HomeMy WebLinkAboutZ-27228FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPARCY
No: Z- 27228
Date: 02/25/02
THIS u~TIFIES that the building
DWELLING AND ACCESSORY
Location of Property 1520 FOUNDERS PATH
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 064 Block 0004
Subdivision Filed Map No. __ Lot No.
SOUTHOLD
(HAMLET)
Lot 009
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY ~ER Z- 27228 dated FEBRUARY 25, 2002
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 ENCLOSED FRONT PORCH AND ACCESSORY TWO CAR
GARAGE. *
T~e certificate is issued to ANITA MARRONE
of the aforesaid building.
(OWNER)
SUFFOLK COUNTYDEPARTMENTOF}IEALT~APPROVAL
EI~c£KICAL c~TIFICATENO.
PLUMBERS CERTIFICATION DAT~U
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
/ ~U/O r ~' e~d'~i g~a t ur e
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I~)CATION: 1520 FOUNDERS PATH
SOUTHOLD
S~]BDIVISION: ~ NO.: LOT (S)
~ OF O~ (S): ANITA MARRONE
OCCN3~ANCY: ONE FAMILY DWELLING
ADMl'l-rmu3 BY: KATHLEEN DOLSON
KEY AVAII~a_BLE: ~3FF. CO. TAX ~ NO.: 64.-4-9
SOURCE OF REQUEST: GARY FLANNER OLSEN
ANITA MARRONE
ACCOmPAnIED BY: SAME
DAT~: 02/25/O2
DWELLING:
TYPE OF CONS~uC'rION: BRICK
TOTAL EO(~S: 1ST FLR.: 5
BA'r~KOOM (S): 1.0
2ND FLR.: 0
TOIX~T RO~ (S):
# STORIES: 1.5 # EXITS: 2
CELIa%R: FULL CP3%WLSPACE:
0.0 UTILIT~
PATIO TYPE:
~R~ITION~G:
PORCH T~fPN: FRONT ENCLOSED
BREEZEWAY:
DOMESTIC HOT~ATER:
TYPE HEAT: KEY. GAS
DECK TYPE:
ACCESSORY STRUCTURES:
GAP~%GE, T"fPN OF CONST.:
SWI~ING POOL:
TWO CAR BRICK STORAGE, T"fPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DATE ON INSPECTION: 02/13/02
TIME START: 9:50 AM END: 10:15 AM
BUILDING DEPARTMENT
765-1802 /~:~ ~ .', ,. , ~ '
~Pn~CArIOU mR CERtIFiCAte. OF OCCU ~--~ ~ ,
This application must be filled in by t~ewriter OR ink a~d'. s~eed,,-co-...h~ %uiidiu
inspector with the following: for new building or new us~: T~-~ , ' ..... -, ~
1. Final su~ey of .property with accurate location of ali Du~idl~, prOper~-l~nes
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~)
3. Approval of electrical installation from Board of Fire Unde~iters.
4. Sworn statement from plumber certifying that the solder used in syst~ contains
less than 2/10 of 1% lead.
5. Co~ercial building, ~dustrial building, multiple residences and s~ilar build~
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Plann~g Board Approv~ of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Vpre-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 applicar
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in w~iting to the applicant.
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-existinK Buildin~ - $i00.00
3. Copy of Certificate of Occupancy - ~ .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0
Date ..~]?~?X.k~.ZO.O~ ...................
X
New Construction ........... Old Or Pre-existing Building ..................
Location of Property...J~5~O.~!~dcr$.Pa~h,.$o~4,.~P~ ..................................
House No. Street Hamlet
Onwer or Owners of Property..J~O. FPBD~ers Path; Southold, NY
County Tax Map No 1000, Section...06~o00 ..... Block..O4 ............ Lot. 99~.-99P .........
Subdivision .................................... Filed Map ............ Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................
Request for: TemporarYloo.ooCertificate ........... Final Certicrt~//~ ..........
Fee Submitted: $ ............................. . -"
¢.c ' .... ......... '"
GARY FLANNER OLSEN
Main Rd, PO Box 70G
Cutchogue, NY H935
CONSLNI
TO
SPECIION
Anita Harrone by Gary Flanner 01se~ as Attorney
Owner(s) Name(s)
, the undernlgned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the pre~nises itl the Town
of Southold located at 1520 Founders Path, Southol_d
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 064.00, Block 04 , Lot 009.000 .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in"th~ Southold To~ ~UllOing lllspectu~ 'o orrt.~ ro~ ~h~ fallowing:
~e story brick house and detached garage
That the undersigned do(es) hereby give consent to the Building Inspector:;
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, includind.inspection:;
to determine that said premises comply with all of the laws. ordinances, rules
and regulations of the Town of Southold.
Tile undersigned, in consenting to such hmpections, do(es) so with the
knowledge and understanding that any information obtained In the conduct
such inspections may be used as evidence in subsequent p/~utions for
_ Gary Flanner Olsen
(print name)
(signature)
(print name)