HomeMy WebLinkAboutZ-26047FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26047
Date: 10/20/98
THIS CERTIFIES that the building
DWELLING
Location of Property 57020 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 063
SOUTHOLD
Subdivision
(STREET} {HAMLET)
Block 0004 Lot 002
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- 26047 dated OCTOBER 20, 1998
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 ACCESSORY STORAGE BUILDINGS*
The certificate is issued to MARY LOUISE COX
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF RE;tLTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
/~ Building ~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSEECTION REPORT
MARY LOUISE COX
ACCOMPANIED BY: SAME
DATE: 10/20/98
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS:
BATHROOM(S):
PORCH TYPE:
BREEZEWAy:
DOMESTIC HOTWATER:
TYPE HEAT: OIL
OTHER: *OFF KITCHEN
WOOD FRAME
BRICK
2.0
TOILET ROOM(S): O ,O
DECK TYPE: REAR WOOD
FIP~EPLACE: ONE
XX TYPE SEATER: OFF BOILER
WARM AIR: HOTWATSR: XX
# STORIES: 2.0 # EXITS: $
CELLAR: PART CRAWL SPACE:
UTILITY ROOM(S): YES*
PATIO TYPE:
C~GE, TYPE OF CONST.: STOP, AGE, TYPE CONST.: OLD WOOD
SWIPING POOL: GUEST, TYPE CONST.: *
OTHER: NON-CONFORMING COTTAGE 3 ROOMS. BATB & KITCHEN AS AN ACCESSORY BLDG
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
TOWN OF SOUTHOI.D
BD[[,D [NC I)EPARTHENT
TOWH IIALI,
A. 'l'ht~ nppl Icntlott mtJst be filled Jlt hy typewriter OR t.k ;lnd ~tllm~ltted I:o I:he h,~lldlnR
I-~pector with the follo~l.g: for .er butJ. dJu8 or new
I. FlnnI s. rvey of property with nccurnt~ locntLon of nl.t butldI.ffn, property
street-*, nnd tmu~.nt f~ntural or topo~rnphtc [e~ture~.
2. Fi.hi Approvnl from Ilentth Dept. of w~ter m~pply ond sewernRe-dispoCnl(S-9 form).
3. ApprovnJ. of electrical tastntIntton from Board or Fire U
4. Sworn stntement from plumber certtfytnR that the sol. der .sed I. syntem
I~ thio 2/IO of 1~
5. Co~erct~t bu~Idtng, Industrtnt build~ng, muttJ, ple re~l. de.ce~ m~d stmtl.nr Imtldt.~
m~d Installations, m certifIcnte of Code Uompl.~a.ce ~rom nrchItect or
re~po.stble for the b-ilding.
fi. Submit Plmmtng Bonrd Approvnl of completed ~lte pl:.t req trement~.
B~) For existing but].dtng~ (prior to Apr1[ 9, 1957) ri°n-coliform[n8 uses, or lmlld[.~
~ "pre-exl.~tl. og" ].nfld U~9:
f. ficcurnte survey of property sho~Jng ntt property It.eh, stree[~, but t J.R nmi
tmusun[ nn~urst or topogrsphtc features. '
A property compIeted nppttc~tton and ~ eo.sen[ to :l.~pect ~tgned by the nppttc~nt.
[~ n Certift. cnte of Occupnoey 1~ dented, the BulldJnR tnnpector nhttll s[¢~l:e the
ren~rm~ therefor t. writing ~o the
C.
I. Certificate of Occupnncy - flew d~eJ.]f,g $25.OD, Addl. tton~ (o d~e ti..B
Alternt.foo~ to d~etlt.g $2~.fJO, Swtmmt.g pool $2~.{R}, Accessory b. tldh,~
Addtti. on~ to nccesaory buttd/.ng $25.00. Bustnes~en
2. Cert~ficnte of Occupn.cy o~ Pre-exJst~ag Bt ttdi.g - $1OD.OO
3. Copy of Certifiente of Occupnecy - $~.00 over 5 yenr~ -
4. Updnted Certtflcste of Occupn.cy -
5. Tempornry Cert[f.tcnte of Occopmncy - Residential $15.{70. Conmerctnl. $15.OO
Ue~ ConstructJo. ........... Old O~ rr~-~xls,ttng Bultdi.~.. ~ .
Ilou~e No. gtree~ IIm. I et
............. B Ioek .......... Lot
~uhd Irt ~J. of~ ......... . . Ft. led [1~1~ ............ 1,.1' . .....................
'ermtt No ................ Date O[ P~rmtt ................ Appll. cm~[ .............................
le~l[h Dept. Appro~at .......................... ~nd~r~rtter~ App[o~l ..........................
~eq-est for~ 'rempor~ry Certificate ........... Fi..~[ Certlcat'e ...........
APPI,ICAFFI'
wnler (~) lXlnme(s)
do(e~) hereby store:
CONS IC bl'l'
TO
INS ['I~CTION
the
That the underslgnr, d (is) (are) the owt~er(n) or' the premises ia~ the Town
Co,tory tnx m~p as District 1000, Section /~. Block ~ , l.ot
That the undersigned (has) (have) filed, or e~,lsed to be filed, n. nl. plicn-
tion in the Southold To~ Buildiu~ Inspeetor'~ Office for the followb~ff:
That ~he undersigned do(es) hereby gi~e e~m~ent to the 13uildiug
of tl~e Town of Southold to enter upon the ~bove de~erH~ed property,
~ny ~nd ~11 building~ located thereon, to conduct ~ueh inspections ~s they
deem necessary with re,peet to the ~f~re~id npplic~tton, including inspeetion~
to determin~ tlmt ~id premises comply with nH of the l~ws; ordiuances, rules
~nd refful~tton~ of the Town of Southold.
The undersigned, lneonsentin~ to such h~sp~ctions, do(es) so with the
knowledge and underst~ndin~ that any i.nform~tion obtained In the conduct o[
sueh hlsp~e[[on~ m~y be u~ed ~s e~ldence in subsequent prosecut~o~ for vio-
lations of the law~, ordln~nee~, rules or regulation~ o[ the Town of Southold.
(~igtmture)
AREA = 2L24~ ~q ft.
CERTIFIED TO,
SUSAN OIESTAD
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF N~W YORK
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
SCALE: 1" = 30'
AUG. 24, ~
LIC. NO. ~t9618
T
SOUTHOLDt N.Y. 11971
98- 268 '