The URL can be used to link to this page

Home My WebLink AboutZ-27701FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27701 Date: 05/18/01 THIS CERTIFIES that the building DWELLING Location of Property 1625 WEST CREEK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 0002 Lot 002 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- 27701 dated MAY 18, 2001 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 ATTACHED GARAGE & ACCESSORY STORAGE AS APPLIED FOR. The certificate is issued to DOROTHY C GERHARDT of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 (OWNER) N/A N/A N/A -"�L 9, //uth/rized ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1625 WEST CREEK AVE CUTCHOGUE SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): DOROTHY C GERHARDT OCCUPANCY: SINGLE FAMILY DWELLING DOROTHY C GERHARDT ADMITTED BY: JOAN HORTON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 110.-2-2 SOURCE OF REQUEST: DENISE R. NEUHAUS, ATTY 5/1/01 DATE: 05/18/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR_: 2 2ND FLR.: 3 3RD FLT.: 0 BATHROOM(S): 1.0 TOILET ROOK(S): 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: 1 CAR DOMESTIC HOTMATER: YES TYPE BEATER: PROPANE AIRCONDITIONING: TYPE HEAT: OIL OTHER: MARK AIR: XX HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD FRAME GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: GARY J. FISH DATE ON INSPECTION: OS/12/0 TIME START: 10:30 AM END: 10:55 AM .Form No. 6 ,t TOWN OF SOUTHOLD BUILDING DEPARTMENT MAY TOWN HALL s 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�p'roperty 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 1% 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 Mar. req:Jre:rents. 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 completdd 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy 4. Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date April 16. 2001 . . . . . . . 11 . . . . . XX New Construction....... . Old Or Pre-existing Building ................. 1625,.. West Creek. Avenue, Cutchogue Location of Property., .. ... . . ... ............ House No. Street Hamlet Dorothy Horton (a/k/a Joan Horton) Onwer or Owners of Property .... ... ..... .. ... ... .. .. . ... County Ta. Map No 1000, Section.. 110 ........Block....? .......... Lot ..9? .................. Subdivision ..... N/A ................... .........Filed Map ............ Lot............ ...... Permit No................Date Of Permit ................ Applicant ....... ..... 01 Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ................ I....... Request for: Temporary Certificate........... Final Certicate..... X,.... Fee Submitted: $ „ 100.00 .• ,. -a ................................... 9-4_L- 59 if q APPLICANT: LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: KEY AVAILABLE 0. CAz&k-- At number & street municipality MAP NO. LOT (s) type) (owner-tenan-0 o ' SOURCE OF REQUEST: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. DATE: DWELLING: TYPE OF CONSTRUCTION G.l n ILS_ # STORIES j wo # EXITS wo FOUNDATION C-E1w4--/ i 410 UL CELLAR ISA. j CRAWL SPACE TOTAL ROOMS: 1 ST FI.R. .1- 2ND FLR. 3RD FLR. BATHROOM ( s ) PORCH TYPE TOILET ROOM (s) Bim. °�. UTILITY ROOM DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE % 0'� DOMESTIC HOTWATER KS" TYPE HEATER j, 014,V AIRCONDITIONING TYPE HEAT WARM AIR �/ HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST._ (,460/ W , , GUEST, TYPE CONST. --------------------------------------------------- -*-------------- ------------------------ -------------------- -------------------------- --- ----------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION AL/p� TIME START /�; jp•. END CONSENT TO INSPECT I, Joan Horton, the owner of property located at 1625 West Creek Avenue, Cutchogue, New York, and identified on the Suffolk County Tax Map as 1000-110-02-02, hereby give permission to the Town of Southold Building Department to enter the described property for the purpose of inspecting the property so that I may obtain a Certificate of Occupancy for same. y an Horton STATE OF NEW YORK) ) ss.. COUNTY OF SUFFOLK) On the djkday of in the year 2001 before me, the undersigned, personally ppeared Joan Horton, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. SUSAN J *V 2z4:a4 6-�- Notary Public. State of 6w MR No.4896735 Qissim ualified in Pubj/16 �cpy 99Q/