HomeMy WebLinkAboutZ-27129FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27129
THIS CERTIFIES that the building
Location of Property 320 OAK ST
(HOUSE NO.)
County Tax Map No. 473889 Section 136
Subdivision
DWELLING
Filed Map No.
Date: 06/09/00
CUTCHOGUE
(STREET) (HAMLET)
_ Block 0001 Lot 049
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- 27129 dated JUNE 9, 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 *
The certificate is issued to EILEEN R IMMEL
(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.
Authjklzed Signaeure
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 320 OAR ST CUTCHOGUE
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): EITEEN R IMMEL
OCCUPANCY: SINGLE FAMILY DWELLING EILEEN R IMMEL•
ADMITTED BY: MARY LOU FOLTS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 136.-1-49
SOURCE OF REQUEST: MARY LOU FOLTS, ATTY 3/27/00 DATE: 06/09/00
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _2
FOUNDATION: rnmrREmE BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: _5
BATHROOM(S): 1.0
PORCH TYPE:
BREEZEWAY:
2ND FLR.: _Q
TOILET ROOM(S): 0.0
DECK TYPE:
FIREPLACE:
3RD FLR.: _9
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
DOMESTIC HOTWATER: L.P.GAS TYPE HEATER: L.P.GAS AIRCONDITIONING:
TYPE HEAT: OIL - WARM AIR: HOTWATER: GAS
OTHER: *FLOOR FURNACE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE. TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION a BUILDING CODE
LOCATION DESCRIPTION ' ART SEC
INSPECTED BY: �� DATE ON INSPECTION: 04/26/00
MICHAEL J. VERITY
TIME START: 9:45 AM END: 10:25 AM
Form NG, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
r APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This applic=ation 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 17. 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.
B. 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 $hall state the
reasons therefor in writing to the applicant.
C. Fees
1. i,,''AR � L
Certificate of Occupancy - New dwellingL0�
$25.00, Additions to dwe`ling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory uilding $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 - $20.00 f
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..........
New Construction....... Old Or Pre-existing Building..X...•..............................
Location of Property.. 320.Oak .Street .. .....,. ��������Cutchogue
.....................................
House No. Street
Hamlet
Onwer or Owners of Property.. Eileen .R. Immel., ,......,•. ••.••.••.. .•.••.•.•...•..•••.•
County Tax Map No 1000, Section., 136:00 ,. Block.. 01:00 049.000
.......Lot ......................
Subdivision Map of EuAene. Heights....,Filed Map .'/$5,6, , , ,
.Lot.14.aud.l5............
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...X.......
Fee Submitted: $•100:00 ..•...•-•
Iz- / .........
F/2. CD -F, C 7 1 j APPLTCANT Eileen R. Immel
CONSENT
TO
INSPECTION
EILEEN R. IMMEL the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 320 Oak Street, Cutchogue, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 136.Oq Block 01.00 , Lot 049.000
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 on Pre-existing Building
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 the Town of Southold.
Dated: 3-,� a-oo _ CL
(signature
Eileen R. Immel
(print name)
..`,ii��� ':'t a� �`rl. �:.jE'� -�:".�.�..�.w•�'�t:['rE+='wZ='.._:..ara �c. _ . _ .. i :. ;.'7-i5.����r ..
.. .. .. _ .
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
e -a 4Azee a4w, Ar"
ier & street (municipality)
o . -
LOT(s) /fl- 1 -5 -
SUBDIVISION ( 3Sn¢ //.Lo�
NAME OF OWNER (s)
OCCUPANCY . _Aale,.' A::gY E
MAP NO.
pev (owner -tenant)
ADMITTED BY: �� ACCOMPANIED BY: I-gza-xp
KEY AVAILABLE SUFF.CO. TAX MAP NO A000 - 3 r, - / -
SOURCE OF REQUEST: DATE: �j�Z
DWELLING:
TYPE OF CONSTRUCTION # STORIES_ # E%ITS Z
FOUNDATION C XIC44 . CELLAR CRAWL SPACE "—
TOTAL ROOMS: IST FLR. S 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO --
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER L TYPE HEATER L. !?_ AIRCONDITIONING
TYPE HEAT - WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTIONLOCATION
_, /MMH
L- t� ��. lid
W�l 1���'
t�"i;�
INSPECTED BY
DATE OF INSPECTION
TIME START yS END
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET 2
VILLAGE
DISTRICT
SUB.
LOT -#
El
im we I
1
4)d/ f- E'
%L
n 7Cc X04,/.e
e� 15_
FORMER OWNER
N
E
ACREAGE
f%94
S
W
TYPE OF BUILDING
RES.0
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
MISC.
( Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
�J
Ina,
Fed
3
2-44) - Wpo v T Tyo Cg,
•N
u
AGES
BUILDING CONDITION
NEW
NORMAL
_ BELOW
ABOVE
FRONTAGE ON WATER y.
6o d
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
—
---� ��t.-'✓
Woodland
Swampland
Brushland
House Plot
Total
M. Bldg.
Extension
Extension
Extension
Breezeway
Garage
O. B.
Z0 X � y
C
/6c, Y4
r - --�--rt -- - - - - -
4 �
Foundation
I
Bath
-- -
�
Floors
Basement
����
N't Ix��`�, ' e
Ext. Walls(fj`/
Interior Finish
(
Heat ' r
Fire Place
' Roof Type
i
Porch '
PorchRooms 1st Floor
I
Patio i Rooms 2nd Floor
- --— _ i - — - - -
Driveway I Dormer