~
SUFFOLK COUNTY TAX MAP
DIST IO(X)SECT 106 BLK ;~ LOT, II
SUBDIVISION MAP FILED IN THE OFFICE
OF THE CLERK OF SUFFOLK COUNTY
ON dAN. 19,1949 AS FILE NO. 1672.
Area
~' or fom~/
Amparo C. Apetelli
42.(
CENTRAL
DRIVE
SURVEY FOR
HARRIET CHARALAMBIDES
PART OF LOT 79 "CAPT KIDO ESTATES"
AT MATT1TUCK DATE: JULY z6 ,ieee
TOWN OF SOUTHOLD SCALE: 1"=2o'
SUFFOLK COUNTY, NEW YORK NO. 88-o8~4
YOUNG & YOUNG
RIVERHEAO, NE~ YORK
ALDEN W. YOUNG, PROFESSIOHAL ENGINEER
ANO ~ SURVEYOR NY.S. UCENSE NO. 12~45
HOWARD W. YOUNG, LANO SURVEYOR
N.Y.S. LICENSE NO.458G$