HomeMy WebLinkAboutZ-25004No Z-25004
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date MAY 2, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 445 WESTLAND RD. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 59 Block 2 Lot 11
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-25004 dated MAY 2, 1997
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 HELEN GAGEN
(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 INSPECT
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE.INSPECTION REPORT
LOCATION• 445 WESTLAND RD. SOUTHOLD, N.Y.
number & street "' municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) HELEN GAGEN
OCCUPANCY SINGLE FAMILY
type owner -tenant
ADMITTED BY: HELEN LEE ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-59-2-11
SOURCE OF REQUEST: HELEN GAGEN DATE: SEPT. 9, 1996
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # E%ITS 3
FOUNDATION CEMENT BLOCK. CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 6 2ND FLR. 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE ONE GARAGE
DOMESTIC HOTWATER %% TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER %%
OTHER:_ - SIDE MUD ROOM - ENCLOSED SIDE PORCH
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
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VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BPf{093Z-CO Z-25003 (Enclose_ Porch) _
INSPECTED
JOHN M. BOUFIS
DATE OF INSPECTION SEPT. 12, 1996
TIME START END
corm VC. o
Tq'WN OF SOUT'OLD
3Ut�i ING DEP ART ENT
TOWN UALL
755-1802
=?PL=CATION =0R CLRT-FICATE OF OCC'J'PANC`'
R 3 r
SEP 91996 r
BLDG. DEPT.
C),- SOUTHOLD
i. amD1' must be c=t-oII .-1 led -a Dv type,,rr-ter OR in1L and s:lbm-teed to the OuilG--_
ls aDg
SDeCtCrywith the =O11CW_IIg: =or new OL'--d-ng or new use:
Final survey oIJrODerty w- til accurate location of all buildings , o rooertV lues ,
streets, and unusual natural or topographic features.
2. Final Approval from aealzh Dept. of water supply and sewerage-disaosa'_(S-9 form)
3. Approval of electrical installation __rom Board of Fire UnderN-riters.
L. Swop- statement =rom plumber cert'fy=ng that the soder used Ln system contains
less than 2/10 of 1e lead.
Commercial bui..'ding, industrial building, multiple residences and similar bui'_dings
and fnstallations, a cerz4-ficate of Code Comp-liance from architect or eng=neer
responsible for the building.
5. Submit Planning Board ADproval of completed site plan requirements.
For existing build-ngs (prior to Apr- 9, 1957) non -conforming uses, or buildings and
"ore -existing" land uses:
_. Accurate survey of propery in
showg al_ property --nes, streets, build' --IIB
rtand
unusual natural or topograplLC features.
2. A prODerly completed apDl-cat-on and a consent to inspect_signed by the applicant_
If a Cert icate of 0 Ea ancv is denied, the Building inspector shall state the
reasons therefor La w„i-t-ng to the appl_c. IIt.
�ee8
Cert_'iCSLe OI 'Occupancy - yew dwell-ag 325.00, Additions to dwel__ng W25.00,
Aiterations to dwell; -;-ng 525.00, Swinming pool 325.00, building $25.00,
Additions to accessory build_-_' $25.00. 3usinesse
2. Certificate of Occupancv on Pre-existing Building 3100.00
3. Copy of Cart -f -Cate Of OCCupancy - C.
4. Updated Carti_`icate of Occupancy - S50.00
5. Temporary Certif-cafe of Occupancy -Residential 515.00, Commercial 515.00
Date ................�•r• ..
ew Construction.........``.!!. Old Or��j... fPre-existing 3ui'ding ..................
ocatton of Property......` ' ....'.4.+...... ............. . .. . ...................... .
House No. �r Streeter Hamlet
nwer or Owners of Property...... E
/�LE�c1 .. :.. !���' d-...........- .................. .
ounty T_aY `yap No 1000, Section... a l......31occ.............. Lot....�r................
abdivis-on.......................... 1-.........F__ed '-.',IaD............ Lot ......................
ermit No................Date Of Perm-,. ................ Applicant .............................
ealth Debt. Approval..........................Under-vr =ter5 AvDrova.........................
'I=nning Board _pproval
acuest for: 'lamporryC rt-==cate........... :'iIIal Cer_fcaca..........
ee Submitted: S.10T.0........................
X_...
C)-��PL2C�VT
e c*) �-:)Sa0N -
`4- r-- 4�_ �_ ......
