HomeMy WebLinkAboutZ-24921FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PI~ EXISTIN~
CERTIFICATE OF OCcuFANCY
No Z-24921 Date MARCH 6, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 555 ALVAHS LANE cuTCHOG~, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 109 Block 1 Lot 29
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-24921 dated MARCH 6, 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 WITH ACCESSORY GARAGE *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HE~J~TH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAc~D INSPECTION REPORT.
Rev. 1/81
JONAS E. HIGBEE, JR.
N/A
N/A
N/A
/./ld g In.pector
LOCATION: 555 ALVAHS LANE
(number & street)
SUBDIVISION MAP NO.
NAHE OF OWNER (s) JONAS E. HIGBEE, JR.
BUILDING DEPARTMENT
TOWN OF SOUTIIOLD
DOUSING CODE INSPECTION REPORT
CUTCHOGUE, N.Y.
(municipality)
LOT(s)
OCCUPANCY
ADHITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
A-I RESIDEIfrlAL
(type)
DAVID HIGBEE
DAVID P. HIGBEE
OWNER (DECEASED)
(owner-tenant)
ACCOHFANIED BY: SAME
SUFF.CO. TAX MAP NO. 1000-109-1-29
DATE:. FEB. 18, 1997
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CEMENT BLOCK
TOTAL ROOMS: IST FLR.
BATHROOM (s) 2 FULL
PORCII TYPE
BREEZEWAY
DOMESTIC IIOTWATER YES
TYPE IIEAT LILCO GAS
OTIIER:
WOOD FRAME
CELLAR
2ND FLR. 3
TOII.ET ROOM (s)
DECK, TYPE
FIREP1.ACE __._ONE.
TYPE I~ATER LILCO GAS
WARM AIR
~ STORIES 2 # EXITS
PARTIAL CRAWL SPACE PARTIAL
3RD FLR.
UTILITY ROOM WASHER & DRYER
PATIO SLATE
GARAGE
AIRCONDITIONING
IIO'I~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. { CAR WOOD FRAME STORAGE, TYPE CONST.
WITH ATTACHED SHED.
SWIMMING POOL , GUEST, TYPE CONST.
OTUER: **TOILET & SINK IN GARAGE (SEASONAL USE) WOOD DECK WITH GAZEBO
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & EUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP ~9144Z-CO Z-9118 (Add to house) BP #I0909Z-CO Z-14426 (Add to Accy)
BP ~11854-j~- CO Z-14427 (Accy I/G S~i~n~ning Pool)
gary/JffFigh TIME START {0:30 AM gNU
1997
10:55 AM
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
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.
~. 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
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 Buildin~ - $I00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date Februar~ 18, 1997
New Construction ........... Old Or Pre-existing Building~...~ ............
Location of Property..~ . . Alvah's Lane . Cgtc~o~u~
House No. Street Hamlet
Onwer or Owners of Property ~vi~ ~.. ........
...... ~i~bFe
County Tax Map No 1000, Section. J~pO. .Block 01.00
..................... Lot ..... P~,ppo ..........
Subdivision ................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept Approval '
· ' ......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate X
Fee Submitted: $. 100.00
....
~pX~ ~ ,~ ?q~] APPLICA · Higbee
CONSENT
TO
INSPECTION
])AVID P. HIGBEE · · the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) ~) the owner(~3 of the premises in the Town
of Southold located at 555 Alvah's Lane, Cutcho~ue, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 109 , Block 1 , Lot 29
That the undersigned (has) (~) filed, 'or caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on~ Pre-existin$ buildings
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, 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.
Dated: February 18, 1997
-- -- ~' ~J(signa~ure)
David P. Higbee
(print name)
(signature)
(print name)