HomeMy WebLinkAboutZ-23740FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,'N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23740 Date JUNE 29, 1995
THIS CERTIFIES that the building
ONE FAMILY DWELLING
Location of Property 15350 NEW SUFFOLK AVENUE
House No.
County Tax Map No. 1000 Section
Subdivision
Street
NEW SUFFOLK NY
117 Block 9 Lot
Filed Map No.
Lot No.
Hamlet
7
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23740 dated JUNE 29, 1995
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 A ONE FAMILY DWELLING.
The certificate is issued to IONA HORTON
(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 INSPECTION REPORT.
1'�c4w
oilding Inspector
Rev. 1/S1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23740 Date
DUNS 29, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 15350 NEW SUFFOLK AVENUE
NEW SUFFOLK NY
House No. Street
Hamlet
County Tax Map No. 1000 Section 117 Block 9 Lot 7
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-23740 dated JUNE 29, 1995
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 A ONE FAMILY DWELLING.
The certificate is issued to
IONA HORTON
(owner)
of the aforesaid building
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SES ATTACHED INSPECTION REPORT.
it ing Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 15350 NEW SUFFOLK AVENUE NEW SUFFOLK NY
number h street municipality
SUBDIVISION MAP NO_ LOT(s)
NAME OF OWNER (s) IONA NORTON
OCCUPANCY A-1 RES TENANT
type owner -tenant
ADMITTED BY: ANNA AVENT ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-111-9-7
SOURCE
00 - - -
SOURCE OF REQUEST: WILLIAM GOGGINS DATE: 6/21/95
TYPE OF CONSTRUCTION WOODFRAME
FOUNDATION CEMENT BLOCK CELLAR FULL
TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE SCREENED 10%23 DECK, TYPE PATIO
BREEZEWAY FIREPLACE NO
DOMESTIC HOTWATER YES TYPE HEATER PROPANE
TYPE HEAT PROPANE WARM AIR
OTHER:
/ STORIES ONE ; EXITS 3
CRAWL SPACE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. NONE
SWIMMING POOL
OTHER:
GARAGE
AIRCONDITIONING
HOTWATER
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS:
INSPECTED BY
GARY J.
DATE OF INSPECTION
TIME START 9:OOAM
6/23/95
END 9:20AM
Form No. 6
TOWN OF.SQUTHOLD
BUILDIWj DEPARTMENT ■■���r
TOWN HALL NV1�
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCYO-
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.
3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" land uses:
I. 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.
Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..,lune. 20, . 19.9.5 ................. .
New Construction........
... Old Or Pre-existing Building.. x _
Location of Property ........ NP, # New Suffolk Avenue
House No. ,
New Suffolk ,-New.York 1195E
.
Street Hamlet
Unwer or Owners of Property.anet Horton
... J................................
County Tax Map No 1000, Section ... 117 QO
..... Block ... Q9..00 ........ Lot ...... p,p•7; 000
subdivision....... .......
............................Filed Map ............ Lot
..
permit No................Date Of Permit.
...............Applicant.......
...................
Health Dept. Approval..........................
Approval.........................
Planning Board Approval .................
Request for: Temporary Certificate.....
•••.• Final Ccrticate...........
lee Submitted: $,,,
!� WILLIAM C. '_ Attorn ✓ for
' C Lf0 Contract Vendee, A
AARON 9f
,VENT
0
/Wiv
SUFFQK
693 g/. �fj'sq'L)O.
E
AREA -13, 077sq. ft.
A I ��cNUE
/00.00,
N, 15•
4p2p' w '
I N,OgR REpER 9g 59
G'4RET � �El
SURVEY FOR
AARON A VENT & ANNA A VENT
A T NEW SUFFOLK
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 —117— 09 — 07
Sca/e= Y' = 30'
May 2. 1995
C£RTIF/ED TO+
AARON A VENT
ANNA A VENT
BRIDGEHAMPTON NATIONAL BANK
FIDELITY .NATIONAL TITLE INSURANCE COMPANY
ANY AL 70147ax OR AA917 M To PM SMVEY S A VOLA 77av
OF SECIM MM OF DE WW YaW STATE EDUCAIXP/ UM',
EXCEPT AS PEN SECTION 7209N41lApV" 2 ALL CID? IFICA WM
AVWM ARE VALD FOR 77LS MAP AAO CAPES THREW OAL Y i
SAD MAP OR CYPES BEAR RE AMSSED SEAL OF 77E SURVEYOR
waSE MM 7LRE APPEARS /EMCK
A4WVMUY TO COMPLY WM SAD UN 77E 7MW 'AL 7ETEi9 or
MUST BE U= BY ANY AAD AU SURVEYORS U7LaM A COPY
OF AAVTMW SURVEYM MMP. 7EW SUCN AS IMPEC7EV AAD
waofr-ro,aA it AAE Aar a cowmA cE wrn NE LAM.
