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Home My WebLink AboutZ-20846 FORM N0. 4 t TOWN OF SOUTHOLD ~ BUILBING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20846 Date JULY 10, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5055 PEQUASH AVE. CUTCHOGUE, NEW YORR House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 4 Lot 3 Subdivision Filed Map Na. 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-20846 dated JULY 10, 1992 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 FRAME GARAGE x The certificate is issued to MILDRED C. ENGLAND (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 ATTACHED INSPECTION REPORT. O~t~ Buil ~ g Inspecto Rev. 1/81 . ~ BUIi.DI::G D;?P:;RT:I;iT ' TO'~d OF SOUTfiOLD, N. Y. 1, . fiOliSIidG CODE Ii?S?~CTIOi~? REPORT Location 5055 PEQIIASH AVENUE CUTCHOGUE, NEW YORK ~rur.:oer do street) ~;~iunicipality) Subdivision Piap No. Lot(s) Name o£ 0:•Jner(s) MILDRED C. ENGLAND Occupancy ONE FAMILY VACANT typo Owner-Len~nt - Admitted by: BILL RELLY Accompanied by: SAMH Key available Su££olk Co. Tax No. ISO-4-3 Source of request GARY F. OLSEN, ~ATTY Date JUNE X992 D~, ~LLI`?G Type o£ construction FRArH? rstories ~ Foundation o~1'iT BLOCK Cellar DUTY Crawl space ~ Total rooms, 1st. Fl 2 2nd. Fly-BALCONY 3rd. Fl Bathroom(s) ~ Toilet room(s) ~ Porch, t~rpe Deck, type Patio, type_~NT Breezeway Garage Utility room Type Heat oIL 'rlarm Air ~ Hot~•Jater Fireplace(s)(1) - GAS No. E:cits 2 Airconditioning Domestic hottivater ~ Type heater Gns Other ACCF'SSORY STRUCTURES: Garage, type const. FRAME Storage, type const. Swi;,~ing pool Guest, type const. Other VIOLATIOI?S: .CHAPTER 45--N.Y. STA'PE UNIFORM FIRE PREVENTIONI1~ BUILDING CODE Location Description IArt.) Sec. Remar'.~cs: BP 420754-CO Z-20847 FOR DITION TO ACCESSORY GARAGB f Inspected b w~- i Date of Insp. JuxE 11, X992 THD~ J. s x ~ Time start 9:2o end 9:45 I FORM NO. G TOWN OF SOUTHOLD JUN ' 3 " • Building Dopartmont Town Hall Southold, N.Y. 1171 a 765 - 1802 d_....~- APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions r A. Tiiis application must be filled in typewriter OR ink, and submitted s r....~ to the Building Inspec• for with the following; for new buildings or new use: i. Final wrvey of property with accurate location of all buildings, property lines, streets, and unuwal natural or topographic feawres. 2. Final approval of Health Dept. of water wpply and sewerage disposal-(S•9 form or equaq. i 3. Approval of electrical installation from Board of Fire Underwriters. 7 A. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Hoard approval of comploted site plan requirements where applicable. B. For existing buildings (prior to April 19571. Nan-conforming uses, or. buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unuwal 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. C. Fees: 1.Certificatcofoccupancy $25:00 IIUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3, Copy of certificate of occupancy $ 5.00, over 5 years $10.00 A.Vacant Land C.O. $•20.00 June 1, 1992 5. Undated C.O. $`50.00 Date r New Construction,,,,,,OldorPre•existingBuilding ..X......... Vacanttand Location of Property 5055 Pequash'Avenue, Cutchogue, NY . . House No. Street Hamlet OwnerorOwnersofProperty „Mildred C. England . County Tax Map No, 1000 Section . ~ ~ Q........... Block ..4....... Lot ...3 . Subdivision .........................,.......Filed Map No. ..........Lot No. , . Permit No........... Date of Permit ..........Applicant . Health De t. A rot al p PP ,Labor. Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Fi a ificate , Fee Submitted 100.00,,,,,,,,,,,,,,,,,,,,, Construction on above described building and permit s all ap able codes d regulations. i Applicant . Gary Flanner lsen, Esq. n«. to-toes P. 0. Box J06 Cutchogue, NY 11935 e,~.. y a Ra. THE NEW YORK BOARD OF FIRE UNDERWRITERS aAGE ~ 8033702 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date 'fl1LY 10'~°5ti Application No. on file '753899:';92 H m?9%H3 THIS CERTIFIES THAT only the electrical equipment os described 6ebta and introduced 6y the applicant named on the o6oue application number in the premises of MII,DP,ED C. ENGLANn, 5055 FEpUA9H AVENUE, I'U4CHOGU6, N. Y. in Ihefolloteing location: ? Basement ? /st Fl. ? 2nd Fl. DI1T .Sertion Block Lat u~oa examined on JULY 01 , I??7. and found la 6r in compliance with the reyuirenaents of this Beard. FI%TURE flXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTIET$ KEPTACUi$ $WITCNE$ INCANDESCENT FlUORF$CENT OTHER AMT. K. W. AMT. K. W. AM}, K.W. AMT. K. W. AMT. N. P. DRYERS FURNACE M010R5 FUTURE APNIANCE TEEDER$ sPEgAIRK'PT TIME CUXKS EESS UNIT N[ATER$ MUITI.OUTIET DIMMERS AM}. K. W. ql H. p. GAS H. P. AMT. NO. A. W. G. AMT. AMp. AMT, AMp$. TRANS. AMT. N. p, SYSTEMS M1i. WAiT$ NO.OF FEET SlRVICE pSCONNKT NO.OF S E R V I C E 4NL MN6 lYOE METER 1,I ]W 1 ,B' ]W ] L 3W ] A AW OF CC. COND. A. W. G. NG. OF HLIEG A. W, G. NO. OF NEUTRAI$ A. W. G. FOUI?. PER! OF CC. COND. OF RbIEG Of NEUT0.Al OTHER AP?ARATUS: WORIS9NCF ADDITION A5 PEk LETTER~1 "NO VISUAL DEFF.CPS: "An eler.tcic,xl survey hfls been Rade ill t.,k,r exposed electrir,ai equipnsnt. in the preRises ndic~tt.ed." "No cbvi-:ws unsatisfactory condition was i~~und. EDNARD D. ENGLAND - / °e34 CGLONY C.IP,CLE LANCASTER, PA, 175A1 ONiERAL MANAOlR F1 k`,~; Prr This certifidafe must not be altered in any manner; return to the office of the Floard i4 incorrect. Inspectors may be identified by their credentials. C D A ME H I I TE MUST NOT 6E LLTFRFn lu A$JV uA~npe... CONSENT TO INSPECTION Mildred C. England by Gary flanner Olsen .,.the undersigned, Owner(s) Name(s) • do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 5055 Pequash Avenue, Cutchogue, NY which is -shown and designated on the Suffolk ' County tax map as District 1000, .Section 11_._.x= Block 4 ,Lot 3 That the undersigned (has) (have)- filed, 'or caused to be filed, an applica- tion iri'tho.Southold Town ]3uilding lnspecw. o~ftae rer +he fnllowin~: ore-exisiting certificate of occupancy for 1. story •frame house and garage That the undersigned do(es) hereby give consent to the Building Inspectors oLthe 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 u knowledge and understanding that any information obtained In the conduct of • such inspections may be used as evidence in subsequent pr utions for vio- lations of the laws. ordinances, rules or regulations o e Town of Southold. Dated: June 1, 1992 ~ • signs r (print name) (si~+nature) (print name) JUIv ~ :5 . d,~. _ fM..w y 4 ip ~ • _ ~ r,. _ . ~ Y _ _ _ _ _ ~ 'n s .ct ~ ~ ~ F v ~ .O y.C LL i - Gy 3 ~ ~ .u ~ r ~i c c ~ ~ ~ 0 ;i nscr ~ 7' ~ } v i., o ' ° ,.y Y ~ ~ , n 7 (1 P a l~ L t ~ V. fi Y] 1 ~ 4 v~ ~ ` , Z y~.,go.O ,s ~~a d c a ~ ~ ~ ~ t c'• ~ ~ o V7 h' M ~ ~~[N}(.. ~ aye I 1{ V M V d ~y tl u . f` 44++~~ byrnGY ~ Q' „y. ~l Q ~ ~ ~ l Wit. ~ ~ ~ ~ ~ ' ~4- `~U ~ r-~-----`_~-~---~ ~ ~ Q t ~ ~ ~ ~ ~ i ~ 7 4. ~a v V ~ 8'3 , ~ Q ~ ~ ~ Cy ~ ri. N ~ ~ ~ o U~ nW t ~ s}Qru ~r~'~ 4 ~ y y O ho~`s~ ~ O t N ° ~ ~ / ~ w j ~ ~ ~ ~ b i 2 ~ m uh N n ~ ~ Li. E '`off _ - ' ~ ~ 50.0 - „t 15 Y L~,~~~~J ~ wnas F' A , ~ Q , _