The URL can be used to link to this page

Home My WebLink AboutZ-23917FOP~ NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ EXISTIN~ ~.~TIFICATE OF OCCUPANCY No Z-23917 Date SEPTEMBER 26, 1995 THIS CERTIFIES that the building. Location of Property 2520 PINE TREE ROAD House No. Street County Tax Map No. 1000 Section ]04 Block 2 Subdivision Filed Map No. ONE FAMILY DWELLING CUTCHOta~E, N.Y. Hamlet Lot 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-23917 dated SEPTEMBER 26, 1995 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 * The certificate is issued to HAB~TJ~ DEMPEWOLF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *PLEASE SEE ATTAu~D INSPECTION REPORT. +/~d~pe,tor Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTIIOLD DOUSING CODE INSPECTION REPORT 2520 PINE TREE ROAD (numbe'r & street) I-IAI' NO. MABELLE, DEMPEWOLF CWrCHOGUE, N.Y. (municipality) LOT(s) OCCUPANCY A-I RES. OWNER (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-i04-02-i2 SOURCE OF RE~EST: STEVE R0~O, ESTATE OF MABELLE DIg{PEWOLF DATE: 30, 1995 DWELLING: TYPE OF CONSTRIICTION 'WOOD FRAME ~ STORIES ONE FOUNDATION C~NT BLOCK CELLAR PARTIAL CRAWL S~ACE TOTAL ROOMS: IST FLR. 6 2ND FLR. 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM EXITS THREE PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE ONE GARAGE TWO CAR DOMESTIC IIOTWATER YES TYPE IlEATER ELECTRIC AIRCONDITIONING TYPE HEAT OIL WARM AIR XX IIOTWATER OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SWIMMING POOl, OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #862 -CO Z-777 (ADDITION) DATE OF INSPECTION SEPT. 5, 1995 TIME START 9:30 END 10:00 0 995 Form No. 6 TOWN OF SOUTHOLD 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. 'B. 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. Fees l. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..August. 2~.~99§ ....... New Construction ........... Old Or Pre-existing Building.. ~..0~. ~.$.tPVY f~.a~., house with attached garage Location of Property ..... ~5~9.~j9p~V~.R0ad: C?tch0§ue, New York House No. Street Hamlet Mabelle Dempewolf OnNor or ONners of Property ........................................................ ... ... . ... County Tax Map No I000, Section. OP~ Block ~ ....... Lot. ~2 Subdivision ............... Filed Map ............ Lot ............ Permit No ................ Date Of Permit .............. .. Applicant ............................. Health Dept. Approval .......................... Underwriters Appro~ ................... . . Planning Board Approval ........................ Request for: Temporary Certiflcat~...t~ ........ Final Certic · Fee Submitted: CONSENT TO INSPECTION Steven Romeo as Executor of the Estate of Mabelle Dempew01f , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the TovFn of Southoldlocated at ~oad, Cutchogue, New York · %vhich is sho~vn and designated on the Suffolk · Block 2 ,. Lot 12 · County tax map as District 1000, Section 104 _ That the undersigned (hms) (have) filed, 'or caused to be filed, an applica- tion in'%h~ southold Town ]3uxi~iing lnsp~u~,~ '= o~ioo £o- +h. ~nlloxvin~: One story frame house with attached garage That the undersigned do(es) hereby give consent to the Building Inspec[ors of the Town of $outhold to enter upon the mbove described property, including any and all buildings located thereon, to conduct such inspections as they m~y deem necessary with respect to the aforesaid ~pplication, including'-lnspections to determine that said premises comply with nll of the laws, ordinanceS, rules and regulations of the Town of Southold. The undersigned· in consenting to such inspections, do(es) so %vith the knowledge and understanding il]at 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. Dated: August , 1995 .... ~sfgnatur e) Steven Romeo as Executor of the_ - (~rint name) Estate o~-Mabelle Dempewol f (signature) (print name)