HomeMy WebLinkAboutZ-17065FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z. 1,7065, , ... _ . , .. Date ,July 6 , 1988
..................
THIS CERTIFIES that the building One, ,fam,i•1y, dwelling
Location of Property .?500 Grathwohl Rd. & 100 Tuthill Rd. New Suffolk
.........................................................
House No. Street Hamlet
County Tax Map No. 1000 Section .. 1 ) 7 ....... Block ...? ...........Lot ..1.0 .............
Subdivision ...............................Filed A4ap No. ........Lot No.
Requirements for a private one -family dwelling built prior io
conforms substantially to the ti�lBiildf101iXIIbIE�$[�8t�b€eXfX9ixiXt1'icYeXt�cl
April 23, 1957 Certificate of Occupancy
• • .......... pursuant to which BKa%lXMX rli"K No.Z 17 0 6 5
.....................
dated . J u 1 y 6 , .1'988 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, accessory garage and accessory storage building.
..........................................................................
The certificate is issued to ?SARJORIB GREENE ILLINGAORTH
.......................
(owner, / KK&Kr1&X
of the aforesaid building.
Suffolk County Department of Health Approval ..... N./.A.................................
UNDERWRITERS CERTIFICATE NO ............. N/A
PLUMBERS CERTIFICATION DATED: N/A
SEE INSPECTION REPORT
."40 X_V'e47�.
Building Inspector
Rev. 1/81
BUILDI-.G DEPART",—LENT
T0;Ni OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2500 Grathwohl Rd. & 100 Tuthill Rd. New Suffolk
(number & street liunicipality)
Subdivision Map No. Lot(s)
Name of Owner(s) MARJORIE GREENE ILLINGWORTH
Occupancy R-1
type owner -tenant)
Admitted by: Jane Stubelek Accompanied by: same
Key available
Suffolk Co. Tax No. 117-2-10
Source of request Marie Ongioni "attorney"
DWELLING:
Date June 8, 1988
Type of construction wood framed #stories I
Foundation cement block Cellar full Crawl space
Total rooms, 1st. F1 6 2nd. F1 -- 3rd. F1 --
Bathroom(s) 1 Toilet room(s) I
Porch, type screened in Deck, type Patio type
Breezeway Garage Utility room 2
Type Heat gas Warm Air �,x3bM Steam
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes Type heater -gas
Other Large finished room cellar
ACCESSORY STRUCTURES:
Garage, type const.2 car wood Storage, type const.small metal
Swimming pool Guest, type const.
Other Fence east side of property.
VTnT AmTnsm. rT__.---- _ — I —.
Remarks: 117-1-3 is a single & separate lot
Inspected by:
CURTIS W. HORTON
ntion
ate of Insp. July 6, 1988
ime start 10:00 end 11:00 a.m.
1
CONSF:N'I'
JUN 2 0 19ss 1FO
INSPI C rION
BLDG. DEPT.
TOWN OF SO
MARIE ONGIONI, attorney for the estate of MARJORIE GREENE ILLNGWORTdH
e un ersigned,
Owner(s) Name(s)
do(es) hereby state:
the Attorney
That the undersigned (is) 0WM'%1KYgX&X�MXkX f tie r mises in the Town
o'!S"O O 10 tv-1% W
of Southold located at Grathwohl Road, New Suffolk, N. Y.
, �rhich is shown and designated on the Suffolk
1000 117 1 3
County tax map as District 1000, Section 117 , Block 2 Lot 10
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:
Certificate of Occupancy
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,
Dated:_'
rules or regulations of the Town of Southold.
/X4 ta44e
(.,V nature)
MARIE Oi G g NI, Esq.
(print name
signature)
(print name)
Please contact the real estate broker, Jane Stubelek of Celic Estate Agents
(516) 298-8000 or (516) 477-9400 for access to the house for inspection.
FORM NO. 6 R N► R
TOWN OF SOUTHOLD 8 t5 U L5
Building Department
Town Hall .W 1 Q (g�
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPAPICY,BLDG. DEPT.
Instructions
A. This application must be filled in typewriter OR ink, and submitted m v� 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 installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit 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, occOpancy 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory $10.00 Business $50.00
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
5.Updated C.O. $ 50.00 Date ..........................
NewConstruction. , , , , , Old or Pre-existing Building ............ Vacant Land .............
Location of Property ... , ,Grathwohl Road New Suffolk
House No. Street Ham/et
Owner or Owners of Property ,Marjorie Greene Illingworth
County Tax Map No. 1000 Section . A17.......... Block s.. ?..... 1...... Lots, , ,10,, 3 , , , ,
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit .......... Applicant/,t/t"!,4!�7-. .4-)y�/.D. !l// ............ .
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate./...- ..................Final Certificate .... ��.............. .
Fee Submitted $ . � . �'. U ... !�...... .. .
Construction on above described building and it meets all app ' ble codes and regulations.
Applicant . c� ... .. .......
ARIE 0NGIONI, attor ey for estate of
Rev. 10-10-78 Marjorie Greene Illingworth
Pe,c 3 SoSS
(',a, CQ z/ 76&
Location
BUILDING DEPARTMENT
TOtiiN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
number & street) (Mu:Vicipality
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy /
type owner -tenant
Admittedby: Accompanied by:
Key availa le Suffolk Co. Tax No.
Source of request Axud a Date
DWELLIIIG :
Type of construction / #s-tories_�_
Foundation Cellar 04,,A Crawl space
Total rooms, lst. F1 2nd. Fl JV -- 3rd. Fl
Bathroom(s) Toilet room(s) 1
Porch, typ Deck, type Patio, type_
Breezeway Garage Utility roo
Type Heat ',farm Air Her
Fireplace( No. Exits Airconditioning
Domestic hotwaterType heater
Others
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
VIOLATIONS• Housing Code Chapter 45 N.Y. State t Uniform Prevention
oroeire
ldina dArt.
Location
DescriptionBui
Sec.
Remarks: / / 177 / —
In
v r b 6 1(
Inspected by: Date of Insp.
Time start" d /