Loading...
HomeMy WebLinkAboutZ-24332FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24332 Date MAY 6, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1600 ALVAHS LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 4 Lot 8.1 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-24332 dated MAY 6, 1996 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 & ACCESSORY GARAGE * The certificate is issued to ANN R. LIPNICKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A BuildingInspector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1600 ALVAHS LANE CUTCHOGUE, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ANN R. LIPNICKI OCCUPANCY A-1 RES. type owner -tenant) ADMITTED BY: ANN LIPNICKI ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-102-4-8.1 SOURCE OF REQUEST: ANN R. LIPNICKI DATE: APRIL 16, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # E%ITS 2 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE - - - TOTAI. ROOMS: IST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE SIDE ENCLOSED DECK, TYPE PATIO__ BREEZEWAY FIREPLACE NO GARAGE DOMESTIC HOTWATER YES TYPE HEATER PROPANE AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER OTHER: PANTRY OFF KITCHEN ArrVq-q IRY RTR11rT11RRC- GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: WOOD FRAME 1-1/2 CAR STORAGE, TYPE CONST. , GUEST, TYPE CONST. ACCESSORY BUILDING VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. !ACCESSORY A BUILDING OR STRUCTURE WHICH IS IN IMMINET DANGER TO LIFE NYCRR 9 (B) BUILDING AND SAFETY AS A RESULT OF STRUCTURAL INSTABILITY, FIRE OR OTHER HAZARDOUS SITUATION SHALL BE MADE SAFE AND SECURE OR DEMOLISHED AND REMOVED BY THE OWNER THEREOF. REMARKS: INSPECTED BY DATE OF INSPECTION APRIL 22, 1996 GaryJ v_ TIME START 9:55 AM END 10:10 Form No. 6 TOWN OF SOUTHOLD DEPARTMENT BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 1% 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 $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co rci//al $15.00 Date .. ..�1..�.............. New Construction........... Old Or Pre-existin Build f r Location of Property ....�!,,,,,/(/ _.. aA House No. Street Har; et . Onwer or Owners of Property......... ..`.....�...... aAL; 1. Q , .:................... .. County Tax Map No 1000, Section.... . ,...Block........,(,...... Lot.. ,,v,°, ........... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit...... .......Applicant..../4 �/,?.t�;'vi ......... Health Dept. Approval..........................Underwriters Approval...... ................. Planning Board Approval ......................... Request for: Temporary Certificate........... Final Certicate.X�....... Fee Submitted: $ „ � ,, �D.................. G.�.1 Snob - _ .-. ........ T�I�rAN C,6 N 10 r Af?EA= 42,976 sq ft. ,I A,lit+tI It„ .LVI IUB dA II0A1L tf-!,r l.,-h,t� 4o, 41 Ir• 11n At, (NI A I IIUN It )+N. Wtitf.Y IS A 6101. ATION ,r LA1101V t++Ul' 1n1 IM I(N,A SIA TE£OIJCA PON LAM, 1..111-1::,LAI rr'li OI-yl9+t nlNaN 2. ALL CERWICATIONS f,L.Ajov, 4kf (AI /O 10. 11,15 1141 AAKI CLAA14.% 1'NERECk7 OKI' Or SAN A+v• Of (0 11 > Of Pi PILE IA+PkE$iVP SEAL Or TME SLI)VEYCNN Mll(,' {, AI +'I I;, I Aff.H£t1N 4,-,-111,.111111 1(, A0Auri 411 Fl .4N11.410 1-d, TLRA+'AI TERLO B r' AN P;I HI, r-sul 0 .111) „t, .111 UTKf7MM A COPY ,N 4I/flllll H ,'..I Mrt f: $ (p, . 411r r£+IA/S ShCII A8-p45t-kCT£O- AW7 Uhnl-doll r(, PAN ,,.+ N,)1 Ni r.JAOA`[IANfC WIN TIM: I A* SURVEY FOR WILLIAM J. KERRIGAN AT CUTCHOGUE TOWN OF SOUTHOL D SUFFOLK COUNTY, N. Y 1000- 102-04-0..1 Scale: 1" : 50' Mar. 25, 1996 " 0%1. A N! �• N Y.S. 0C. NO 19618 r yJ pFC RS, P.C. 020 09 A VEL.EF S TREE T sou rftvt q N Y. 11971 ,96 -- 134 CONSENT TO INSPECTION Owner(s) Name(s do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at J(g0 A/Va� 4-�� , which is shown and designated on the Suffolk County tax map as District 1000, Section 0.1 Block Lot .0 l 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: � , V 1 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: (signat re (print name) (signature) (print name) /I BUILDING DEPARTMENT TOWN OF SOUTHOLD � /HOUSIIN_G CODE INSPECTION REPORT LOCATION: er & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY (type) (owner -tenant) ADMITTED BY: �7�1/l� CrY�/C�C� ACCOMPANIED BY: lIi 0;,G�, KEY AVAILABLE SUFF.CO. TAX MAP NO. - SOURCE OF REQUEST':- . �-- �----•- -- DATE: VA %? DWELLING: r / TYPE OF CONSTRUCTION W �G �jGv}on� 1 S'T'ORIES_ I EXI'T'S FOUNDATION CELLAR CRAWL SPACE TOTAL. ROOMS: IST PLR. 2ND FLR. 3RD PLR. IIATHROOM (s) (LAJcl TOI.LL'T ROOM (s) - - UTILITY ROOM PORCH TYPE Si��,�� ©jZr DE TYPE — PATIO �- BREEZEWAY FIREPL.ACE .1 /1V GARAGE DOMESTIC HOTWATER TYPE HEATER � �/� AIRCONDITIONING TYPE HEA'(' ^ � WARM AIR_ I10'l'WA"CER c OTHER: //n. f" .. -- ACCESSORY STRUCARES: r GARAGE, TYPE OF CONST. IN l s--• STORAGE, TYPE CONST . SWIMMING POOL , GUEST, TYPE CONST. _ - oTnER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE w Milli KIM 7--iMpax 'All REMARKS: INSPECTED BY �- DATE OF INSPECTION-- 77`��� TIME START r� END ©; w TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET Z VILLAGE DIST. SUB. LOT An� FORMER OWNERf ACR. 1-c L �jr 61 S g r D -Z TYPE OF BUILDING RES /d SEAS. VL. FARM COMM.. CB. MICS. Mkt. Value O /ice v / CI LAND IMP. TOTAL DATE REMARKS qt) (Poo :zoo o -3300 7 3000 ov 3111sZql 0vl�4 0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable' FRONTAGE ON WATER Woodland FRONTAGE ON ROAD o J Meadowland DEPTH House.Plot 9 Q BULKHEAD /- Total DOCK r))eQtAit/ou 11 `;`I'ti6 •fie � ��tfas!JP'J►^� �