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Home My WebLink AboutZ-23596 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE E%ISTING CERTIFICATE OF OCCUPANCY No Z-23596 Date APRIL 13, 1995 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 4300 DEPOT LANE COTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 5 Lot 9 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-23596 dated APRIL 13, 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 ONS FAMILY DWELLING WITH TWO ACCESSORY SHEDS & AN ACCESSORY GARAGE. The certificate is issued to MARY RAELIN (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. Bui din I spector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTflOLD HOIISING CODE INSPECTION REPORT • LOCATION• 4300 DEPOT LANE CUTCflOGUE ' number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) MARY RAFLIN OCCUPANCY ONE FAMILY RESIDENCE VACANT type owner-tenant ADMITTED BY: JEAN VAN NAME ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TA% MAP NO. 1000-96-5-9 SOURCE OF REQUEST: JEAN VAN NAME E%ECUTRI% OF ESTATE DATE• 3/24/95 DWELLING: TYPE OF CONSTRIICTION FRAME # STORIES 2 # E%ITS 3 FOUNDATION CEMENT BLOCK CELLAR 70~ CRAWL SPACE 30x TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 4 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH TYPE OPEN (2) DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER YES TYPE HEATER TANRLESS COIL AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. FRAME STORAGE, TYPE CONST. FRAME SWIMlfING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y_ STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC. FRAMB ACCESSORY SHEDS IN NEED OF REPAIR PROPER MAINTENANCE REQIIIRED. REMARKS: INSP:i(:TED B DATE OF INSPECTION APRIL 7, 1995 THOMA FI R TIME START 9:10 AM END 9:35 AM _ ~ y. _ Porm No. 6 i r,„L ~ a TOWN OF 50UTfiOl.ll BUILDING UGFAR'i'I9L'N'i' MAR ~ 1cv~~; TowN HALL 765-1802 APPLICATION FOR CLRTIFICA'LL OF OCCUPANCY A. This application must be filled in by typecariter OR ink and submitted to the building inspector with the follocaing: for tiew building or tiew use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or Copograp}~ic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-4 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 shall state the reasons therefor in writing to the applicant. C, Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.Ofl, Alterations to dwelling $25.00, Swimming pool. $25.00, Accessory bu:il.ding $25.00, Additions tp accessor.y building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exi.stinQ Bui.ldine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .,,,,March, 24.,1995,,,,,,,,,,,,,,,,,,, New Construction........... Old Or Pre-existing Building....X....~1920;s) Location of Property...,,4300 Depot.Lane_....,..,_.,.,Cutchogue House No. Street Hamlet Onwer or Owners of Property.....,Mary A:. Kaelin . County Tax Map No 1000, Section. , 096:00... „glock. 05 :00, , . , , , , ,Lot... 009; 000 , . , . , , . , , . Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval. .........................Underwriters Approval...........,............. Planning Board Approval Request for: Temporary Certificate........... Final C.erticate..X........ Fee Submitted: $,.100:.00 ~ ~C~ yR 3~ . ~ Ap icant: Jeanne E. Van Name, Executrix of the Estate of Mary A. Kaeli A~Q ~ CONSENT TO INSP)JCTIUN Jeanne E. Van Name, Executrix of the Estate- of Mary ICaelin 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 4300 Depot Lane, CutchoQUe, NY tt~hich is shown and designated on the Suffolk County tax map as District 1000, Section 96 Block 5 Lot g That the undersigned (has) (leave) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-existing 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 ail 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 r-io- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: March 24, 1995 _ ~ ~ (signature) . J~~ .c f p J / Jeanne E . Van Name 1~~'' (print name (signature) (print name) ANY ALTERATION OR ADD/T/ON TO TIMS SIAlVEY lS A VIOLATION OF SECTION 7209 OF THE hEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTK)N 7209-SUBD/VISION ZALL CERTFICATIONS HEREON ARE VALD FOR TM'S MAP AAO COPIES THEREOF ONLY F SAS SIGMA TUBE APPEARSS HERE0l0. SS£D SEAL OF TIC SURVEYOR AC,rFQ ML+tST BE LUSED BY AaN~YLAM7 ALL SU4VE~ORS UT,CI[7VG AT COPD 9Y' ,T ' `7~~~T OF ANOTHER SU4VEYORS MAP. TERMS SUCH AS yl~lA°ECTEO' APD '8R0lA9IT-TO-DATE' ARE NOT N COMI°L1ANC£ N7TH THE LAN: S: CF g6. pg~~' ~FTF'4'Y o• F AREA- 25,387 sq. ft. ~ a / Q0 P~ Q` ~ "~D~ ~ ~Q o4 ~ ~ oQy v ~ m~ ~ h h G~ i~~•~'/ , ~1~ Jv ~8 QJQ ~ QQ / ~ \ ° Y O O n ? \ a - c n~ ~`1 ~ `V w 1 Ci ) d ~ • / / r ,l 2ss a`O ~ / / .2e, n~ ^ / ~~OO ci/ of \ ~ O ~ g3, SURVEY OF F~''pT 6zsoo- 3 P R O P E R T Y ~e~~~ A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 96 - 05 - 09 Scale • 1" = 50' Feb. 6, 1995 n~ N~v ~ 1 T~ i ~ Q Its ~ 9 i / ~I, ~ Y. ~ lC. NO. 49618 CERTIFIED TOt PECONIC O ELEANOR B. de VECCHIS (5/61 765 - 'S FIDELITY NATIONAL TITLE P. 0. BOX 909 INSURANCE COMPANY OF N. Y. MAIN ROAD 20l 2626 SOUTHOLD, N. Y. l197/ 95-115