HomeMy WebLinkAboutZ-20489FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20489 Date JANUARY 21, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 51470 MAIN ROAD SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 2 Lot 2
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-20489 dated JANUARY 21, 1992
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 TWO CAR GARAGE
The certificate is issued to GLADYS W. HOWELL, DECEASED
(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.
uilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TO.11N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 51470 MAIN ROAD SOUTHOLD, NEW YORK
number & street IiLinicipa ity
Subdivision Map No. Lot(s)
Name of Owner(s) ESTATE OF GLADYS W. HOWELL
OccupancyA-1 RES. DECEASED
(type) (owner--. ten ant
Admitted. by: GARY WILLIAMS Accompanied by: SAME
Key available Suffolk Co. Tax No. 1000-70-2-2
Source of request PAUL H. CAMINITI, ATTY Date DEC. 17, 1991
DWELLING:
Type of construction WOOD FRAME -stories 1
Foundation SPANISH TILE BLOCK Cellar FULL Crawl space
Total rooms, 1st. Fl 5 2nd. Fl - - 3rd. F1 - -
Bathrocm(s) 1 FULL BATH Toilet room(s) - -
Porch, type FRONT SCREEN
Deck, type
Patio, type
Breezeway Gurag� Utility room
Type Heat OIL Warm Air Hotwater XX
Fireplace(s) NONE No. Exits 2 Airconditioning
Domestic hotwater YES Type heater OFF THE BOILER
Other PANTRY OFF THE KITCHEN
ACCESSORY STRUCTURES:
Garage, type const. 2 CAR WOOD FRAMEStorage, type const.
Swimming poolr Guest, type const
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks: BP #20392-Z OPEN PERMIT TO RENOVATE GARAGE.
Inspected by: - Date of Insp. DEC. 20, 1991
FISH Time start 9:30 end 10:00
u
A
Form No. 6
T014N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 UEG 1 T 1991
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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:
I. 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 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 - .
2. 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 ...... ........................
New Construction........... Old 7Orr� Pre-existinjSJ�^Bu�ildding. -�/,r1
Location of Property......1�.:C/.....��Il�..l�i�:.�7✓.....��. %J✓T.�7C.��.......................
House No. Street [� Hamlet -�
Onwer or Owners of Property .......
We -
County Tax Map No 1000, Section.... :70 ......Block...7............Lot..'2 ............. .
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Realth Dept. Approval..........................Underwriters Approval......................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Cert
Fee Submitted: $ �PQ' d Q,,,,,,,,,,,,,,;,,,,
Mme. y3ayy-.....I.
�r �_o 420489
-7285 ;APPROX i --
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Z
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3
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117
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63
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O
rM#p 1000 -opo - 02 -02
O
Cb
y
MAIN ROAD (S H 25)
N16004'30"E 79.92/
26
/B 3
2 CAR
FRAME
� GARAGE
20l
Y
�
3
�
117
y
63
O
O
Q
N
r FE Corner
45
p
E 0 4
m
o
POACH /001
Fd
O
504
Fd
CM
Nd
`"
CM
5 160 04'30"0-
- 79.81
/ STORY
2 0 �;
WOOD
FRAME
o
RES%DENCE o
x
�
L
Q
N/7'
_ w000
/79 _
FENCE
24.5
r
r
26
/B 3
2 CAR
FRAME
� GARAGE
20l
Y
SOUTHOLD
SCHOOL DISTRICT
N0. 5
cMMARM
SURVEYED 16 NOV, 1991
SCALE 1 = 30'
Guaronipes indicated here on shall, run
only to the person for Whim ;he surveyDESCRIBED PROPERTY
is prepared, and on his behalf to tha
title ccmpan . Unauthorized alteration or addition to this
). C Duerr, entr I /.;cn y survey Is a violation of Section 7209 of
lending iratihficn, if listed hNrecn, an'
to the assi neer f S/TUATE the New York State Education Law.
5 o the len__�r,q irst�t .'rn.
Guarantees are not trans' r !l, t
additional institutions rr , 5 wn#4MLET OF SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
SURVEYED FOR DAVID E DEFR/EST
GUARANTEED TO
DAVID E DEFRIEST
FIRST AMERICAN TITLE INSURANCE CO.
TOWN OF SOUTHOLD
Copies of this survey map not bearing
the Land Surveyors embossed seal shall
not be considered to be a valid true
Copy.
SURVEYED BY
S7ANL EY ✓ ISAKSEN, ✓R
PO ROX 294
NEW SUFFOLK, NY., 77956
5
17410ENSFO D URVEYOR
. 49273
9/R 468
117
y
63
O
r FE Corner
FE Corner
E 0 4
E02
Fd
N 02
504
Fd
CM
`"
CM
5 160 04'30"0-
- 79.81
CHAIN LINA
FENCE
SOUTHOLD
SCHOOL DISTRICT
N0. 5
cMMARM
SURVEYED 16 NOV, 1991
SCALE 1 = 30'
Guaronipes indicated here on shall, run
only to the person for Whim ;he surveyDESCRIBED PROPERTY
is prepared, and on his behalf to tha
title ccmpan . Unauthorized alteration or addition to this
). C Duerr, entr I /.;cn y survey Is a violation of Section 7209 of
lending iratihficn, if listed hNrecn, an'
to the assi neer f S/TUATE the New York State Education Law.
