The URL can be used to link to this page

Home My WebLink AboutZ-19606FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY PRE EXISTING No Z19606 Date DECEMBER 21~ 1990 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 35615 RT 25 CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 01 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a private-one family dwelling built prior to APRIL 9~ 1957 pursuant to which Certificate of Occupancy Z19606 dated DECEMBER 21~ 1990 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 GARAGE AND 2 ACCY. SHEDS *** SEASONAL ONLY The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ESTATE OF HELEN F. CASE N/A N/A *** SEE INSPECTION REPORT Rev. 1/81 Location Subdivision BUILDI~:G DEP:'JIT:,~iT . TOV~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTIOi{ REPORT 35615 RT. 25 CDTCHOGHE [nuunoer & streeT) ([,[unicipai±sy) Map No. Lot(s) Nmme of Owner(s) ESTATE OF HELEN CASE Occupancy A&mitted by: A-I MARION KING (owner-~enanz) Accompanied by: SAME Key available Suffolk Co. Tax No. 97-1-15 Source of request EMMY CASE P.O.~.'FOR MIRIAM C. HAWKINS Date DEC. m?, 1990 DI'~LLI~: Type of construction Foundation CONCRETE Total rooms, 1st. F1 5 Bathroom(s) I FULL BATH Porch, type Breezewa~ Type Heat NONE Fireplace(s)~~ Domestic hotwater Other WOOD FRAME #stories Cellar PARTIA~rawl space 2nd. F1 2 3rd. F1 Toilet room(s). Deck, typ~ Garage Warm Air No. ~cits 4 YES PANTRY OFF KITCHEN Patio, typ~__ Utility room Hotwater Airconditioning Type heater ELECTRIC PARTIAL ACCESSORY STRUCTURES: Garage, type const.2c~a~0~F~ Swimming pool Other Storage, type const. 2 SHEDS Guest, type const. ~IOLATIONS: Location Housing Code, Chapter 45 N.Y. Descriotion State Uniform Fire Prevention & Buildin~ Code I Art. } Ssc. t t Remarks: SEASONAL C.O. FROM SEPT. Inspected by: GAR{ FISH 15 to MAY 31 Date of Insp. 12/20/90 -Time start 9:3o end }0:O0a.m. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 apr)roval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approv ; 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. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusua~ 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ... ~).e.c.e..m.b.e.r...1.4.,.. 1..9.9.0... New Building ............. Old or Pre-existing Building .... .~ ...... Vacant Land ............. Location of Pr ;perty .[~T(~..~.r..i.dge..],,.a.Q.e..~...~a.. ~..n..~.o..a.d.. ~ .............. .C.u.~c..h.o.~.u.e..~...~.. House No. Street Hamlet Estate of Helen F. Case Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .... 0.9.7. ....... Block ...0.], .......... I~ot ..... .]-~ ......... Subdivision ................................. Filed Map No ........... Lot No .............. 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 c.', above described building and permit meets all applicable codes and regulations. Applicant.. ~?~ .2~'~'-~ .~. .... .4~.....~ ...... ~ yld35~ CONSENT TO INSPECTION Estate of HELEN F. CASEf dec'd. · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) ~he owner(s) of the premises in the Town of Southold located at N/W/C Bridge Lane and Main Street~ Cutchogue~ New York 11935 , which is shown and designated on the Suffolk County tax map as District 1000, Section 97 , Block 1 , Lot 1~ That the undersigned (has) ~b~) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-existing Certificate of Occupancy 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 lo 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 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. ,~ignatur e) ~ Emmy Case, P.0.A. for Miriam C. (print name) Hawkins. (signature) (print name) N?F SOUTROLD N/F 19.9 G~RAGE 420 o~l 1FJgO 12. 4 j2~6 ~ 26.9 [//2 Sr~Y WOOD FRAME DWEL~ lNG 172' N S?1~5~ W MAiN RO. (N Y,S, 25) TAX MAP NO I000-097-01-I§ SURVEY 0£ DESCRIBED ~OPERTY CUICHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, SURVEYED FOR: JEFFREY I~ ~ KATHLEEN C SURVEYED 30 OCTOBER, 1990 SC4LE I "= 30' CRAWFOQD GUAR4NTEED TO: SURVEYED BY JEFFREY W 8 KATH(.E£N C CRAWFORD STANLEY d ISANSEN, dR, TRW TitLE INS OF NE~ YORK, INC PO. 00~ 294 GREENPOINT SAVINGS B~NK NEW ~FF~K ' k.Y ~OWN OF S~T~O~U ' / M-3662 STATE OF NEW YORK ) ) COUNTY OF SUFFOLK ) SS: RENSSELAER G. TERRY, JR., being duly sworn, deposes and says that he is the attorney for the Estate of HELEN F. CASE, the applicant for a pre-existing Certific te of Occupancy; that deponent knows of his own knowledge that the dwelling house on said premises was constructed and occupied long prior to 1957; and that no changes have been made subsequent to the enactment of the zoning ordinance; that attached hereto is a survey of said premises, premises were occupied as a one family residence. -(~tensselaer G. Te~y~J ) Subscribed and swor~n to before me this z+~day of December, 1990. Notary pubic, f ALICE J. KRAMER NOTARY PUBLIC, State of New York Residing in Suffolk County No. 52-4822133 My Commission Expires ~