HomeMy WebLinkAboutZ-20555FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20555 Date FEBRUARY 28 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 430 SKUNK LANE CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 3 Lot 8
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-20555 dated FEBRUARY 28, 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 *
The certificate is issued to CRAIG & SUSAN LEHMANN
(owners)
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.
Building Inspector
Rev. 1/81
BUILDING DEPfsRT:•'.ENT
TO°iid OF SOUTIIOLD, N. Y.
HCUSI77G CODE, Ii•iSPECTION REPORT
Location 430 SKUNK LANE CUTCHOGUE, NEW YORK
�numoer cc street) �i-iuni.cipaiity)
Subdivision lklap No. Lot(S)
Name of Owner(s) CRAIG & SUSAN LEHMANN
Occupancy A-1 Res.
(type) owner-Lenanz)
Admitted by: SUSAN LEHMAN Accompanied by: SAME
Key available
Source of request
M. ELLI"?G :
SUSAN LEHMANN
Suffolk Co. Tax No. 97-3-8
Date
2/21/91
Type of construction WOOD FRAME rstories 2 STORY
Foundation BRICK Cellar 1/4 Crawl space 3/4
Total rooms, lst. Fl 2 2nd. Fl 3 3rd. Fl
Bathroom(s) 1 FULL BATH Toilet room(s) ONE
Porch, type SCREENED SIDE Deck, type
Breezeway Garage
Type Heat OIL 'alarm Air
Fireplace(s) ONE No. E:cits
Patio, type_
Utility room
Hotwater x%
_Aircondition ing
Domestic hotwater YES Type heater OFF BOILER
Other LAUNDRY ROOM OFF KITCHEN
ACCESSORY STRUCTURES:
Garage, type const. 1 CAR (WOOD Storage, type const. SHED' (WOOD FRAME)
Swimming pool INGROUND WITH DECK Guest, type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE
BP #11387-Z/CO Z-11232, BP #11893-Z/CO Z -11373 -BP #16871-Z/CO Z-18435,
Remarks: BP #16871-Z/CO Z-20214.
Inspected by:
A
Date of Insp._
Time start 9:30
FEB. 26, 1992
end 9:55
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
�) la1L�tlC1\Jl��(�E1
tJ
FEB 2 11992 �
TOWN TOOLD
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 12 lead. r
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,
pre-existing land uses: 1957) non -conforming uses, or buildings and
"
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 $5 0,
2. Certificate of Occupancy on Pre-existing Building100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - .00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....... l -.q2--
.............
..........
New Construction.... Old Or Pre-existing Building...
...... x.30 .� K L� g .. .... .
Locgtion of Property...... .. ... �A Al C
.. ............................ CU r ....... .
House No. Qp Street t Hamlet
Onwer or Owners of Property....,��rA �q. , WD. , , $4i 5 AV11 ^1E (4 W 14 &4.)
.... .......................
County Tax Map No 1000, Section .......?.....Block.. ...Lot.. Q
. ........... ..................
Subdivision ...................... ..........Filed Map..... .. ......
.. .Lot........... .....
Permit No ......... ......Date Of Permit........ .......Applicant........
Health Dept. Approval.............
........... ..Underwriters Approval....
Planning Board Approval ........................ "
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $,M0 ......................
Q 3 Q APPLICANT Su 5W /�r- Off ;
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1992
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CONSENT
TO
INSPECTION
e=416 A tj v d f
Owners) Name(s)
do(es) hereby state:
DSP
FEB
TOwki t: ,
--e '3UTHOt.0
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 4l0
C * which is shown and designated on the Suffolk
County tax map as District 1000, Section _t, Block Lot a
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:
A �5� ee CAle'
i(1-/ 1)UJe It l
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 cf 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: 0? - jl— Q7,
47S
(sign(ature)
(print name)
signature
(print name)
VIOLAT
Lnczt;on
UHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
ticn
Art. Sec
Remarks:
InsPected by:,
Dste of InsP•
.Time start
end 9,S;S' -
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•1._.�..iT
.M. -OTT CF SCUT• LD, �1. Y.
L�_•GaT
c� �
Lo �icn
u s z: ee z J
Su'-di•;ision l,,u^
,.l�a_ycYJ
i•I�
aD NO .
LO t(� )
N�1e of Oaner(s)
- y�
Occuaarcy
(ZY ` )
Aci,LiLt- by:
-Acs.ed loaner Ly ?rte
_:ACs -�ma =�nied by
Key available
Suffolk Co, Tax No._9%,g.— G
O
Source Of request
Date
DT.�T LT�TG : -
-
Type of construction
Foundation
=s -tori -s
Total roots, lst. Fl
Cellar` Cra l space
Bathrooms)
2nd. Fl 3rd. F1
ty-p e
Toilet
room(s)
Breezeway
-- ---_
e c k , type Patio, type
TYpe Heat �
arag=
� .
Utility room
.
Fireplace(s)
,'larm Air
--------
tic h
ones ho ter
No
No. E::i .s
SircondiLion,,,c
---�
Other
_
TYDe heater
RC=SSC?Y STMTTr ITTRES :
- Garage, type const,
l
Slll.:.:lino p001
t 0 7
or2rre type const. 1
Other
---------------
Guest, type const.
VIOLAT
Lnczt;on
UHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
ticn
Art. Sec
Remarks:
InsPected by:,
Dste of InsP•
.Time start
end 9,S;S' -
..r',:��:,: _ :'.- � •', .,, • - .._. .. ,. .. •. .. .. r .. � f .. ... ..:..�. .,.:.. .. _._... .._�.. _ _...a-.._. ..... .—1 ice"
TOWN OF SOUTHOLD PROPERTY AE RD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
gf-Wd-,
e,
c 71e v e
Ajcf
FORMER
WNER
N V V r
��. ✓ e Y
E 13 G Low
ACR.
t �✓ OwA g1,K6J,
S
r
Aff
W
�Q�a /C
TYPE OF BUILDING91-11 ,�
RES /(� .
SEAS.
VL.
FARM
COMM. CB. ICS.
Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
`- -' -7
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. , ri. Leh AtA air
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3 / o c�.
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/ Fi-O f
S/24 1,
13,10 ICI 93 eaCnl�
47ato f e w C'ohs�:- evrs ieh aSd ✓�C �y
s
�/o
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FARM
Tillable
Acre
Value Per
Acre
Value
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Tota!'*" '�"'
'�
DOCK
r c .y
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