BUILDING 1)E PA W11f E' UT
TOWN OF 11,011,1110111)
nousitic wim ttisveurion imPoit'j,
LOCATION: 4��
number 6 scree
1) 1 v 18 10 N
NAW OF OWNER
HAP NO. LOT(s)
OC(:(JPAI;t',Y
ype owtie Flail
ADMYTTE0 By- ACCOMPANtED I1Y* sokvL-9--
KEY AVAILA111,11f1 Fr Fl- -C 0- FA " A P " 0
SOURCE OF Iti-1011UST.
A6
TYPR OF cowrituurm
w wroillp's ► I -KI. .1, 8
ne
FOUNDATION ItAWL SPACE
TOTA I. 1100f15 IST MR. 2m1) Fi.it. 3111) 17111t.
BATIM001`1 (a) —2, TO I LEI ROOM ( F1) W1,11 -1 -Ty ROOM
PORCH TYPE NECK, 'TYPE PATIO
111ti"MZU"'WAY FIREPLACE GA I I A GE.
DOME-STIC 110TWATER -l'YPE, IIF!.A'I*rlt
A111CONDITION
TYPE HEAT WARM Alit 110TWATER
--_-
ACCESSORY STRUCTURES:
GARAGE, TYPE of CONS -I,.
SWIMING Pool.
01,111".11t!
STORAGE, TYPE
-1-yvI--, coms.r.
---------------------------------------
7 -------------------------------------------------------
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VIOLATIONS: CHAPTEAt 45 N,Y. STATE, 111,11FORH Fliti- PjtIFVjN,j,joN & 111111.1)1N(
" CODE"
1,-Uk,A I 1UN DESCRI VT loll
A
Z�
ART. SEC.
.........
REMARKS!
INSVEICTED BY
DATE, OF INSPET110
N
TIME, START p NO
q0.
do(c"a) hare by slala;
("ON:i IATI•
TO
11I\ .` i I' I;: (' , I' 10 I\I
67A lite: ur►clarslt;nael,
That lila unelr.rtjlt;nc:cl (is) (;1112;) Ih1; owns:►•(::) of lite: 1renllsels III iho '1'owtt
Of Soltlhold located al L S T-1,1 At I,> 1 �
------ V r rO (—•---------- which hi ui►cl oo 111(i :actffoll:
County lax ►11111) 11s f)Islt 1121 1(1(1(1, Soctiolt �9 /
---------• 131uc1c _Z ----� 1 -,cal
That the undersigned (has) (have) filed, (it' caused to he I'lled, a►► applica--
Itothe Southold Own ljuilding Ills lleclo►''s Offlce for the following; AJ, tC � u/e
That the undersigile(I do(c;;;) hereby give con:►et►t Io (Ile l.lulldlni; Insl�eclol s
of the 'Town of So►►ll►old to ertic:r t111on the above desc:rihed 1trn11erly, including,
any ti►ul all bulldings loc;.ltecl Ihert on, to conslnet. sl►el► inspections as they ►11ay
deerll necessary with respect lo the aforesai(I a111,lic:u1ion, Inclucliog Inspections
to determine that Said premises Corny whir '111 -of (hc: laws' orclln;tncos, 1.11)12.9
incl regulations of file 'Towt► of Sotitholcl.
`I'ha ►n►dersll;c►ud, h► eonseothill to suc;l► Insi,e:c:lIoils, do(ea) set will► file
I(nowladi,e mud ur►da1•:;l;n►clhti; that any lofortnallnn obtaliked hi the i:oncluc:l of
such In:;l:acllou� It►;►y he 1►sasl n:i s:vldenc:e i1► ,mbsectuent prosecl►Ifons fur vlo-
lotto►►: of the: laws, ordinanr.c::;, 1•nlo—s or rel"uhcllolls of the Tow11 of Soulhold.
COU ' tleL (°d 4"FOL)
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C50
WESLAND ROAD
PINE T20AD
MAP OF PROPERTY
SURVEYED FOR
11
NELE�I H.GAGE' i
AT
SOUTWOLG
TOWN OF SOUTHOLf-', N)Y.
'4V
I
SCALE-49-1It
AREA =14,6 S.FF
D:MOWUMENT
SUPF CO. T" MAP -- 1000 - 059 - Z-1 1.
$u LIVE YE) 7 f 6
AN J L)C, LAWD 15URVEY025 'GREENporn, Ny'.
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