HomeMy WebLinkAboutZ-26335FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26335
THIS CERTIFIES that the building DWELLING
Date: 03/19/99
Location of Property 750 LITTLE PECONIC BAY RD CUTCHOGUE
County Tax Map No
Subdivision
(HOUSE NO.) (STREET) (HAMLET)
473889 Section 111 Block 0014 Lot 014
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- 26335 dated MARCH 19, 1999
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*
The certificate is issued to HORSTMANN MIX & CREAM, INC.
(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 INSPECTI
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 750 LITTLE PECONIC BAY RD CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): HORSTMANN MIX & CREAM. INC.
OCCUPANCY: SINGLE FAMILY HORSTMANN MIX & CREAM. INC.
ADMITTED BY: MARILYN LANG ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 111.-14-14
SOURCE OF REQUEST: WILLIAM HORSTMANN 3/11/99 DATE: 03/19/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 6
FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR.: 2ND PLR.: —9 3RD FLR.: 0
BATHROOM(S): 3.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: FRONT DECK TYPE: REAR SLATE PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC
TYPE HEAT: ELI-( TRIC WARM AIR: HOTWATER:
Few"wi-m-aarqu' 4YJ"
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
&Y 71 q: � "I 2 1.Ik ;; qdN
STORAGE, TYPE CONST.: METAL
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION i DESCRIPTION
f ART cEC
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REMARKS:
INSPECTED BY:
DATE ON INSPECTION: 03/17/99
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
61 -DG. DEPT.
T 1 F Tb ust 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 buildlags 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.
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 Building - $100.00
Copy of Certificate of Occupancy - -25�.
4. Updated Certificate of Occupancy -_$50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ......... %4vcl-% 1()� lyiR............
.v Construction........... Old Or Pre-r�existing Building ....h............ '/
kation of Property.... �o ..tr L*-& . l tcc>r) � C ;.a�....... `1v..*:4 I. .t�.�!'4=: - V. Pf '1�.....
House No. Street Hamlet
Iver or Owners of Property....► ,� �!'?:".'. mIY.:F-�!:5� '..,.-=;^c ....................
maty Tax Map No 1000, Section... 01 .......Block.... .. ...Lot... QA.. .........
/arr--O%� a u°i kir
�tbdivision....................................Filed Map...•��lo Lot.....................
trait No................Date Of Permit ................ Applicant ............................
nalth Dept. Approval..........................Underwriters Approval........................
.arming Board Approval ........................
squest for: Temporary Certificate........... Final Certicate..X.......
ee Submitted: $....IOA..................... r.r. N1X 4-(YrCAY1^*"�=r�C.
'�, /�- 5r 4 .. ................ .
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+� Wete. Lot- rsumler-s shown YF)."no to
"Anrer+ciee M4 A of H443ao Parrrt;" filed
in 6u'� oil o. aerk:i odf�e as n14A NO. l5f .
Ssjaranfeei fa 0o4rartf.-ed rifle l71yrsian.�Anrtrlc4n
T-iflt lnsuranu GC:. ane ro . suuthot(, rdrrtr9s '
Sank as ;surveyed, Novt�saaer �zx, ►96$. "� `
VAN TU Y4, ¢ ,14N t
TERRY.-
40,
CONSENT
TO
/INSPECTION
t1v lI am 5• L t s . KT -10 nil) / -• , P--e51CU.-v. -
Owner(s
do(es) hereby state:
-, U iy �--Cl/CcQ.,
Name(s)
1-j L , the undersigned,
That the undersigned (is) (athe owner(s) of the premises in the Town
of Southold located at 68o Lie, Pervn « P,," ec.-OA
Q LL—e which is shown and designated on the Suffolk
County tax map as District 1000, Section 10 Block 1#-4_, Lot 014
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:
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►� C.e.t a -c A -c r a 4-e =?A - t 11 =^G s-�
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, t 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: kL ✓t In k0 Iici —C,
�(signature)
�-i�yS%trrrann i.�_►X �-Crctam,�c
(print name)
n
(signu ) T
I,u M te
k� fur,,, �,.. IP.< �.
(print name)
LOCATION:
SUBDIVISION
NAME OF OWNER (s) A
OCCUPANCY -�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE I PECTION REPORT
r & street
MAP NO.
/V V4
municipality
LOT (s)
(type) (owner -tenant) o '
ADMITTED BY:�� ACCOMPANIED BY:
KEY AVAILABLE fr SUFF . CO. TAX MAP N0.
SOURCE OF REQUEST: �aZ
'ga,�o4 DATE:
DWELLING:
TYPE OF CONSTRUCTION /7fK�.-
STORIES ' # EXITS
FOUNDATION �"'
CELLAR CRAWL SPACE
r� P
.
TOTAL ROOMS: IST FI.R.
2ND FLR.
3RD PLR.
3-
BATHROOM (s)—
TOILET ROOM
(s) r- . UTILITY ROOM
PORCH TYPE
DECK, TYPE Slw- e_.. PATIO, TYPE
BREEZEWAY
FIREPLACE
40 NA, GARAGE
DOMESTIC HOTWATER
TYPE HEATER
C le AIRCONDITIONING
TYPE HEAT � C•-
WARM AIR
HOTWATER �'-
OTHER: cp
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
STORAGE, TYPE CONST. O&A=4 1
SWIMMING POOL GUEST, TYPE CONST.
OTHER: 4Q,84
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS: l _tl S013- Ca( �lI14 L CAU Q 7
iP T y- Cd 1,2g cj-
.. I) I t I P'"* /',A "L r 1 M C) M
INSPECTED BY: DATE ON INSPECTION
TIME START END
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,el_,� TOWN OF SOUTHOLD PrIOPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOTAlyjf�yl9`t4:p)
u �C Q V e
/ y a( fd a �D / n �1G� & I JA C
FORMER OWNER
N
E
ACR.
i E T/''I A N
S
W
TYPE OF BUILDING
l�jL1L
;ES. ��Q
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS F f—Qa h A& i. f a it
3 Y66
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ff he,-, �yy�� .� �i9� '7:a d`.2
yd4 7D wg, P• end '` n d c rRld, 10C 024c�
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73 7E37
SoLO' y62 • S, N !/o l�o�PsTMA+VN /�'��X CRERM �NC P VY
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�►
I I G CON jAO
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
"illable 1
'illable 2
illable 3
✓oodland
wampland
FRONTAGE ON WATER
i
rushland
FRONTAGE ON ROAD
louse Plot
DEPTH
a� �+ Av
%.. %%a*
BULKHEAD
a
—00
J
10
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