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HomeMy WebLinkAboutZ-26467FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26467 Date: 05/20/99 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 2022 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 050 Block 0001 Lot 021 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- 26467 dated MAY 20, 1999 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 WITH ACCESSORY GARAGE. The certificate is issued to JEANNE C LOWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. "'."L - ;� BiAlding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 2022 HYATT RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): _ranmm�x r r.OWELL OCCUPANCY: ernr_rn FAMILY JEANNE r rOWET-1. ADMITTED BY: Rnanrn rOWELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 50.-1-21 SOURCE OF REQUEST: JEANNE LOWE L DATE: 05/20/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME. # STORIES: 2.0 # EXITS: 6 FOUNDATION: C^m' nr nru — CELLAR: PULL CRAWL SPACE: . TOTAL ROOMS: 1ST FLR.: -A BATHROOM(S): 3.0 PORCH TYPE: BREEZEWAY: 2ND FLR.: —a TOILET ROOM(S): 0.0 3RD FLR.: _ UTILITY ROOM(S): $QEMNT DECK TYPE: WOOD DECK PATIO TYPE: BRICK FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: GARAGE, TYPE OF CONST.: WOOD PRAMS STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ' ART SEC. i i i i REMARKS, •, •,"I`ve nary rnMv_7191nR#r7aen nnnrTrnma rnuZ-18951. BP#18745 ADDITION & ALTERATION CO#Z-19081 INSPSCTSD SY:,r 1`'r) DATE ON INSPECTION: 05/20/99 GARY(J/FISS TIME START: 9:40 AM END: 10:12 C. Fees I. 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, dditions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - .25r. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Datef ......................... New Construction........... Old Or Pre-existing Building. i�.. Location of Property.��.Z�............�G��,,,,,,q.(.$(CL.,,,,...,,, House No. Street Hamlet Onwer or Owners of Property.. ,Tp Z !,tqA '... .LC f f / ............. ( 745._-5-7p ... . County Tax Map No 1000, Section....... s' ...Block ..... /.......... Lot ... Z! ............ 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: $... /0 d ................ %.......... ............................. APPLICANT TOWN OF SOUTHOLD R1 rR BUILDING DEPARTMENT TOWN HALL ii L.% 765-1802 BLDG DEPT. APPLICATION FOR CERTIFICATE'OF OCCUPANCY TOWN OF SOLiTF-QLD A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lineE 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 buildi 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 '-'pre-existing" existing buildings (prior to April 9, 1957) non -conforming uses, or buildings a land uses: 1. Accurate_ surv� of property showing all property lines, streets, building and unusual natural or topographic features. 2. tI properly completed application and a consent to inspect signed by the applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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, dditions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - .25r. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Datef ......................... New Construction........... Old Or Pre-existing Building. i�.. Location of Property.��.Z�............�G��,,,,,,q.(.$(CL.,,,,...,,, House No. Street Hamlet Onwer or Owners of Property.. ,Tp Z !,tqA '... .LC f f / ............. ( 745._-5-7p ... . County Tax Map No 1000, Section....... s' ...Block ..... /.......... Lot ... Z! ............ 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: $... /0 d ................ %.......... ............................. APPLICANT vwnerts) ivame(s do(es) hereby state: CONSENT TO INSPECTION W the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Z©2Z T1, ?