HomeMy WebLinkAboutZ-24952FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24952 Date MARCH 26, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 5280 NEW SUFFOLK RD. NEW SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 2 Lot 5
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-24952 dated MARCH 16, 1997
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 MARCELLA E. LEONARD
(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.
Buikding Insp or
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5280 NEW SUFFOLK RD. NEW SUFFOLK, N.Y.
number ai street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) ESTATE OF MARCELLA E. LWONARD
OCCUPANCY SINGLE FAMILY
type owner -tenant
ADMITTED BY: SHERWOOD COOPER ACCOMPANIED BY:SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-117-02-05
SOURCE OF REQUEST: JASON R. COOPER DATE: FEB. 20, 1997
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT BLOCK
TOTAL ROOMS: IST FLR. 4
BATHROOM (s) 2 FULL
PORCH TYPE COVERED FRONT
BREEZEWAY
DOMESTIC HOTWATER YES
TYPE HEAT OIL
OTHER:
ACCRCS(1RV fiTRHrTnRRC
CELLAR FULL
2ND FLR. 2 3RD FLR.
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
OFF BOILER
# STORIES
CRAWL SPACE
2 # E%ITS 3
UTILITY ROOM
WITH HANDICAPP RAMP
GARAGE
AIRCONDITIONING
HOTWATER
GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
METAL SHED
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS: BP #53662 CO -Z-4268 (AGCY), BP #3902-Z-COZ-3181 (ACCP) BP #19647-Z-COZ-23979 (ADD)
INSPECTED BY e���(/fGkiL� DATE OF INSPECTION FEB. 25, 1997 -REINSPECTED 3/3/97
TIME START 10:30 AM END 11:20 AM
!' ,��.CCC ` ✓ 111////// t I �,.J �1 �r_,} 1 � ` � � f •' . 1
3 �/1 LQ pp TOWN OF SOCTH=n
3L_LD=Nv D2?AR_"_.�:
_A1_L
765-13C2 FEB 2 0
APPLICATION 30R CERTI-:CzT= Or OCC7P3`?� f+OLD
a. this ApDliGStiOn mut be filled _.. by Cypecz_cer OR _nit azd subm=teed t., the build'ine
inspector with _he=olloving: for new Su_ld.ng o- aec use:
1. _ictal survey of property with acc__ate locaL_om o: all buildi:gs, propsr.y lines,
streets, and unusual natural or topographic features_
2. ?inal Approval from Healch Dept. of :rater supply and sewerage-disposa=(S-9 form)
3. Approval oz electrical installlazioa from Board o` underu _zees.
4. Sworn statement from Dlumoer Certi o f aL =h_ solder used i- =vstem contains
less than 2/10 or 12 lead.
5. Commercial building, industria-1 building, multiple residences and similar bu angs
and installations, a certificate of Code Complia-ice from arc:._cect or engineer
responsible for the building.
6. 5ubmit.?1ann:Lng Board approval of completed size plan requirements.
3. For existing buildings (prior co Apr4_1 °, 1957) non -conforming uses, or buildings and
'2rFeY; _-.�" land uses:
1. Accute survey of y�ropert� snoc_zg al. property i'_nes, streets, ou _dizg and
ulusuu natural or topographic features.
2. A properly completed application and a consent to tms�gecz s_gaed by the applicant.
I` a Certificate of Occupancy is denied, ^.e 3LI-ding inspec_orSha:'_ sate the
reasons there -For in writing to the anplicanz_
?fees
1. Certificate oi Occupancy - New dwell o S25.00, Add__ions to dwell —4--= S25.00,
Alrerat-4ons to dWGlling 525.00, Sc -ming pool 523.00, AczessOry bui.di.:- 525.00,
Additions to accessory building 52:,.00. 3Ls esses 55-0.00.
2. Cert'-ficare of Occnpaacy on Pre-esistin£ ?uildins - 5100.0C
3. Copv,¢£.Certi-_tate of Occupancy - 0-.00
Updated Cer_ificata of Occupanev - 530.00
5• Temporary Certi=ieate of Occupancy - 3es_denzia! 5::_00, Commercial S'5.00
Date . FebruAry. 18... 1997 .............. . ....... .
'4ew Construction..,........ Old Or Pre—existing Build±mg.................
Docatioa of Property..,�2$O,New Suffotk_ROad New Suffolk New York
....................................
Rouse No. Screw Hamlet
Onwe: or Owners of Prouertv.....Estate of Marcella E. Leonard
Oonnty Tax ."lap No 1000, Section....117....... 91ocw.... 02..........Lot...... 5 ..............
Subdivision ............ N/A ....... .............. F:1ed _ian............ Lot .............. ........
?erxi:.V0....JVA •,,,,... Date Of Permit ..... N/A.., Robert A. Kelly, Jr., attorney
.....Appl:cant................ ...
