HomeMy WebLinkAboutZ-22587FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22587
Date SEPTEMBER 15~ 1993
THIS CERTIFIES that the building.
Location of Property 35105 MAIN ROAD
House No.
County Tax Map No. 1000 Section 97
Subdivision
ONE FAMILY DW~3,LING
CUTCHOGUE r N.Y.
Street
Block 2 Lot 5
Filed Map No. Lot No.
Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22587 dated SEPTEMBER 15~ 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 DWR. I~,ING WITH ACCESSORY STORAGE BARN*
The certificate is issued to MIRIAM W. HAWKINS
(owner)
of the aforesaid building.
SUFFOLK COLPNTYDEPARTMENTOF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*pLRASE SEE ATTACHED INSPECTION REPORT.
- 'z/ Bui~ng InspectOr
Rev. 1/81
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPAR~NT
TOWN OF SOU~IOLD
DOUSING CODE INSPECTION REPORT
35105 MAIN RD. CUTCHOGUE, N.Y.
(number & sCreec) '
(municLpatiry
MIRIAM W. HAWKINS
MAp NO. LOT (s)
OCCUPANCY
ONE FAMILY DWELLING
(type)
. ow~mm (VACA~rr)
(owner-tenant)
ADMI~£ED BY:. ROBERT SCALIA ACCOHI'ANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-97~2-5
SOUKCZ OF REQUEST: PAUL A. CAMINITI, ATTY FOR OWNER DATE: 8/31/93
DWELLING:
TYPE OF CONSTRUCTION FRAME
FOUNDATION BRICK (COi~ON)
TOTAL ROOMS: IST FLR. 5
BATHROOM (s) !
PORCH TYPE 2 OPEN
BREEZEWAY
DOMESTIC HO~ATER XX
TYPE HEAT ELECTRIC
O~tER:
TOILET ROOM
DECK,· TYPE
FIREPLACE
P STORIES 2 ~ EXITS 2
CELLAR 10-15Z CRAWL SPACE 85-90Z ;
3RD FLR.
TYPE HEATER NATURAL GAS
WARM AIR
UTILITY ROOM
PATIO· TYPE
GARAGE
AIRCONDITIONING
HO~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF cONST.
S~LMMING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
~P, AP~
VIOLATIONS: CRAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION - DESCRIPTION ~RT. SEC.
~xTgRIOR EXTERIOR PORCHES,' STEPS &.Ex'£BRIOR sURFAcES SHALL BE
MAINTAINED IN GOOD CONDITION. 1242.5
(c) (e)
=
REMARKS:
DATK ON INSPECTION SEPT. 13~ 1993
TIME START 9:40 ENI~ lO:O0
Fo~m No. 6
TOWN OF SOUTIIOLD
BUILD[NC DEPARTMENT
TOWN HALL
· ~PLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in ~y 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 ail buildings, property lines,
mtreets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~).
3. Approval of electrical installation from Board of Fire Unde~riters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10.of 1% lead.
5. Co~ercial building, ~dustrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.~
6. Submi~ Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April '9, 1957) non-confo~ing uses, or buildings and
· pre-exzsting" land uses:
I. Accurate survey of property showing ail property'lines, streets, building and
unusual natural or topographic features.
2.. A properly completed application and a consent to inspect~ signeH 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, Swiping pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $i00.00
3..Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Tempora~ Certificate of Occupancy - Residential $15.00, Co~erciai $15.00
Date 8/31 /93 .
New' Construction ........... Old Or Pre-existing Building ...............
Location of -~P.% ...... ' · MAIN ROAD CUTCH G E
House No. Street 'Hamlet
0nwer or Owners of Property. MIRIAM W. HAWKINS
County Tax Map No 1000, Section,. 97 .Block. 2 .Lot.. 5
S bdivisi '
~ on
............. Piled Map ............ Lot ......................
Permit No ................ Date Of Permit ...... Applicant. .. ·
Health Dept Approval ............ '
· ............. Underwriters Approval .....
Planning ~oard Approval ............. ; ...... ' ..
Request for: Temporary Certificate ........... Final Cert'ic~:j~..~.~
CONSENT
TO
INS PECTION
t~RIAM W HAWKINS by PAUL A. CA,INIT, ATTORNEY
O~vner(s) Name(s)
· the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southoht located a[ 35105 MAIN ROAD, CUTCHOGUE, NEW YORK
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 97 , Block 2 , Lot 5
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:
pre ce"~-~:~r~a~-~ ~-upancv .- ~,~e n(~*~.~t ,4 ~J
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, includh~g inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town ~f 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 0~the Town of Southold.
PERSON TO CONTACT FOR ACCESS: /
ROBERT SCAILIA, ALBERTSON REAL ESTATE
765-3800
PAHL A. CAMINITI FOR
(print name)
MIRIAM W. HAWKINS
(signature)
(print name)