HomeMy WebLinkAboutZ-24765 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRS E%ISTING
CERTIFICATE OF OCCUPANCY
No E-24765 Date DECEMBER 3, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3705 ALVAHS LANES CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 101 Block 2 Lot 24.5
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-24765 dated DECEMBER 2, 1996
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 ONS FAMILY DWELLING WITH ACCESSORY STRDCTURSS *
The certificate is issued to ALBERT DROSCOSRI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHBD INSPECTION REPORT.
Bu' ding Inspector
Rev. 1/81
BUILII[NG DEPARTHF.N'f
TOWN OF SOUTIIOLU
DOUSING CODE INSPECTION REPURT
LOCATION: 3705 ALVAH'S LANB COTCHOGUE, N.Y.
number b street municipality
SUADIVISION MAP NO. LOT(s)
NAME OP OWNER (s) ALBERT DROSCOS%I _
OCCUPANCY A-1 RES. OWNER
type owner-tenant
ADMITTED BY: AL)!1<SY DROSCOS%I ACCOMPANIED BY: gAMg
REY AVAILABLE ~ SUFF.CO. TA% MAP NO. 1000-101-2-24.5
SOURCE OF REQUEST: ALBERT DROSCOS%I DATE: NOV. 18. 1996
DWELLING:
TYPE OF CONSTRUCTION yppD gig i STORIES f B%ITS TWp
FOUNDATION CElHiNT BLOC% CELLAR BULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 3 2ND FLR. 3RD FLR.
AATHROOM (s) 1 FULL TOILET ROOM (s) UTILITY ROOM _
PORCH TYPE DECK, TYPE PATIO
RREF.7.EWAY FiREPLACF. GARAGE-
DOMESTIC HOTWATER YES TYPE HEATER BI.BCTEIC AIRCONDITIONING _
'TYPE HEAT ELECTBIC WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONS'[. _
O'f1IER: 1 BARN, 1 STORAGE SHED, 1 PT1MP HOUSE, d I OUT HODSB b 1 GABAGB
VIOLATIONS: CFIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUII.UING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
TNSPECTED AY_ DATE OF INSPECTION NOV. 26, 1996
A Y IS TIME START 9:45 AM END 10:05 AM
_ - _ . - _ T
Form No. 6 /~1~~~~r rnD~.f.L.~.~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~j
TOWN HALL ~~~/C ~G~7"
~ ~F ~i~ws,~ 76s-laoz ~j,~f~~,
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~d 6 6
A. 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 Dep[. of water supply and sewerage-disposal(S-4 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 1Z 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.
3. For exlating buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existinst" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed ag
lick anon and a consen o to n ~r 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
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $2s.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exie[inR Building - $100.00
3. Copy of Certificate of Occupancy - C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residenti~~al//''$15.00 ~Comme~/r9ciJal $15.00
Date .J.~!.Q~. ~:,/..~.1.! Y
]ew Construction........... Old Or Pre-exietin juildip g..
.ocation of Property .........................~~i/A/1, 3„G.A~~.,,.,,,L~,tiTC.~O N!~. /f~.3f
House No. Street Hamlet
~nwer or Owners of Property. ~~!.K.l:: r^'~ ~u~~
ounty Tax Map No 1000, Section./~/t ..Block.. D~: ~.~...LotC,IQ. Lai. -Y ~t,~~y.oo'~
subdivision ....................................Filed Map............Lot......................
'ermit No ................Date Of Permit................Applicant.............................
rlealth Dept. Approval ..........................Underwriters Approval.........................
fanning Board Approval
request for: Temporary Certificate........... Final Certicate...........
e
'ee Submitted:
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TOWN OF SOUTHO~D `
SUFFOLK COUNTY,'~N.Y
1000 -101=
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CERT~IED TO" Feb. 27, 199 _ .i~,._ -
EBERHARD HULLER , r 'I~
PAL9.ETTE SATUR MULIER ' ' : ~ ~ ~
WEBSTER BANK ~'F.:~' . ~
COLMONWEALTH LAND Tl7LE lNSLIRANCE .COMPANY " ti ~ ~1~
RH 97 0159 r , :
...,u... Kp SMM,+...
:.,P~~OF NEWk
AREA = 80,000 8¢ ft ~s~,°ry T.'w"r~' p , ~ . ;
ANY ALTERATJQV QR AOD/7/oN TO T/RS SLdPVEY 1S A VpLATKYJ t -
N 1
of secrxw reos cv sn[ NEW raRK srArE EDUGA uw . w~ .
- IXcEPT AS Pp SECTpN 7P09 .fCQpVAS~]V Z ALL QE'R ~7KW.4 x~ - ; A~ NY ~~ieC+q,,~, ,~av~e" ~
fOKON AAE vALD RaR Tlas MAP AAD cores a r i
sAn wAr oYr ccres BEAR rNf saecssm seAl'a°~ircr
~verar ,..«a z"S " ` ',,u
wNOSE simunwc AMEARJ NEREQK ~ ~ ~ -
App/~~pyA~Lr rp cows w1rN sAO uw rNe Alrarm or ~4 4 T ~
.WS7 BE USED DY ANY AND ALL SU4VEY0145 U7LANB A~CCYY ~ ~`.'~tlc'~
QF AMOT/ER Sf.RYEYQTS MAP. TERNS SUCNAB 'Ii5/EC7ED' MO why, ' f ~ SOU J,+„':?~J1~~7/ t' j
BROI/rMiT-TD-DArC ARE Nor w cOl~4UNGE W/7N nJr ur. *ati++ #b,
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CONSENT
TO
1 ~ INSPEC/T~IO~Ny
y/lA 4'~ ~ (WS La ~L/a+P.C/ ~jfi$~i, the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (arJe) the/owner(s) o/f?the pre/mises.in the Towpn
of Southold located at ~ C~/,Q `j ~S q~~~ (~u~Gh~O ~t~~73~
which is shown and designated on the Suffolk
/ oay,oo~
County tax map as District 1000, Sectio~~~0 d Biocl~, DD , Lot p/. s2y,.,,~ 2
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: ~.~¢-+iFlc.A~~
vF ~QGc.~JJRNc"1 ~O2 aA2~S ~-v..~ SMA c~-j-A9~
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 o(' 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 he used as evidence in subsequent prosecutions for vio-
lations of the laws, ordi/nances, rules or regulations of the Town of Southold.
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(print name)
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