HomeMy WebLinkAboutZ-22707FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22707 Date NOVEMBER 4, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 360 PRIVATE ROAD #1 ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 17 Block 1 Lot 12
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-22707 dated NOVEMBER 4, 1993
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 SEASONAL DWELLING WITH GARAGE UNDER HOUSE
The certificate is issued to GRACE BEVERLY LOMAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bu' ding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION 1?EPORT
LOCATION: 360 Private Road #1 Orient, New York
number h street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) GRACE BEVERLY LOMAS
OCCUPANCY A-1 OWNER
(type) (owner -tenant)
ADMITTED BY:. GRACE LOMAS ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-17-1-12
SOUr,:: OF REQUEST: ESSEKS HEFTER-h ANGEL, ATTY DATE: NOV. 1, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD -FRAME (STUCCO EXTERIOR)# STORIES 2 # EXITS 4
FOUNDATION CONCRETE CELLAR PARTIAL CRAWL SPACE
TOTAL ROOMS: IST FLR_ '5 2ND FLR. 2 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) _ 1/2 UTILITY ROOM
PORCH TYPE 90" front porch DECK, TYPE PATIO, TYPE
2 Screen Pbrc�"�s ; = floor
BREEZEWAY FIREPLACE 3 GARAGE 1 Car under house
DOMESTIC BOT14ATER Yes TYPE HEATER Propane AIRCONDITIONING
TYPE HEAT NONE WARM AIR
HOTidATER
OTHER: Laundry room tirst floor
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION - DESCRIPTION
ART. I SEC_
REMARKS:
INSPECTED BY:
DATE ON INSPECTION_
TIME START 3:30
November 3, 1993
END 4:00
-
-
Form No.
6
TOWN OF SOUTHOLD
BUILDINC DEPARTMENT
i TOWN HALL
765-1802
APPLICATION FOR CERT.FICATE OF OCCUPAKY
Thin _Pplication oust be filled in Ly tt'f;_WiLer OR ink onj SUKILEtc'.. to t1 bu:ildQ6
K lPtCLOV with the following: for naw building or neva use:
1. Final survey of propertywith aLcu�atc to G:.Llon GI all.
bui_idir.ge, (%roper _y i.nes,
strew:6, and unusual nature! or topographiu features.
.-�.
Final Approval tram Hwalth Dep;. of s%:rEu �ti iv onC Q � ?-rl< <`
,-'- },, _ ] et.trab.. i�posal(,,-9 form).
3, ail&Oval- Of ?.le:ttQ03 luscsilaciOn from board 01 Fire Undarvritrr3.
4, Sworn Ltarement from �plunber Irl fjin> Lhat. r;ie sold it .
' r ti y b solder used ,y -iter,: ci:n:�;,.^.s
loss than 2./10 of 1"/,. lead.
. Commercial bV i':i:'.,v„ X.n(: it stYldl i:u ii-Gj-i.hl, trill IC ly'!.2 rCSjdanCeS and '.if9'.lt." ., ..i'Ca.2R,5S
and installations, a cerriticate o: Code Compliance from archirect or engineer
responsible for the building.
6. S,"br,ir Pl;nntng Board Approval of completed site plan requirements.
Fur existing building;. (prior to April 9, 1057) non -conforming uses, or but'c and
"pre-existing" land uses: V
Accurate survey of iropar ry showing all properry lines, streets, building anilii
unusual %.:;Lural or topographic features.
?, A properly w mPleted application _'Kion anai i"
- p{- vn.,cut r-, 1n_.pzct Signed by the applicant.
if a Cur -£.cats of n0cupaPQ is denied, thy Ball -ding Inspector shall st•: e the
re_=suns therefor in writing to the :applicant.
Fees
re:tifiOate of Occonancy - New
<v_'lin8 $25.00, Additions to dvellirg $25,00,
AltsYat ns no !Well!'�2>.Ch, SwitIny pout $25.00, Accessary building a25.
Cr
,
A300ons jccasiGry Wooing
y I.0 U i ESac3 y50.00.
_, trri.irate
of Oacupancy on :'re -3 i .ri:g BuildjvS - 1100.00
1. ^_spy Of Cer.tifiante o` Occupancy -• `?j.00 over 1 years - $ ^
' � ' 1�.00
4. Updated Certifi.cace of Occupancy - $SO.Oi)
A, 7enporiry Ccrtificoze of OCaupaucy - Residentill. rl .00, C:nmvvr. isl l).06
November 1, 1993
Date
IV Co-stro__ti.na , ... _ ... Old Or Pre-existing Bui.ldinb , .X........ .
..:ration of Property ...... No#...._. ..Pripate,Ro,ad............. 4Fi,. erlt....................
Haase No. Street Hamlet
.wet or Owners of Property....GRACE BEVERLY LOMAS
.-:r, Tax map No 1000, Section.. 1.7........Blocki... 1 ............ Lot .....1 .................
,hdivision..THE CEDARS .......................Filed Msp No 421 Lot.. Plot R
irmlt NO .... N/A
......... Date Of Permit .. Q .......... ,pplicYnt.... N/A ...................
