HomeMy WebLinkAboutZ-25046FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NoZ25046 DateMay 22, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1475 OAKLAWN AVE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 70
Subdivision
Block 3 Lot 4
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957
OCCUPANCY NUMBER z25046
pursuant to which CERTIFICATE OF
dated May 22, 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 isSINGLE FAMILY DWELLING*
The certificate is issued to Estate of Ruth LeVarich
(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.
"'�4 i /-C�
uilding Inspector
Rev. 1/81
BUILDING DEPARTIEN-r
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1475 OAKLAWN AVE SOUTH LD
number h street municipality
SUBDIVISION
MAP NO
LOT(s)
NAME OF OWNER (s) ESTATE OF RUTH K LEVERICH___--__
OCCUPANCY A-1 RES. __ OWNER
--- �tYpe� --ZOwner-tenant
ADMITTED BY: ANNE LEVERICH ACCOMPANIED BY: SAME
KEY AVAILABLE S0U04
SOURCE OF REQUEST: DONALD McGAYHEY llATE:
----- --- ------ — --_505/9-L----
TYPE OF CONSTRUCTION WOOD FRAME _# STORIESI.S # EXITS_2_ __
FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL
TOTAL ROOMS: IST PLR. 7 2ND FLR. 3 3RD FI.R. -
BATHROOM (s) 2
TOILET ROOM (s) - UTILITY ROOM WASHER, DRYER _
PORCII TYPE SCREEN PORCH DECK, TYPE _ PATIO -
BREE7.EWAYENCLOSED BREEZEWAY FIREPLACE --_ONE_________
DOMESTIC IIOTWATER YES TYPE IIEATF.R __,PROPANE__ AIRCONDITIONING _
TYPE HEAT OIL WARM AIR X HOTWATER
OTHER: -
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTIIER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVEN'C[ON b BUILDING CODE
----------------
_ON_ DESCRIPTION ART. SEC.
-- - — -
REMARKS: BP#7732 CO#Z25046
INSPECTED BY_% DATE OF INSPECTION 5/19/97
V
TTME START 10:30 ENI) 10:55 _ —
TOWN OF SOUTHOLD
BUILDING DEPART`ENT
TOWN HALL
765-LSO2
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 ail buildings, property lines,
streets, and unusual natural or topographic features.
2 Final Approval from Health Dept. of water supply and sewerage-disposal(S-9_`orm).
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.
3. For existing buildings (prior to April 9, 1957) won -conforming uses, or buildings and
"pre-existing" land uses:
L. 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 325.00, Swimming pool 325.00, Accessory building $25.00,
Additions to accessor7 building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25c.
=. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .....Sli,x/.97.........................
New Construction........... Old Or Pre-existing Building .................
Location of Property ... l ZS .............a.4 Y��r•✓.t)►r N€ ...................
House No. Street /Hamlet
Onwer or Owners of Property. A?I;1.1.� .. o� ..A94ei E(. , /t...G e kV-.r,/,41i . , , , ... , , , ... , . .
County Tax Map No 1000, Section...�a ........Block .... .......... Lot ... $/ ................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval.........................
Planning Board approval ........................
Reauest for: Temporary Certificate........... Final Certic4AP.
Fee Submitted: 3_1e<9 ......................
......................c�.i�7T
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CONSENT
TO
INSPECTION
the undersigned,
AGS Owners) Names)
do(es) hereby state:
X466►/ -0f=
That the undersigned (is) (erre) the owner(s) of the premises in the Town
of Southold 'located at /5f�1.5 QA,E /,*,,,iv f}l�u�
-- "fI1� Y�/A which is shown and designated on the Suffolk
County tax map as District 1000, Section /o Block 3 Lot 41_,
That the undersigned (has) Ota re) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
7i?E- mak• sr..J6 C d
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 'TAc wn of Southold.
Dated:_ ,S6���
(print name)
(signature)
(print name)
low
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 715
VILLAGE
DIST.
SUB.LOT
FORMER OWNER
Id/ Set )-j q
N
E
ACR.
S
W
TYPE OF BUILDING
------ - ---
RES.
SEAS.
VL.
FARM
COMM. CB. MICS., Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
7
e) D
c-)
C) 0
---7--Z-7-1
5-/ 7
Q
f
6 4 0;--- Z -z El- 7, B-, i �0 -0 0 C3
kV, I T- > 73.2 W17d- S7,
V-3
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
Woodland
Meadowland
FRONTAGE ON WATER
FRONTAGE ON ROAD
f 6 7 ado
DEPTH
House Plot
Total
BULKHEAD
DOCK
M. Bldg.
3 3
Extension
Extension
Extension
Basement
n
S- Y I
Porch
Porch
Breezeway
2- 3 F 'r
Garage
a
Patio
Heat
O. B.
Total
COLOR
Dinette
-L2--
6 K.
LR.
r
DR.
P -
13R.
FIN. B
Foundation
Both
Basement
n
Floors
Ext. WallsInterior
Finish
S' 0
j
Fire Place
Heat
Type Roof
Rooms 1st Floor
Recreation Room
Rooms 2nd Floor
Dormer
Driveway
Dinette
-L2--
6 K.
LR.
r
DR.
P -
13R.
FIN. B