�- /� z - which is shown and designated on the Suffolk County tax map as District 1000, Section S�y Block �Lot -2- That 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.' f 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: (signature) v� Lowe (print name) 25` 9 • � I i / n 9%2 00 E. d LL DECK 2 STDRY 4 FP- LL M£ lol' t m , SIO oil -� T QJ 6A WAY , RIGHTI NNI % OF -�'l i 2 ` 3x'3.3 7:> `-/ i y P'LY:o L AN D OF SCA l` FLY. LAND OF REED 14'7.31 IL; PREMISES 1012 (SEE DETAIL-) s.64`so'oo"E. - 417.34 FLY- LAND OP SAPI7i in ,1 1. � a 1,0 � N, r WiTF-SR�F'�Oh 0 >rQ s I�uT OP- w4Y - N.6456'vY H'Z•4.J i 50 SQRD I 3 . orl z NOTE 5 1.CQNTQURS L!Ef--E-Q: -Ip: SU.FF J• AEW,&,L SURVEYt U -TUM 2 MEAN 2.WF-F. CO.TAX MAP IPATA: 100-0 - 050-1- MAP OF Pu0PEI T Y � - SUG�VtYcG F 00- WITHtF2SPOON co I L-0 —LL \0, Rlj,(� D Q� AT - 0 501.11 HELD - TOWN OF SOUTHOLD,N,Y SIMMONS N N w 0 O U.1 O SQUERI MILLER M. BU RNA ��?--- M.BURNS WITHERSF��Pi ' �n __----- OFFENHEI SE -k GI55ON —ti9 . i HORTJN LANE LOCATION MAP SCALE-tWz i 11 7.1 L Jr,/ G- 7({• OFFENHEISER / % �4V Unau�hodzed a!±sr_.:n or addffim to this survey is a vi ±on of SeGkt17208 of the 'Uw York SWe EducaBon Lav& e:rttbaaed sealeltd nott bcottaiderea to be a veld Ow a" GutaanNn Ytaoa W 11Meon aMl tun ortly m the Pweea brNatn the wsvey b I�Pared. and on hta fxMl to the govww=W agency and IertNrtg Ittsin ution Bated hereon and 10 the assignees of Me lending tmsfl- h0m. Guarantses ars not transferable to additional IrsiltuLwf a or subsequtttd owners. GUAP.AN i�EEU TD THL T-1 -LE GUARANTEE COMPANY AS SU WEYEU JAR5,1972 IAN JYL-f-50"N Iz. v�� UCEN5E.D LAND 5UQYEYOR` i�-EENPO€Zr N.Y. i 97Z - •, DEC, 14,1988, a= i QhI PIPE CI=MO�ME_t-T rl7LE co.NO.IZ733Qs8. LOCATION: C710y�_ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT r 0 street) tmunicipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER 1-D cde5 OCCUPANCY type / owner -tenants o ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF . CO. TAX MAP NO. SOURCE OF REQUEST: DWELLING: TYPE OF CONSTT}}RUCTION 1 # STORIES FOUNDATION CELLAR /C TOTAL ROOHS: IST FI.R. 2ND FLR. ,7- 3RD FLR. BATHROOM (s) 2 PORCH TYPE BREEZEWAY DATE: # EXITS 6 CRAWL SPACE TOILET ROOM ( s ) UTILITY ROOM DECK, TYPE VOO# PATIO, TYPE Br2.rG/� FIREPLACE GARAGE DOMESTIC HOTWA.TER TYPE HEATER AIRCONDITIONING TYPE HEAT C WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: /e rf -t- �9 S INSPECTED BY: DATE ON INSPECTION TIME START i tAk -21 TOWN OF SOUTHOLD OiOPERTY RECORD CARD OWNER , STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E , , 1 ACREA ,t, W, _ TYPE OF BUILDING J SEAS. VL. FARM COMM. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS ffo& 1 g o 3a aro .302 0-0 Z 3 3 0 o O oo /70 0A" o e o0 oao 1411 612-3 2:00 a 30 4 7o a /S 61qp"A-44 /o ,L,�a u 7-d ... L t-Ae 2-400 � G 8©0 92,00 3 �%/� *0 - AGE BUILDING CONDITION She*fI.-w7-F , „9 4vv NEW NORMAL BELOW ABOVE 04.e y _ o Farm Acre Value Per Acre VolueA _Bt?* & 7 �/67_ - rilloble 1 billable 2 billable 3 Meodland swampland 3rushland House Plot v v S NNOMMENIMMEMEMEMEN1 MMMMMM1?w11MMMMMMMMMMM EMMMM SMEMMMM M MMMMMMMMIMMMMMM■e■■■ MEMMEMM11MMMMM■M M MMMMMUEMMMIMMMM M■ NEUMMINNNOMMOMON 1 0 NNUMMANUMMIAM N 0 ManNOMEMMENIN N 0 ENUMMOMMEMIN MMM ML-M■■NEINOM MMMMMIMINEENIMS ENNOMINEENIM MLE Bldg. 3S L) .50unclation ,tensionBasement -3 �,— Floors :tension /0" --7� 11 3 3 - Ext. Walls Interior Finish !Tion - Fire Place Heat I is 2 o Y, Z- = a+ C) 2—Asq '7 1 0 lZ Porch Attic X 10 =J(.d Porch Rooms Ist Floor eezewoy I X I32 Patio Rooms 2nd Floor irage Z- 'Z 0 Driveway — B. //"N