HomeMy WebLinkAboutZ-27172FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27172
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Date: 06/29/00
Location of Property 3500 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 0004 Lot 033
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- 27172 dated JUNE 29, 2000
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 ENCLOSED SUNROOM AND ACCESSORY INGROUND
SWIMMING POOL.*
The certificate is issued to NORMAN HOROWITZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
3�thctrized gignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3500 NASSAU POINT RD CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): NORMAN HOROWITZ
OCCUPANCY: SINGLE FAMILY NORMAN HOROWITZ
ADMITTED BY: NORMAN HOROWITZ ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 111.-4-33
SOURCE OF REQUEST: GARY FLANNER OLSEN- ATTY, DATE: 06/29/00
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 4
FOUNDATION: CEMENT CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: IST FLR.: _j 2ND FLR.: _k 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: X HOTWATER:
OTHER: UNHEATED ENCLOSED SUNROOM/CONVERTED GARAGE TO STORAGE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: INGROUND GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION 1 ART 1 SEC
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REMARKS: 13P5687 n D 4690- BP -4 POO Oi 6
BP26621 D 6 REN CO27164 & 27165 REINSPECTED 6/30/00.
INSPECTED BY• DATE ON INSPECTION: 05/22/00
GARY IZFISI TIME START: 9:30 AM END: 10:00 AM
TOWN BALL
765-1802
MM 720
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. ThiS't plj�ation must be filled in by typewriter OR ink and submitted to the buildir
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 buildi
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
"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 applicar.
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 - _ .2.51z.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date... 32400............................
% one story frame house and
New Construction........... Old Or Pre-existing Building ....... cut-eage•••
3500. Nassau Point R_d.: C_utchopue, NY .............................
Location of Property....
House No.
• •.Street .. Hamlet
Onwer or Owners of Property...Norman.Horowitz .................
County Tax Map No 1000, Section ... 111 ........ Block..4............. Lot..33.............
Subdivision....................................Filed Hap ............ Lot .................
Permit No................Date Of Permit ................ Applicant ........................
Health Dept. Approval..........................Underwriters Approval .................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $•..100-.00 ..................•••
(\
`-�1� ;LgL-I : ...............APPLICANT...................
GARY ELANNER OLSEN
Main Rd, PO Box 706
Cutdom NY 11935
N 78' 36' 50"E
�i
7 7
O
D
7M 1000-111-04—JJ
FM f 156
FILED AUG. 16, 1922
SURVEYED 16 FEBRUARY, 2000
SCALE 1"=40'
AREA= 15, 018.784 SF
OR
0.345 ACRES
GUARANTEED TO
RUTH B. HOROWITZ
FIDELITY NA TIONAL TITLE INS. CO.
TOWN of SOUTHOLD
STONE DRIVEWAY
0
12.1'
COTTAGE `°
N 4.2� Ou
4
62.2
rw
"'S 78' 36' 50"W 1.8
LOT 168
6.1'-� ;n
cd
5.7X1.6'
CHIMNEY
CELLAR ENT -
6"
I'
16.1
3
PD
Ow 1
LINK FENCE 0.2
LOT 166
SURVEY OF
LOT 167
IN
AMENDED MAP A OF NASSAU POINT
Guarantees indicated here on shall run SITUATE
o^'Y to fhe person for whom th' survey
1s r + ro d, and on his beh I to the CU TCHOGUE,
t = overP � - rc,, TOWN OF SOU THOLD
i if z and SUFFOLK COUNTY, N. Y.
r
institution.
m:t 4
addi ci i c,`�ticrs cr.bs::qu nt ownwi SURVEYED FOR
SURVEYED BY
STANLEY J. ISAKSEN, JR.
L:ncutherizsd alteration cr addition to thio P.O. BOX 294
ry r r u vicr ai of Faction 7209 of
NEW SUFFOLK, NY 11956
:v York `tta Education Law. '
63,�r734-a835o/7 /1
Ccpies of this survey map not bearing
RUTH B. HOROW/TZ c!.. d S s emb^5s d seal shall
not be !s::a to be a valid true
cn.tly 111 LAND 7 VEYOR
N>S LIC. NO, 4 7,3
0OR874
375.0'
cm
N P� FENCE
O
l t
C.
W
STORY viC°°
cn 16 X36' �
C
WOOD a
IN -GR �
uOU
FRAME CK
POOL o
O
RES. 820
0 97.8
N
O
b 14.0'
ER 96.4"
N
N
FD
Cm
Ln
330.0'
o
(�
W
ROAD
MENHADEN
OLD
SURVEYED BY
STANLEY J. ISAKSEN, JR.
L:ncutherizsd alteration cr addition to thio P.O. BOX 294
ry r r u vicr ai of Faction 7209 of
NEW SUFFOLK, NY 11956
:v York `tta Education Law. '
63,�r734-a835o/7 /1
Ccpies of this survey map not bearing
RUTH B. HOROW/TZ c!.. d S s emb^5s d seal shall
not be !s::a to be a valid true
cn.tly 111 LAND 7 VEYOR
N>S LIC. NO, 4 7,3
0OR874
CONSENT
TO
INSPECTION
SAA/ H o P - Low' lTz
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 3 s 00 MArSSAU P&i ivT k t9A-p
GVTCI%L9 (-V IF , which is shown and designated on the Suffolk
County tax map as District 1000, Section Block L4- Lot --33
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspectors Office for the following:
r
Ge—kr1PIC ATOK (9GGVP40P EkesrrV&-
&Cl( gs- m 0-k 8 l! 1 Lb IN%%— (one story frame house and cottage)
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 allof 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: 3/2/00 _
L��-
(signature)
Nv(-Yk iv 4okvLv,T Z -
(print name
(signature)
(print name)
4 -
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING �� [ ] FINAL
-•---- - -- - - - --- - M,J�
DATE
aT) INSPECTOR
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER ( s )�-
OCCUPANCY
type
owner -ten
ADMITTED BY: �! ACCOMPANIED BY:
KEY AVAILABLE SUFE. CO. TAX MAP NO.
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION �yr,�� # STORIES # EXITS
Z
FOUNDATION_ C�6�/,./,- CELLAR CRAWL SP CE l
TOTAL ROOMS: IST FLR. 2ND FLR. r 3RD FLR.
BATHROOM (s) al(,� TOILET ROOM (s) . UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE --
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER jgj ,AIRCONDITIONING
TYPE HEAT WAFQM AIRHOTW
OTHER: IJ: --I, _ . 7 e _ z J.--- - � - / r l_ -A� ' IjEr__
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL 99 GUEST, TYPE CONST.
OTHER:
------------------------------------------------------------------=----------------------
---------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY: DATE ON INSPECTION_
TIME START w+
,toy tOWN OF SOUTHOLD PROPERTY RECORD CARD
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STREET o
VILLAGE
DIST.
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JRMER OWNER
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ACR.
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I P1,
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TYPE OF BUILDING
SEAS.
VL. FARM
COMM. CB. MISC. Mkt. Value �-
LAND
IMP.
TOTAL DATE
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AGE
Horooh r ic<<-lz-
BUILDING CONDITION
1/V
NORMAL
BELOW ABOVE
SRM
Acre
Value Per
Acre
Value
able 1
able 2
able 3
Aland
mpland
FRONTAGE ON WATER
;hland
FRONTAGE ON ROAD
ca
se Plot
DEPTH
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