Loading...
HomeMy WebLinkAboutZ-26181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26181 Date: 12/21/98 THIS CERTIFIES that the building DWELLING Location of Property 1330 TOWN HARBOR LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0005 Lot 011 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- 26181 dated DECEMBER 21, 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 FAMILY DWELLING WITH ACCESSORY ONE CAR GARAGE The certificate is issued to BESSIE G GAGEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Aspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1330 TOWN HARBOR LA SOUTHOLD SUBDIVISION: MAP NO.: _ LOT (S) NAME OF OWNER (S) : BESSIE G GAGEN OCCUPANCY: SINGLE FAMILY BESSIE G GAGEN ADMITTED BY: JOHN NICKLES ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 64.-5-11 SOURCE OF REQUEST: PAUL A. CAMINITI. ATTY - 12/8/98 DATE: 12/21/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: BRICK CELLAR: PART CRAWL SPACE: TOTAL ROOMS: 1ST PLR. : 2ND PLR.: S 3RD FLR. : -1 BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : ** PORCH TYPE: FRONT SIDE & REAR DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: --REAR MUD ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD W/SIDE PORCH STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST. : OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ! ART. SEC. i I I I I I I I 1 1 I I I I I 1 I 1 I I 1 I I 1 I I 1 1 I I I I 1 I I I I REMARKS: INSPECTED BY: DATE ON INSPECTION: 12/15/98 OHN M. BOUFIS TIME START: 10:15 AM END: 10:45 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 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 17. 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. C. Fees 1. 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. Businesse 50.00. 2. Certificate of Occupancy o re-existing Buildine - $100.00 3. Copy of Certificate of Occu�santy--ZS$. —� 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . � � -�(�. . � . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . l:�.p.. . . . . Location of Property. . . , 3 3� . . . . . . n . �. rpc. . 51. . . . ".,! . . . . . . . . . House No. �Street� Hamlet Cower or Owners of Property. . . . . �SS1� � ` lS r�CSe1�-� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 9. . . . .Block. . . .5. . . . . . . . . .Lot. . Al. . . . . . . . . . . . . . . . . . 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: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,-er_._5S-5 79 (PAL(0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT BUILDING DEPAR111ENT TOWN OF SOUTHOLD �{ HOUSINGII CODE INSPECTION REPORT LOCATION: ✓' a < s7 ��irt� number 6 street municipality SUBDIVISION MAP N0. LOT (a) NAME OF OWNER (s) OCCUPANCY ty a owner-tenautY — ADMITTED BY: ACCOMPANIED BY:Sit*,tA— KEY AVAILABLE SUFP. CO. TAX MAP NO.1,�Oft _ SOURCE OF REQUEST: DATE: DWELLING: / TYPE OF CONSTRUCTION G� / 0 STORIES $ EXITS fig FOUNDATION CELLAR Pa4,1'— CRAWL SPACE TOTAL ROOMS: IST FI.R. 4a72ND FLR. 3RD FLR. BATHROOM (a) TOILET ROOM (s) �j� UTILITY ROOH414t## A6* 7 PORCH TYPE F 5/p 6;,feAECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE -�— DOMESTIC NOTWATER TYPE HEATER Q� ,8©(1.01 AIRCONDITION�ING TYPE HEAT WARM AIR HOTWATER M"" OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. ` `fRAGE, TYPE CONST. SWIMMING POOL G ST, TYPE CONST. OTHER: ----------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE, LOCATION DESCRIPTION ART. I SEC. d REMARKS: INSPECTED BY: DATE ON INSPECTION / r TIME START. END O B CONSENT TO INSPECTION C, . 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 ��30 �� N-) FA6 ( bC(- ,`cone, S,-D,- ho0 , which is shown and designated on the Suffolk County tax map as District 1000, Section - Block Lot 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: 0k)E 1(4wlty Duleff,,t/q 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 subsequentproe cutions for vlo- lations of the laws, ordinances, rules or regulations o t Town of o thold. Dated: /t9-/ q8/q6 _ re) /90— � 1 (print name) J© �� �ic�GLES,, f�j/JCC� (signature) (print name) ���- 3y/ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: /u�piAe- 4 "W .�� 110 DATE / % / �� INSPECTO s ,. SURVEY OF PROPKR`1 SITUATED AT SO�UTHOL.0 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.G. TAX No. 1000-64-05- 11 �9 s SCALE 1 "=20' Ilk 17, 1998 0' Ogg 39 00088 / AREA = 19,900.70 sq. ft. alkT� $ 00 "' / 0.457 ac. ti. anP / 00 (� ,• �(. �,� r�.G� ,a° ,i �. •OO fie. ; °' Y,O to fG f N * ,hp Tib CERTIFIED T0: ALLIANCE ABSTRACT OF NEW YORK CAPITAL MORTGAGE ca gO WILLIAM E. HAYES CATHERINE M. HAYES 10. ao X01 a aal�s `% 0� - 0 ory' `� rzs P4 Sp ag ti rs ta �'A / D� 44p4��O� aN 00 '.::::.:.;'O 'C`•E UNWIHORREa AlTE1GTON aR Aaalau+ •�. TO n a 6% Is A vrounDN aF wicKN�7� C> aF TIE NEW mI1N STATE Y J I pF Ti�E W!p THE WAW tll qD &SBMW AE �. tri, fi�q'.: � m�wu�TI�aoP'�r. � aoNEIDFrEO 'L as n61M7pN�-sdrNED.NpaUN llWl.law ONLY M 1RE PBI6aN Pat w1gN 1NE sUIw,EY T6MM IND apN N A Nµ@1pA D MIMI c IH nnala�71gp3gwle4E. THE ENI9TENOE OF RIOHTS OF WAY ANO/06 ETMCNP6 OF NEQO9a. IF ANY NOT SHOWN ARE Nar OUARAN M. PREPARED IN AXORDANCE WRH T E MININUM STANDARDS USE TRE NEWY9 AS ESTABSTAKE SNED iJIND Joseph A. tngeglo V TIE LIMB. AND VI N'ET AND ADOFlED POR SUCH USE RI THE NEW YOwN SIAIE UWD TRE /sIXaATION. Land Surveyor yEC LA STpH A ,y Gy TNN Sufv" — SubdiP ma — SNe Pkm — CDnwh moan La7W! PHONE (516)727-2090 Fax (516)72-509 O X N OFFICES LOOM AT MAILMB AOORFW9 _ A N:Y.S. Lie. No. 49686 One Union Sgaan P.O. 6a% 1930 Aquaboguw, Now York 11931 RNwtimad, Now YAPk 1T901 Op 40