The URL can be used to link to this page

Home My WebLink AboutZ-20528FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20528 Date FEBRUARY 12~ 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 125 YOUNGS AVENUE SOUTHOLDr NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 4 Lot 40 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-20528 dated FEBRUARY 12r 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 DW~I.LING & ACCESSORY WINUM/LL FRAME * The certificate is issued to KARL GRUPPE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLRASE SEE ATTAC~RD INSPECTION REPORT. N/A N/A Building Inspector Rev. 1/81 Location BUiLDi'.:G DE?:t~,T:.~2iT TO','R.[ OF SOUTIiOLD, N. Y. HOUSI2~G CODE Ii'iSPECTIO[~; REPORT 125 YOUNGS AVE. SO~uT~IOLD, NEW YORE Subdivision Nm,me of Owner(s) EArL GRUPPE ~4ao ~Io. Lot(:)_ Occupancy A~mitted by: Key available Source of request A-I RES. MARY KI LKEI~Pf O~NER (DECEASED) (owner- cenanv) Accompanied by: SAME Suffolk Co. ELIZABETH STOVEi~ · Tax No. 61-4-40 Date JAN. 31, 1992 DI'~LLI~: Type of construction Foundation BRICK & BLOCK Total rooms, 1st. FI WOOD FRAME Cellar 1/2 5 2nd. Fi 3 #stories 2 Crawl space 1/2 3rd. F1 Bathroom(s) Porch, type Breezewaz Type Heat Fireplace(s) Domestic hotwater Other Toilet room(s) Deck, type Garage 2 CAR 'Warm Ai~~u~a uuu~ No. ~its YES Type heater SMALL CEMENT PATIOREAROF HOUSE Patio, Utility room Hotwater xx Aircondition~ng . ELECTRIC ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other WINDMILL FRAME INNEED OF REPAIR. type CEMENT P~ISED -¥KONx. OF HOUSE Location REAR YAPd) ~NDMILL/FRAME VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ~ DescriPtion I-~rt.'l Sec. FENCES, WALLS AND OTHER MINOR CONSTRnCTION t { C~4P'I' F. (WINDMILL FRAME) SHALL BE MAINTAINED IN SAFE, POOD AND SUBSTANTIAL CONDITION. I}244. {f (b) _ Remarks. Date of Insp. FEB. 4, 1992 · Time start 9:30 end i0:00 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN IIALL 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 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 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 I. 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 I~re-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . . ew Constructzon ........... Old Or Pre-existing Building.. ...~.... ,.oca ion of Froperty .... .......... Itouse No. Street Ha '1~~ or O ners of ..... :ounty Tax Map No 1000, Section..~./. ........ Block....~....~. ...... Lot..~. ................ <ubdivision ....... .---- ............................ Filed Nap ............ Lot ....... 'ermit No ................ Date Of Permit ................ Applicant. ealth Dept. Approval .............. ' ........................... ............ Underwriters Approval ' !a.ning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate..~ Submitted: $ ............................. STATE OF NEW YORK) COUNTY:OF SUFFOLK) SS: ELIZABETH STOVE~ being duly swor~ deposes and states as follows: FIRST: That the premises known as No Nu~ber Youngs Avenue, Southold, New York more specifically identified as Tax Map No I000- 61-4-~0 was built prior to 1957 and was inherited by me through my father and mother, Karl H Grippe and Elizabeth Gruppe. SECOND: I make this affidavit to induce the Building Inspector of the Town of Southold to issue a pre-existing certificate of occupancy, Swo~ to before me this ~aay of Januaf'y, 1992. CONSENT 'FO INSPECTION do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located_.at /,~,_,~'"' ~g4'~..~' ~' ~ which is shown and desi~n~ated on the ~u£folk Gounty tax map as District 1000, Section ~ / · Block ,~ , Lot ,,~ . .. 'That the undersigned (has) (have) tiled, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the following: That ihe 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 subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. print flame) (signature) (print name)