3ee1ch Dept. Approval ............ .............-
inderw_=ers ADorovai......... N/A............
?=anniag Board Approval ...........
N/A
teauesx or:Temporary Certificate ........... ;r==caze/, X
Fee submtzed: 5....:1,00.00 ..................
DMT -r•.r-
Sd Wd6S:Z0 6T^ued ?id
�
) 6Z 'WJ 'ON 3NOHd W31se1s Xdd oiu e : WOc 5�� q9
CONSENT
TO
INSPECTION
i
Owner(s) Name
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 'lli0okf ( jy�lJYL L
which is shown and designated on the Suffolk-
County
uffolkCounty tax map as District 1000, Section , Block , Lot
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:
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: 2.. 20, l / i -7—
rules or regulations of the Town of Southold.
(signature)
J&SO 0 OC Ob- P�
(print name)—T
(signature)
(print name)
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SECTION 72,17,1F T„ E n��y
•dam:: 5; :. [.
EDUCATION LAV!.
COPIES OF THIS SUPVFY MAP Nor
THE LAND SURVEYOR'S INSEAL^4
EMBOSSED SEAL SHALL NOT BE C:: rISL:d:o
TO BE A VALID TPUE COPY,
GUARANTEES INDICATED HEU,)N SHALL PU
ONLY TO THE PERSON FOR WHOM THE SU—
IS PREPAkED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVLRNME1414L AGENC. AN
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIG#EES OF TME LIND,NG INSN
TU710M. GU6RANTEES ARE NOT TRA,NySFJRA..
TO ADDITIONAL INSTITUTION4 OR SVRLQYLN
OWNERS.
SC �► LJ�. 1 " x AGO
S/aP - ��-7 — 6L -To ��.� aaCi - 6►724
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a 'SSL
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SECTION 72,17,1F T„ E n��y
•dam:: 5; :. [.
EDUCATION LAV!.
COPIES OF THIS SUPVFY MAP Nor
THE LAND SURVEYOR'S INSEAL^4
EMBOSSED SEAL SHALL NOT BE C:: rISL:d:o
TO BE A VALID TPUE COPY,
GUARANTEES INDICATED HEU,)N SHALL PU
ONLY TO THE PERSON FOR WHOM THE SU—
IS PREPAkED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVLRNME1414L AGENC. AN
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIG#EES OF TME LIND,NG INSN
TU710M. GU6RANTEES ARE NOT TRA,NySFJRA..
TO ADDITIONAL INSTITUTION4 OR SVRLQYLN
OWNERS.
SC �► LJ�. 1 " x AGO
S/aP - ��-7 — 6L -To ��.� aaCi - 6►724
LOCATION:
SUBDIVISION
NAME OF OWNER
OCCUPANCY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
r & street
MAP NO. LOT(s)
ADMITTED BY: �jfyG /�,d L. S�,�� ACCOMPANIED BY: AV'0-4-
KEY AVAILABLE SUFF . CO. TAX MAP MO. //i7 - d -p- - Qjr-
SOURCE OF REQUEST: /� DATE: 20 %
DWELLING:
TYPE OF CONSTRUCTION W�},.� �p� # STORIES# %ITS /
FOUNDATION CELLAR `ttri� CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE •. DECK, TYPE !t/
/"J' IO y/
BREEZEWAY FI PLACE GARAGE -'—'
DOMESTIC HOTWATER TYPE HEATER _ AIRCONDITIONING �-
TYPE HEAT WARM AIR HOTWATER "�--
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. / C`i�rG_ "h-r/`/54!2-«,ATORAGE , TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST. ----
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY DATE OF INSPECTION o2
TIME START �O. ,3 fj END �•
TOWN OF SOUTHOLD -PROPERTY RECORD CARD
OWNER
STREETJ2 O
VILLAGE
DISTRICT
SUB.
LOT
Ge
Mar1
, " - . 0na
r
e w Ju
-�5`o /
FORMER OWNER
N
od Oa
E n
my JU.f`_d od.(11
ACREAGE
/
R. Cooper
e- d of <j t- �(,
S
R� �R L7o L 0 k:Ws i.-:'
W
I Xyrini
TYPE OF BUILDINGr_i_
_ y�
6E9,210
SEAS.
VL. FARM
COMM.
IND.
I CB. <
ISC.
i
Est. Mkt. Value
LAND
IMP.
TOTAL DATE
REMARKS �, e96M
r Lt-C,a!� f
0a
/�
J
f
r7
O
DO 3 3
/
3
9/ �P'�` 9G
Qd-1aA-0/
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i-•
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cde- -,): • -# o
3 D 0
7 0 d
.Zo o d /y 7�.
0CD
2300PAP_
2(00)
----------
Cocpfr
1,0emard
itlo0
3200
350 0 z i 4
AGE
BUILDING BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
0,1 s
r
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable, 3
Woodland
Swompland
Brushland'
Plot
Iuse
,al