5 o the len__�r,q irst�t .'rn.
Guarantees are not trans' r !l, t
additional institutions rr , 5 wn#4MLET OF SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
SURVEYED FOR DAVID E DEFR/EST
GUARANTEED TO
DAVID E DEFRIEST
FIRST AMERICAN TITLE INSURANCE CO.
TOWN OF SOUTHOLD
Copies of this survey map not bearing
the Land Surveyors embossed seal shall
not be considered to be a valid true
Copy.
SURVEYED BY
S7ANL EY ✓ ISAKSEN, ✓R
PO ROX 294
NEW SUFFOLK, NY., 77956
5
17410ENSFO D URVEYOR
. 49273
9/R 468
BUITDI?;G DEP:,:RT:IE:iT
T0;4rN OF SOUTHOLD, N. Y.
HOUSIi:G CODE Ii•iSPECTION REPORT
Location 2i )
Unum, oer & street
Subdivision
Name of Owner(s)
Occupancy
M
Map No.
cipaiity)
Lot(s)
',type) owner -L ant)
Admitted by: Oda Accompanied by:
Key available Suffolk Co. Tare No.
Source of request A Date
DWELLING:
Type of construction -a
�Z - -U--7
r; stories
Foundation Cellar Crawl space
Total rooms, 1st. Fl_ 2nd. Fl 3rd. F1
Bathrooms) Toilet room(s)
Porch,e Deck, type Patio, type_
Breeze, arage Utility room
Type Hearlarm Air Hotwater
Fireplaces)C_ No. Exits Air conditioning
Domestic otwater_ yza Type heater
Other
ACCESSORY
Garage, type
vvy vl�..V
const. plCac.� �' Z Storage, type const.
Swir,ming pool Guest, type const.
Other
VIOLATIONS: -CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks:
Inspected by: Date of Insp.
• Time start end
CONSE11\1I_`
TO
INSPECTION
e'
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (,,a//re) the owner(s) of
of South ld to ated at ��`I',i� GC'Gl/%
1/1 JW
UEGg7
the undersigned,
e premises in the Town
which is shown and designated on the Suffolk
County tax map as District 1000, Section �_, Block , Lot
1;171—
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspect is Office for the following:
Q
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 prosecutions for vio-
lations of the laws, ordinances, rules or regulations of e Town of Southold.
D ate d: 1p7 1 q
sipre)
.� (print name)
y
(signature)
(print name)
i T ..;, Dom? �? iT
M.,i? OF .;CUT,,OLDI M. Y.
F.OUCI::C COLD? I:iSPECTIG�i R- vRT
Location S�S170%,� 0�
d
Subdivision l``un=cica_-^yl
Man No.
Lots )_
NaZn of Owner(s)
-63
Ltd c CG 07
Occupar.c
tici:�iytzd (ZyP y)
by
Key available Suffolk Co.
Tax No.
Source of req
uest
• • •fal
Date
DUELLING:
Type of construction/.
Foundation
`"ate- Lstories �
Total rooms, 1st. Fl
Cellar 'Crawl spac
—2nd.
Bathro om (s)
Fl — 3rd, F1
Porch, type
Toilet room(s) ._
Deck,
BreezewayPatio,
type
type
Garage Utility room
e Heat Warm
Air
Fireplaces) iU 9 F:o�•ria�er
n'11C0'-'-dii10:1�`�
Domestic ho twater
Other
Type heater -
ACCLSSC?V STDT C� L'S
Garage, type const.�
Srlir,.,mi nc- pool
torabe, t o
type c rst.
Other
Guest, type const.
------------
VIOLATIC�.?S : CHAPTER 45--N.Y. STATE
UNIFORM TIRE PREVENTION
Lncztion
& BUILDING CODE
j,Asr...--it1Cn
1 Art. 1
Sec.
I. I
I
I
I
I
Inspected by:
Date of Insp•���®�1��
•
,Time start ' end 0'
TOWN OF SOUTHOLD PROPERTY' RECORD CARD
/nese
7^— i --z.
OWNIR
STREET
VILLAGE
DISTRICT
SUB.
LOT
Lr
FORMER NER
N
P
r
GE
30 0
S
TYPE OF BUILDING
RES. l
SEAS.
VL.
FARM
COMM. I IND.
I Co.
I MISC.
( Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
sT
3:
- 0
z �°ca
3yL�p
ya
k.
'- AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
r'
- Form
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
D �� 3
Tillable 1
BULKHEAD
Tillable 2
DOCK
Ti l labl . 3
z, Woodland
Swampland
Brushland *,o*
House Plot
4Total -�
MEN MMMM��M■
M. Bldg.
Z
Foundation
Bath
Extension
6 V 7
Basement.
le'4j 4,
Floors
'0
Extension
Ext. WallsInterior
Finish
Extension
Fire Place
Heat
7 )(/4/
7
Porch
Roof .Type
C4o 5C -p
/0 '/ 2—
Y
/ V 4)
Al b7
Porch
1 Rooms 1st Floor
Breezeway
Patio
Rooms 2nd Floor
Garage
U
0
Driveway
Dormer
B.
f