.:„lth Dept. Approval ..... N/A ..................Underarite,rs Approval,..N/A....... ........
....
NIA
lanning Board Approval ........................
:quest for: Temporary Certificate........... VInal Cerricate t.........
�e Submitted: $, 100;00„ .....................
4 002i
AP • .ICAiT iiCE. BEVERLY LOMAS
CU�S1:_.T
TO
I\rhLC rioN
GRACE BEVERLY LOMAS
uavncrts) "N'amt t:,)
do(eti) hereby state:
That the undersirrncd (:ir(,) tL•c o mcr(-) of the prcmi=<: L- he To.•. -n
a
of Southold '.ocated at Nod) Private Road, Orient, New York 11957
.which i_ .;hot•:n and deli n^tort on 'hc
County ta% :rap as District 1000, Section 17 Block 1 Lot 12
That the undersigned (hls) (liave) ;iie4, o: caused to be filed, an applica-
tion in the Southold Town I uiidi.nq Incnector', office for the fo lo:wir- —
CERTIFICATE OF PRE-EXISTING USE
That the undersigned do(e-�) herc-by In
-rive co:; -rent to the 13u:ic:u;- Ir -s
of the Town of Southold to enter upon :ile above dc:crihed property, ir;cluding
ar.,, and all builo''ngs located thereon, to cond'J.ct i„C}1 1(1°'pectiLms as G,' :' —v
deern necessary with respect to the c:crc said appticction, ircie in^ i::sp,,ctio-s
to deter:.line that said premise-, corr.r.l.' .:itrl al1 of the la.xs, or dina:.ccs, rules
and requlations of the Town of Southold.
The undersiSned, in consenting to such inspections, do(os) So
l:nc:wledte and understanding that any infor—. tlon obtained in the cor•..:uct of
such inspections may be used a., evidence in subsequent prosec:::ionL for vio-
lations of the lav/s, ordinances, rules or regal tions of the Town of Southold.
Tutee!: NOVEMBER 1, 1993
i« ure
t~ ,
GRACE BEVERLY LOMAS
(print name)
(Sig11,1ture)
(print name)
.suuvE:1 Foe
Ar
f
"THE CcoAa6 "
(SUI f Gid c �. f rri�/d ►�?i/�7 1% �{i li
�uf�nl Carf��`y rox i�)at-cel: i000- r7-i-iz
Q
LANo
t
i
i
v,g9°zZ'zo—e-
�� rsa. o
Umotlwdzed alteration or adcum
b thla m a violation of
/7- Jcr;i Z, 1993. a aurwy of the New York SU
zoderlck. vaa -ruy/, A C. COON ofthis
.unrey notbaw"
va
bona no &* ammmew
bWbmbd mdown
icert,Fed Lersd 5arveryora love """""°"to"
aW as Mo tlMrif a er
�Vanf porartatMnutapot�y ane
6 rat a�n r7; N. Y. �+o i�eYWam awd hataoa ane
T
MOM Guarantees are not twiskum
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LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY R —�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
number b street
MAP NO.
Lo 017.4 s
municipality
LOT (s)
(type! (owner-tc a t)
ADMITTED BY:. �C/}cI "S ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO.__1�— 21
SOUL;:.; OF REQUEST:,/r �„ s DATE: / 3
DWELLING:
TYPE OF CONSTRUCTION Wq-06 �ieArht �uCGp4'rm/ TORIES # EXITS
FOUNDATION C,e � CELLAR .gzc rj oy c CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. pZ 3RD FLR. _
BATHROOM (s) TOILET ROOM (s) /Z- UTILITY ROOM
Cov oKcn! f.Gv✓T
PORCH TYPE .Z Se, ,lw Po,ecy QST DECK, TYPE PATIO, TYPE
S�-�L,�.✓ cKcy lid FC,e ,E.9sT
BREEZEWAY FIREPLACE GARAGE %,6
DOMESTIC BOT14ATER ES TYPE HEATER ��JP�.✓,E AIRCONDITIONING
TYPE HEAT til WARM AIR HOT[v1ATER
OTHER: zz
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIllMING POOL
OT11ER:
STORAGE, TYPE CONST.
GUEST,TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ( DESCRIPTION I ART. I SEC.
REMARKS:
INSPECTED BY: DATE ON INSPECTION �� 3
TIME START E
TOWN OF SOUTHOLD
0%
PROPERTY
RECORD' CARD
OWNER
STREET C)
VILLAGE
DIST. SUB. LOT
aY dIna CL D
FORMER OWNER
E
ACR.
0,95
S
TYPE OF BUILDING
KES.)/O
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND-
IMP.
TOTAL
DATE
REMARKS
00
her- 5 74 (b m a m �v o vvas
e)
0D
Y ofl�
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
fl
Tillable I
C;11 A-110
Tillable
-/1110
Tillable 3
6�f�14� / Z-: �;
Woodland
I I
Swampland
FRONTAGE OWATER
Brushland
FRONTAGE ON ROAD
House Plot
DEPTH
BULKHEAD
Total
DOCK
g�
y i
IIj � ll"�
rn r