HomeMy WebLinkAboutZ-23036FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23036 Date JUNE 13, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 405 PIERCE DRIVE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 136 Block 1 Lot 7.1
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-23036 dated JUNE 13, 1994
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 & ACCESSORY STORAGE SHED
The certificate is issued to EDWARD & JOAN HINDERMANN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPEI
Rev. 1/81
BUILDING DEPARTMENT \ _
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION• 405 PIERCE DRIVE CUTCHOGUE, N.Y.
number 6 street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) EDWARD & JOAN HINDERMANN
OCCUPANCY SINGLE FAMILY DWELLING
type owner -tenant)
ADMITTED BY: ED. HINDERMANN ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-136-1-1.1
SOURCE OF REQUEST: EDWARD A JOAN HINDERMANN DATE- APRIL 11, 1994
DWELLING:
TYPE OF CONSTRUCTION
WOOD FRAME
# STORIES 1-1/2 # E%ITS 3
FOUNDATION
CEMENT
BLOCK CELLAR 3/4
CRAWL SPACE PARTIAL
TOTAL ROOMS:
IST FLR. 4 2ND FLR.
I 3RD FLR.
BATHROOM (s)
TWO
TOILET ROOM
(s) ONE
UTILITY ROOM NO
PORCH TYPE
FRONT COVERED SCREENED
DECK, TYPE
REAR RAISED PATIO BRICK FRONT
BREEZEWAY
NONE
FIREPLACE
NONE
GARAGE 2 CAR
DOMESTIC HOTWATER
YES TYPE HEATER
OIL FIRED
AIRCONDITIONING CENTRAL
TYPE HEAT
OIL
WARM AIR
YES
HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. WOOD TOOL SHED
SWIMMING POOL ,.GUEST, TYPE CONST.
O *NOTE: SET BACKS AS SHOWN ON PLOT PLAN PER B.P. #9175Z, APRIL 8, 1977
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE
REMARKS: BP #9175Z- CO Z-23035 (ADDITION -GARAGE 6 DECK)
INSPECTED BY
M. BOUFIS
ART. SEC.
DATE OF INSPECTION APRIL 14, 1994
TIME START 9:45 END 10:05
RR Form No. 6 a qa--
R
Icily
i TOWN OF SOUTHOLD
a l BUILDING DEPARTMENT
TOWN HALL
765-1802
BLDG. DEPT.
TOWN Of SOUTHOLD PLICATION 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
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 - $20.00
4. Updated Certificate of Occupancy.- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .../.� ...........................
New Construction.......'..`.. Old Or Pre-existing Building.... ...... y/
Location of Property...T6............................+�C� r�.�!......
House No. Street Hamlet
Onwer or Owners ofPropertyGQ.C.{e�.�.. 4/YQc�� .......................
County Tax Map No 1000, Section..(A .......Block.. ..........Lot.. Q.7: J .............
Subdivisio-E:i �- Vz 1,� � , , , , , , , , , , , ,Filed Map ............ Lot. . 1. ....�,��."�7
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval ....... ��� ............Underwriters Approval.4vtA ..................
Planning Board Approval..... &r/t/............. /
Request for: Temporary Certificate........... Fin Certicate �!.......
p o..+
Fee Submitted: $.�G ...................
... ..........e: . . "`....... .
lm U) ��303G APPLICANT
a I 1 of
er(s) Names
do(es) hereby state:
CONSENT
TO
INSPECTION
the undersigned,
That the undersigned ( (are) the owner(s) of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax• map as District 1000, Section /,3� Block 0 Lot 0 7_/.
That the undersigns(has) have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
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 prose utionp for vio-
lations of the laws, ordinances, rules or regulations of tb e To«in bf Southold.
/ I / �
Dated: /
sianatxre
(print name)
047
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
number & street ��cipftity
OCCUPANCY,� / W S / -e
MAP NO. LOT(s)
/ A-
/(£ype) .. ,q� (owner -tenant)) -*
ADMITTED BY: �r� i1Tl� i2 /YI/�/y ACCOMPANIED BY: Sl�1i►
KEY AVAILABLE SUFF . CO. TAX MAP NO._ /b 0 0 / - 7s
SOURCE OF REQUEST:4'fyic-'/4e-d -ot.fo"4w DATE:
DWELLING:
TYPE OF CONSTRUCTION # STORIES E%ITS
FOUNDATION CELLAR 3 CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR.
3
BATHROOM (s) / &j TOILET ROOM (s) e*6 - UTILITY ROOM
PORCH TYPE C.d .5� DECK, TYPE ATIO ��L / �/z07✓�"
BREEZEWAY / FIREPLACE GARAGE /Z -
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT 9 1 / WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE
CONST..GUEST,
TYPE TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
I
REMARKS:
INSPECTED B' �I DATE OF INSPECTION'
� J 1J
TIME START /
ENDS Qb �
b S