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Home My WebLink AboutZ-19301' FORM NO. 4 No Z-19301 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date AUGUST 17, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 375 BEACHWOOD ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 4 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19301 dated AUGUST 17, 1990 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 1 CAR WOOD FRAME GARAGE* The certificate is issued to ESTATE OF HELEN T. HORGAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. //�ui ding Inspector Rev. 1/81 BUILDI:•:G DEPART;•IENT T0:•li\J OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 375 BEACHWOOD ROAD CUTCHOGUE, N.Y. knumoer do street) Piunicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) HELEN HORGAN, DECEASED, MAURIE J. DOWLING, EXECUTRIX Occupancy A-1 (type) owner -tenant Admitted by: URSULA VAN ARMAN Accompanied by: SAME Key available Suffolk Co. Tax No. 116-4-25 Source of request GARY FLANNER oisEN, ATTY Date AUG. 7, 1990 D ITELLI'NG : Type of construction WOOD FRAME #stories Foundation CEMENT BLOCK Cellar NONE Crawl space Total rooms, 1st. F1 3 2nd. F1 2 3rd. F1 Bathroom(s) 2 FULL Toilet room(s) 1 Porch, type SCREENED IN FRONT, SIDE h REAR. Patio, type Breezeway Garage Utility room Type HeatELECTRIC BASEBOARWarm Air Hotviater Fireplace(s) ONE No. Exits 2 Airconditioning Domestic hotwater ELECTRIC Type heater RHEEM Other ACCESSORY STRUCTURES: Garage, type const.WOOD FRAME 1 CAR Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE Remarks: B.P. A4 C Z-3539 ACCY GARAGE, B.P. 14655-Z CO Z-3887 ADDITION (2nd STORY) Inspected by: � l- t✓ Date of Insp. 8/15/1990 G eJ. ISH Time start 1:50 end 2:30 FORM NO. 6LBLD�G TOWN OF SOUTHOLD Building Department 9 f`Town Hall Southold, N.Y. 11971 765 — 1802 . DEo'T. APPLICATION FOR CERTIFICATE OF OCCLIPANWWN OF SOUTHCiLC3 Instructions A. This application must be filled in typewriter OR ink, and submitted a sw� to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installs tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. SU6init Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: -BUSINESS $50.00 1. Certificate of occupancy $25.00 — 2. Certificate of occupancy on pre-existing dwelling $50.00 3. Copy of certificate of occupancy $'5.'00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 August 7, 1990 5.Undated C.O. $`50.00 Date .... ..................... NewConstruction... Old or Pre-existing Building ..X......... Vacant Land ............. J75 Location of Property . �� .Beachwood .Road : _Cutchogue ; .NY . ,, , , , , , , , , , , •, , , I Estate of House No. • • • • Street • Hamlet Owner or Owners of Property , , ,Helen T..Horgan .. .. , , , , • , , , , , , , , , • , , ..... . 25 County Tax Map No. 1000 Section . 116 Block ..4 ............ Lot . ,• ... Subdivision ........................... ...Filed Map No. ..........Lot No. ............. Permit No........... Date of Permit ...... Applicant .................................. Health Dept. Approval .................... .Labor Dept. Approval ........................ Underwriters Approval ..................... .Planning Board Approval ...................... Request for Temporary Certificate .................... anal Ce ificate ..... Fee Submitted $ .. 10Pr QQ..................... Construction on above described building and permi s all licable o sand regulations. Applicant . ........... . G Flanne lsen, sq. Rev. 10-10-78 P. 0. Box 6 Cutchogue, NY 11935 . 4o3o l CONSENT TO INSPECTION Gary Flanner Olsen, Esq. - Attorney for, Estate of Helen Horgan., the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at _ (no #) Beachwood Road, Cutchogue, NY 11935 which is shown and designated on the Suffolk County tax map as District 1000, Section 116 Block n Lot 25 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in -the Southold Town Building inspecw,o.rrs�o row. +kA fnllowing: Pre-existing Certificate of Occupancy for dwelling 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 subsequ t prose utions for vio- lations of the laws, ordinances, rules or regulati ns the own of Southold. Dated: August 7, 1990 (si a ure) �r a j � Flanner fllcan as PC�1' `' (print name) AUG 9 1990 BLCG pEpj'- --- (signature) TOWry OF SO 01 n (print name) D&dJI JQm • I Do"��J of L • ��°r ' 010 N t to StA� 'Ig o 3 x•S A • e '� a i - I +n • w rt!w D&dJI JQm • I Do"��J of L • ��°r ' 010 1 0 a h a :fy A -r CUTCHOCUE TOWN OF SouTNoi.D, N. Y. g'1 a MO M4177C rl t 4 ti GuaYani�ted to Tha 7)'t/e ivaraMtee ._ ._.. Cadoomy ss surveyed pec. zl, 1966 VAN TU YL ¢ SON Q. Va�r- Licensed Land Surveyors LSO -EAT PECONIC SAY GrtenAort, ti � • .`K _. aia�Fn'�is�. s'y'r?�": �a.'Y'' 4 '"^!'W . r.,aip t..+� •.t• �t+. w•-+qbw' h _ I 430-A t to StA� 'Ig o 3 x•S • e '� a i - I +n • w rt!w 3 4 A W 0 b b !O'attrih "far �bedeetridns enly� r --beery 11h wa ,rr n►ar 1 0 a h a :fy A -r CUTCHOCUE TOWN OF SouTNoi.D, N. Y. g'1 a MO M4177C rl t 4 ti GuaYani�ted to Tha 7)'t/e ivaraMtee ._ ._.. Cadoomy ss surveyed pec. zl, 1966 VAN TU YL ¢ SON Q. Va�r- Licensed Land Surveyors LSO -EAT PECONIC SAY GrtenAort, ti � • .`K _. aia�Fn'�is�. s'y'r?�": �a.'Y'' 4 '"^!'W . r.,aip t..+� •.t• �t+. w•-+qbw' h _ I 430-A BUILDI'-,,G DEP:T,T:1E 1 TO -M OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Dr otx:�� numoer & street unicipaiity) Subdivision Map No. Lot(s) Name of 0wner(s) Occupancy Admitted by: (,tA-4.c,j1o.-!b,Wd.e Accompanied by:_ Key available Suffolk Co. Tax No.S- Source of request—,?y=�Date l) DWELLING Type of construction �tJ #stories Foundation CellarXhA-V- Crawl space Total rooms, 1st. Fl 2nd. F1 :,2 3rd. F1 Bathroom(s) Toilet room(s) Porch, type � eck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplace(s) exQ, No. Exits .•Z- Airc ditioning Domestic hotwater Type heater Other ` ACCESSORY STRUCTURES: Garage, type const. k.6s�.�f�— Storage, type const. Swimming pool Guest, type const. Other Remarks: � P Inspected by: Com e3s3 eP� yo ss�- co" a-3" Date of Insp. r' 0 Time start ly ed o2•'30 ntion