Y.S.
(516) 765
P. 0.
1230 TRAVEL ET
SOUTHOLD, N. Y. 11971
95-155
NO. 49618
�
1
AREA -13, 077sq. ft.
A I ��cNUE
/00.00,
N, 15•
4p2p' w '
I N,OgR REpER 9g 59
G'4RET � �El
SURVEY FOR
AARON A VENT & ANNA A VENT
A T NEW SUFFOLK
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 —117— 09 — 07
Sca/e= Y' = 30'
May 2. 1995
C£RTIF/ED TO+
AARON A VENT
ANNA A VENT
BRIDGEHAMPTON NATIONAL BANK
FIDELITY .NATIONAL TITLE INSURANCE COMPANY
ANY AL 70147ax OR AA917 M To PM SMVEY S A VOLA 77av
OF SECIM MM OF DE WW YaW STATE EDUCAIXP/ UM',
EXCEPT AS PEN SECTION 7209N41lApV" 2 ALL CID? IFICA WM
AVWM ARE VALD FOR 77LS MAP AAO CAPES THREW OAL Y i
SAD MAP OR CYPES BEAR RE AMSSED SEAL OF 77E SURVEYOR
waSE MM 7LRE APPEARS /EMCK
A4WVMUY TO COMPLY WM SAD UN 77E 7MW 'AL 7ETEi9 or
MUST BE U= BY ANY AAD AU SURVEYORS U7LaM A COPY
OF AAVTMW SURVEYM MMP. 7EW SUCN AS IMPEC7EV AAD
waofr-ro,aA it AAE Aar a cowmA cE wrn NE LAM.
Y.S.
(516) 765
P. 0.
1230 TRAVEL ET
SOUTHOLD, N. Y. 11971
95-155
NO. 49618
CUNS-)l-NII
'1'O
1NSPEC ION.
AARON AVENT, Contract Vendee
By WILLIAM C. GOGGINS, attorney fqr Contract Vendee the undersigned,
Owner(s) Name(s)
do(es) hereby ;;tate:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at No # New Suffolk Avenue, New Suffolk, New York 11956
t111hich is Shown and designated on the Suffolk
County tax map as District 1000, Section 117 , Block 9 , Lot 7
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Tovm Building Inspector's Office for the following:
Certificate of Occupancy for pre-existing use
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 tivith 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 Gf Southold.
The undersigned, in consenting to such hispections, 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: June 21, 1995
(signature)
WILLIAM C. GOGGIN
Attorn�pyr or�� Mract Vendee
Aaron Avent
(sicnaturc)
(print name)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: SIU2 -
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER ( s ) 14
OCCUPANCY S 7f--�.�,✓�'�
type owner -tenant)
ADMITTED BY: Aypj A AVK-Alr ACCOMPANIED BY: v�
KEY AVAILABLE SUFF.CO. TAX MAP NO. -
SOURCE OF REQUEST:_ /%�/ij �j(�-(.,��5 DATE:
DWELLING:
TYPE OF CONSTRUCTION f ,� # STORIES 04C # E%ITS 3
FOUNDATION �' fj CELLAR -cwt CRAWL SPACE
TOTAL ROOMS: IST FLR. S 2ND FLR. 3RD FLR.
BATHROOM (s) 'CIL TOILET ROOM (s) �- UTILITY ROOM -
PORCH TYPE 542 4a l hg k,�3 DECK, TYPE PATIO r -
BREEZEWAY FIREPLACE 4/b GARAGE
DOMESTIC HOTWATER ,Ef TYPE HEATER D/,9�i✓,� AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS:
INSPECTED BY ! DATE OF INSPECTION
TIME START .�Pfl END �. 1O
TOWN OF SOUTHOLD WOPERTY RECORD CARD
AWN-E'R
STREET l G^
VILLAGE
DISTRICT
SUB.
LOT
-1,
Al e,
Aeaz
L.2 jc�f olA—
FORMER OWNER
N&
/Y� v a.
eve
E .-
< �w�`fdti
!Ly
ACREAGE
9
S � rSd ���Q=��
W �yaLQXe,�
TYPE OF BUILDING
ES -'Z/ I
SEAS.
VL.
FARM
comm.
I IND.
I CB. ( MISC.
LAND
-- _
IMP.
TOTAL
DATE
REMARKS��/
,q
(fd ell Q1/,q
%L /1� r'.� T�.
/90()
o
-�
TO
4 v
X.
C -f v> >
I
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
�4Df 0„��
Farm
illable 1��
Acre
Value Per Acre_
Value _
� zc,�' %� vt�o 4g
illable 2
illable. 3
tcodland
vampland
rushlaIM-
louse Plot
otal
FIX