HomeMy WebLinkAboutZ-26080FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26080
Date: 10/30/98
THIS CERTIFIES that the building DWELLING
Location of Property 285 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 0001 Lot 032
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- 26080 dated OCTOBER 30, 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 F~MTI.Y DWR. T.?.ING WITH ACCESSORY GARAGE *
The certificate is issued to NANCY D DERMODY
(OW~R)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N812504 - ~ 15, 1970
N/A
Building Ins~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
~QUSING CODE INSPECTION REPORT
LOCATION: 2~ ALVAHS LA
SUBDIVISION:
NAME OF OWNER (S): NANCY D DEWNODY
OCCUPANCY: SINGLE FAMILY
ADMI~'YED BY: WILLIAM DERMODY
MAP NO.: __LOT (S) __
N~/gCY D DBRMODY
ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 109.-1-32
SOURCE OF REQUEST: N~CY DERMODY 10/20/98 DATE: 10/30/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: BRICK - CONCRETE BLOCK
TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 3
BATHROOM(S): ~,O TOILET ROOM(S):
PORCH TYPE: COUBRED FRONT & RF~* DECK TYPE:
# STORIES: 1.5 # EXITS: ~
CELLAR: 100% CRAWL SPACE: --
1.0 UTILITY ROOM(S): --
PATIO TYPE: BRICK
BREEZEWAY: FIREPLACE: YES GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ~ AIRCONDITIONING:
TYPE HEAT: YES** W~LRM AIR: BOTWATER:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
OTHER:
WOOD FRAME-ONE CAR STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC.
Pd~4ARKS: BP #25299-Z-CO Z-26079 (ADDITION TO ACCESSORY GARAGE)
INSPECTED BY: , , DATE ON INSPECTION: 10/22/98
MICHAEL J. VERITY TIME START: 10:35 AM END: 11:15 AM
Form No~ 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildinl
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ali 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 buildim
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 ~uildings an
Vpre-existing" land uses:
1. Accurate survey of property showing ail 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 dweilimg $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.
~ Certificate of Occupancy on Pre-existinR Buildine - $100.00
3. Copy of Certificate of Occupancy - _ .25~.
4. Updated Certificate of Occupancy - ~50~00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
.. .....................
New Construction ........... Old Or Pre-existing Building ................
~ocation of Proper~...~.£~q ....... ~.~..6'~ .A~..
House No. Street
Onwer or O~ers of Property..~..~,<~.W..~.....~.~d~ ........ . .............
.....TM
County Tax Map No i000, Section.../..g~.~. ............... ot .................
Subdivision ........
............................ Filed Map ............ Lot ........... :.. .......
Permit No ................ Date Of Permit ................ Applicant ................... ..~ ........
Health Dept. Approval .......................... Underwriters Approval ........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $... ~...~...-...---? ...............
...........
CONSENT
TO
INSPECTION
~ ~.: ~~~f , the undersigned,
do(es) hereby state:
That the undersigned~(are) the owner.~of the premises in the To~rn
of Southold located at ~3.~ /~/U~i/;'5 ~:;~. Ci,~I~:~/.(~
· which is shown and designated on the SuffoLk
County tax map as District 1000. Section /~ . Block / . Lot J~...
That the undersigned (have) flied, ~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 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.
(~int name) ~
(signature)
(print name)
I~' ~ ' - :/Igak BUREAU OF ELECTRICITY N812504
- 85 JOHN STREET, NEW YORK. NEW YORK 10038
o.,. June 15, 1970 .4..,,~.t,o..~...o.~i,,,~26819 N 81 2504
that the electrical equipment as described below and introduced by the applicant named ot~ the abot'e applica tion number in the premises of
Stanley L. ~etor~a, Alva's Lane, gute~ogue, L.~.
in thefollowlng I~ation; ~ B~sement ~ 1st $7. ~ 2nd Fl. OUt ~e Section Bilk ~t
~,,~,~do, :uae ~, ~0 and found to be in compliance with the requirements Qf this Board.
~ ~ i
~RVI~ DI~ONNKT X' 1 3
iTHER APPARATUS:
Stillwat er Avenue,
Cutchogue, L. I.
P¢r
This cedificate must not be altered in any manner; return to the office of the ~ard if in~rr~, Inspectors may be identifi~ by their credentia s.
,., /
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