HomeMy WebLinkAboutZ-22769FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-22769 Date DECEMBER 8~ 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 21755 COUNTY ROAD #48
House No. Street
County Tax Map No. 1000 Section 96 Block 1
Filed Map No.
Subdivision
CUTCHOGUE~ N.Y.
Hamlet
Lot 18.2
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-22769 dated DECEMBER 8~ 1993
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 & TH~R~ ACCESSORY STORAGE S~R. DS *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PI.RASE SEE ATTACHED INSPECTION REPORT.
ROBERT & BARBARA TAYLOR
N/A
NOTE: THIS UPDATES PRE CO Z-17903 DA ~T~D MARC~ 30, 1983
- //uilding Inspector
Rev. 1/81
BUILDING D E I,A R'I?II.ii, iT
TO'~-N OF SOUTIIOLD
[lOUSING CODE INSPECTION REPORT
LOCATION:
SUBDIVISION
21755 COUNTY ROAD
(number & street)
NAME OF OWNER (s) Robert & Barbara Taylor
HAp NO.
C~CHOGIHK, N. Y.
(,,,unit ipat icy
[.OT (n)
OCCUPANCY RES.
(type)
OWNER
(Owner-tenant)
ADHII-r~D BY:.
EY AVAILABLE
SOULCE OF REQUEST:
ACCOMPANIED ~¥:
SUFF. COl T~Y MAP NO. 96-1-18.2
ROBERT & BARRARA TAYLOR DATE.: DEC. 7, 1993
DWELLING:
TI'PE OF CONSTRUCTION WOOD FP.A~E
FOUNDATION C~IENT BLOCK
TOTAL ROOMS: IST FLR. ~
BAT]IROOM (s) I FULL BATH
PORCH TYPE FRONT
BREEZEWAY
D0}~STIC D0~ATER PROPANE
TYPE I~AT OIL
O~IER:
2ND FLR.
TOILET ROOM (s)
DECK,'TYPE
FIREP~%CE
TYPE EEATER
WARM AIR ~X
{ STORIES 2
CELLAR i / 2
3RI) FLR.
UTILITY ROOM
. PATIO, TYPE
~ARA. GE
AIRCON1)ITIONING
HO~{ATER
~ EXITS 3
CRAWL SPACE I/2
ACCESSORY STRUCtuRES:
GARAGE, T~fPE OF cONST.
S~IMMING POOL
OTIIER:
STORAGE, T~PE C0NST.
· GUEST, TYPE CONST.
3 storage sheds in
need of repair.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ', DESCRIPTION ART. SEC.
OPEN
REHARKs:
BP #20740Z- ABOVE GROUND POOL
OPEN BP ~21754-Z dated 11/3/93 FOR ADDITION
DATE ON INSPECTION
TIME START
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
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 f~om 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.
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.
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .. December 8, '1993
New Construction ........... Old Or Pre-existing Building...P~.P~P.F~.~P'
Location of Property .... ~17~. p.Ap.. ................. ...........
House No. Street Hamlet
Onwer or Owners of Property... ~O~.A~..A~B...~A.. 7AI~.p~ ........................................
County Tax Map No 1000, Section .... 9~ ........ Block .... 1 ............ Lot .... I~..~ ...............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit.' ............... Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
.............
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-17903 Date MARCH 30~ 1989
THIS CERTIFIES that the building ONE FAMILY DW~3J.ING & ACCY. SHEDS
Location of Property 21755 MIDDLE RD. (CTY. #48)
House No. Street
County Tax Map No. 1000 Section 96 Block 1 18
Subdivision Filed Map No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CUTCHOGUE~ N.Y.
Hamlet
Lot
Lot No.
CERT. OF OCCUPANCY. #Z-17903 dated MARCH 30~ 1989
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 & 3 ACCESSORY
The certificate is issued to ESTATE OF JENNIE HARRIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE-EXISTING
Building Inspector
*PLEASE SEE ATTACHED INSPECTION REPORT.
THIS PRE-CO IS FOR THE WESTERLY OF THE TWO HOUSES ON THE LOT.
Rev. 1/81
BUiLDi:':G
T0'.',%I OF SOUTHOLD, M. Y.
!: HOUoL~G CODE IHSPECTION REPORT
Location 21755 Middle Road (Cry Rd. #48)
~umser ~ szree~)
Subdivision ~ap No.
Cutchogue, N.Y.
(i,[unzclpa±Zzy)
not(s)_
Name ~2]wner(s)
NATHAN & JENNIE HARRIS
Occupancy RESIDENTIAL
A~itted by: ROBERT TAYLOR
OWNER (DECEASED)
(owner-renanz)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 96-1-18
Source 0~ request
WICKHAM,WlCKHAM"~ 'BRESSLER,P.CDate
3/1/89
DI'~LLI~:
Type of ~9nstruQtion
Foundation CEMENT BLOCK
Total rooms, lsd. Fi
Bathroom(s) 1
Porch, type Frout 6'x8'
Breezeway
Type Heat oil
Fireplace(s)
Domestic hotwater propane
Other
wood frame #stories 2
Cellar % Crawl space. ~
4 2nd. FI ! 3rd. FI
Toilet room(s)
Deck, type Patio, type
Garage Utility room
'Warm Air xx Hotwater
No. ~cits 3 Airconditionin~
Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swi,mming pool
Other
3 s[ora§e sheds
zn nee epair.
Guest, type const.
VIOLATIONS: Ho~sing Code, Chapter 45 N.Y.
Location ~,~ Descriution
State Uniform Fire Prevention
B 'ldi Code
I rt. I Sss.
Remarks: This inspection is of the westerly of the two houses on the lot.
Inspected by: ~~ ~/ Date of I nsp. March 29, 1989
C~X/IS~ ' Time start 9:i0 end 9:30
BUILDING INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
BLDG. DEPT.
TOWN OFFS_ o_UTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. March 1, 1989
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING...~..VACANT LAND.
.......
Northerly side of Middle Road (CR 48), Cutcho u
Location of rroperty ....... q e
HOUSE NO. STREET HAMLET
Owner or Owners of Property Estate of Jennie Harris
County Tax Map No. i000 Section ..q%~. Block ..~ .... Lot ..~ .....
Subdivision
....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
Fee Submitted: $ 100.00 -~-~.-].~3.
x
..
By: Karen J. Stretz, Esq.
We have C.O. No. 26407, which is for the easterly of the two
houses on the lot. This appliction is for the westerly house.
rev. 14/88