HomeMy WebLinkAboutZ-23920 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EBISTING
CERTIFICATB OF OCCDPANCY
No Z-23920 Date SEPTEMBER 27, 1995
THIS CERTIFIES that the building COTTAGE
Location of Property 188 WILLOW TERRACE LANE ORIENT, NSW YORK
Houee No. Street Hamlet
County Tax Map No. 1000 Section 26 Block 2 Lot 5.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Story Cottage built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23920 dated SEPTENBffi 27, 1995
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
issued is ONE STORY FRANE COTTAGE R
The certificate is issued to PHILIP C. & JOAN FREY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLSASE Sffi ATTACMED IASPECTION REPORT. ~ ^
/
Building Inepe r
Rev. 1/81
' BUILDING DEPARTMENT
TOWN OF SOUTDOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 188 WILLOW TERRACE LANG ORIENT, HEW YORK
number S street municipality
SUBDIVISION MAP N0. LOT(s)
NAME OF OWNER (s) PHILIP FREY
OCCUPANCY COTTAGE
Cype owner-tenant
ADMITTED BY: PHILIP C. FREY ACCOMPANIED BY: SAME
REY AVAILABLE SUFF.CO. TAR MAP N0. ]00 -2-5.
SOURCE OF REQUEST: PHILIP 6 JOAN FREY DATE: JULY 24, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME / STORIES ONE / ERITS TWO
FOUNllATION CEMENT BLOCK CELLAR NONB CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3RD FLR.
BATDROOM (s) ONE TOILET ROOH (s) UTILITY ROOM REAR MOD ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE 1 CAR
DOMESTIC HOTWATER ELECTRIC TYPE HGATER AIRCONDITIONING
TYPE AEAT L.P. GAS WARM AIR FLOOR FURNACE HOTWATER
OTHER:
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE GONST.
SWLl4IING POOL , GUEST, TYPE CONST.
OTHER:
r -
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS; P 112815 CO Z-23919 (ADDITION)
INSPECTED B DATE OF INSPECTION AIIG. 16, 1995
JOHN M. BO IS TIME START 9:30 END 10:05
' • ~ Pvun lip. G
701Ji1 OF SOICLIl01,U
uuu.l)uac miPNrrrlFrrr JUL 2 8 1995
rotrN nnl,l.
JG5-ltfo2
al'I'I,iGA'CLON FOIL CGR"CII'ICA"I'F: OP bCClll'aNCY
n. Shin applLuttion roust be filled i.n 6y Cypewrtter OIL inl: and submiCted Cn tl,c bui ldl ng
Lnspv-ctor wlCh eh~ [olluwing: [or nvw buiJ.d lag ur ne,.: nsc:
1. Final survey o'[ property with accurate location oC a1.1 buildings, property Lines,
.^,t rents, and a moor.! 1. natural or typographic fea Cu res.
2. Finn l_ Approval. Crum Ilebl th UepC. uC w: u:cr supply and scwarage-dispusal(5-9 Cvrm).
J. Approval of elec Cr i.cad i.nsCallat:Lon from ISonrd of Pi.re lJnderwri.ters.
4. Sworn statement fromlplambvr r.ertLfyi.og Chat Che solder used in system coocairs
loss Chan 7/LO of 1Z lead.
5. Commercial huildin., industrial building, mul.Ciple residences and similar buildings
and ins Calla tions,~ta certif Lca Ce of. Code Congil.L.ance from architect or ea{; i.neer
responsible for the bui.LdLUg. '
G. Submit FlanUing fivard approval of cvnq,l.eCed s.iCe plan requirements.
Ii. For existing huildinps (pri.or Co April 9, (957) nvn-conforming uses, or buildings and
rrplr neiSfiusrr Land Uses:
1. accurate ts`trvey of propeccy showing all. property ).Lees, sCreets, bui.ldin{; and
unusual naCUra1 or topographic f.eaCUres.
2. A properly completed application and a consent: I:n inspect signed by Che app l..cnnt.
IC a CerC-ificaCe of Occupancy is denied, Che ISaildLng Inspector shall. score I:he
reasons Cherefor in writing to the uppl.icant.
C. Fees
1. Certificate of Occupancy -New dwelling 57_S.OO, additions t:o dwelling $2S.O0.
Alterations to dwe,l.l,Lng $7.5.(10, Swimming pool. 47.5.(10, accessory building `~25.0p,
additions to accessory buildLng .$7.5.00. I}USinesses $50.00.
CertiE,icate of Occupancy on 1're-ex~Cinr_ huiJ.dine - ~LOO.OO
3. Copy of CerCi_ficate of Occupancy - $20.0(1
4. Updated CertificaCe yE Occupancy - $10.00
5. Temporary Gerti.ficaCe of Occupancy - ResldenCial 415.00, CounneccLal $15.00
Uate ~"24-9s
New Cvnstructi_on......._... Old Oc I`re-ex Lscin, ltu l.ld i.n
b F, 1/
Location o[ Property..... P'~~/~~'TE~'~: UFF~ILLOI~TF.E'.P.4CF ~,P.JEiyT NJ,'...
!!Dose Clo. ~ON~~~~ SCreeC hamlet
Onwer or Owners ,~f Pr.o erC ~/S`~L/~~' ~ c./DA/?F.PEY x'02 .80k68.~AN,DO~i°fi~l/I':OS0.64
P Y..........q.'/
..................~J.........................,c..........
Cvunty 'fax lisp hlo 1000, SeclLoo...:t~c~lJ.......Illuclc...0•~..........Lot/
ubdivisLon ....................................Filed N;tp............Lot......................
:'enni.C FIU ................1)aty O( I'ermie................Appli.c:a.t.............................
Iea.Ch llept. Approval ..........................fhnlerwriters approval.........................
'lannL'h Uoard approval.........
hrqucst (oc: 'Cemporary Cert Lfl.c?t:c, PLnnl. Certi.catc..?
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INSPGC'T1UN
~y/L S£' •;/DA/V F,C~Ey the undersigned,
Ovmer(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 f~,C'I,l~i9TF.E~~. OFD L(//,CLO/,r~ T2,e~C~
/N ~ie/~'.t/ ~ ~t/EtyYO,e~ which is shown and designated on the Suffolk
County tax map as District 1000, Section 2 ~ Block 2 Lot ~~Y
That the undersigned (has) (Rave) filed, or caused to be filed, an applica-
tion in the Southcld To«m Building Inspector's Office for the following:
~'E.2T/F/C'ATF Of C~'C'U.4Fil2'S~ ary /O,EF FXiST/itiG .~j~/i/~/~YG
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
an}' 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 compl}' with all-of the laws, ordinances, rules
and regulations of the Town cf 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.
Dated: 7~Z ~~S _ ~~~1...~/_,~J
(s' nature)
~h`/L//J ~~Fy
(print name)
si~naturc) C
r./oA-.(/ ~.~~Y
(print name)