HomeMy WebLinkAboutZ-25714 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25714 Date: 05/09/98
THIS CERTIFIES that the building DWELLING
Location of Property 1765 CALVES NECK RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 070 Block 0004 Lot 049
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- 25714 dated MAY 9, 1998
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
The certificate is issued to ADELE B MAXWELL
(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 •• :'ORT.
i•1
il
Building In- .ector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3765 CALVES NECK RD SOtWHOLD
SUBDIVISION: MAP NO. : LOT (S)
NAME OF OWNER (S) : ADELE B MAXWELL
OCCUPANCY: ADELE MAXWELL ADELE B MAXWELL
ADMITTED BY: MR. BROWER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 70.-4-49
SOURCE OF REQUEST: ROBERT BROWER. 4/6/98 DATE: 05/09/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3
FOUNDATION: CFMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : _1 2ND FLR. : 1 3RD FLR.: 0
BATHROOM(S) : 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: REAR ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE: ONE CAR
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER:
ACCFSSORY STRUCTURES:
GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST. :
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER: DOCK WITH STAIRCASE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION ART. ! SEC.
I 1
i
I I
REMARKS: �nS
INSPECTED BY:/;11/11111t, 211'„� DATE ON INSPECTION: 04/21/98
JOHN M. BOUFIS TIME START: 10:15 AM END: 11 :00 AM
Form No. 6 !",16.x4 /l (7?�1 -`
n1
TOWN OF SOUTHOLD
BUILDING DEPARTMENTi APR 6
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25c
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date OY(e317r
New Construction Old Or Pre-existing/ Building X
/
Location of Property l `t1 Com{✓cS N ,So44/l41c //1y
Ho o. I q� Street Hamlet
Onwer or Owners of Property ,1 de `e- /f aXWG/(
County Tax Map No 1000, Section 7o Block Lot
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: $ /
qvac Sti rev ke(eAf Po A-4\
&AI �"' 5.27 APPLICANT
CONSENT
'I'O
//►� // t
INSPECTION
/'r Ie'(e ax'e�1
, the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at / C Neck /d. r ,Sou/44(0/
_ , which is shown and designated on the Suffolkff
County tax map as District 1000, Section 70 , Block , Lot 4 ( .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion inthe Southold Town Building Inspector's Office for the/ following:
//
t�ert- r4 0c fenc/ vn �fe --,Gc7 /3(4 .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: O�/03/??• __ C C . / `'�, i'GL ra/7-A we�
(signature)
(Ce tart C. EroWer"
•
(print name)
(signature)
SURVEY OF PROPERTY
SITUATE. SOUTHOLD
TOWN OF SOUTNOLD
SUFFOLK GOON Y, NY
•
SURVEYED 03-23-98
SUFFOLK COUNTY TAX MAP
_Q/ 1000 10 4 49
GERTIFIED TO:
ANDREW STYPE
BARBARA STYPE
of
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NOTES:
• MONUMENT FOUND
naVnnnnp dec aott1pYn aun to eau of
vey
pPIPE FOUND uciary°n f aectIon o, cut-oLLltnz. of tn.
Xe.Yort$Leta FCUCaIIOn Ld.."
'Only copies from the original of this survey
BULKHEAD - •OF NE4 Y,r nark.°nith an or,Glnal of the land surveyor fstamped sin in V.conu°end to°e valid true
ddl.e
AREA = 21,541 5F OR 0.49 ACRES 0G.Elly, 'Qt Certlfl°etlon. Indicated hereon signify that thio
'p.Q .y eas°revery] In arcerdence nth toe
• V ev-
latlng eode of Practice for Land Surveys adopted
�- iy the X.e York atet.Avaoclat,on of Pro'sen only
Land 9ufv.Yor., yltl c rt l'Icat lane ann]run on1Y
REFERENCE DEED — L. •1450 P. 550 d tn.p.r,dn .hdn la pry]af.p.
,. end on me a.nen to Ine tette c11.1.0.hereon.eigir"� * tel agency and lending lnetltutIon I,atoo hereon, end
V to tne epn
ao , eep on the landing Inetl tat Ion, Cert. 'lce-
{ 1Oy uoneer net crena rereol.to a°alt lonel Invt ltutlono
PROPERTY ZONED R-40 c..- a
MINIMUM SIDE YARD 15' N p-��i-"' ¢
IgkbLAND L
GRAPHIC SCALE 1 - = 30 N. Y. S. LIC. N0. 50202
JOHN C. EHLERS LAND SURVEYOR
==�-- 6 EAST MAIN STREET
- RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REFERENCE # 98-0134
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: &e €
, 7ze;
,4,e4____)
,e4_ _ �1 j
(number & street) (municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) Ci �;,.. i�i/, /d /4e
OCCUPANCYtc.,,, r"
(type)y / (owner-tenant)
,/
ADMITTED BY: /7 /2 ACCOMPANIED BY: �--"
KEY AVAILABLE SUFF CO. TAX MAP NO. 72 XPi— }-10 '
� , DATE: J' .G.3 9�
SOURCE OF REQUEST: �� y �,4,� `���./�� //
DWELLING: L
TYPE OF CONSTRUCTION l/D d , f W'' I STORIES (/ I EXITS
FOUNDATION (/ CELLAR /5;/-,/:// CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR. to./ 3RD FLR.
BATHROOM (s) � TOILET ROOM (s) UTILITY ROOM
PORCH TYPE; 45/W� DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE 3Ai--�•-- GARAGE fes . �G�4
DOMESTIC HOTWATER !/ TYPE HEATER ►U., AIRCONDITIONING
TYPE HEAT er, WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL
¢_. . , GUEST, TYPE CONST.
OTHER: ,)0C PG- - �'✓F k_> r "`�'4'L C -�
7
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
(9 r _
� s
i�IPId'!�1` .4";1"4 /-,7-.1 .11rnriw!r ,I
(p/e #111** 41/
REMARKS:
. /frer
INSPECTED BY. ,fir, A040 DATE ON INSPECTION
TIME START /d,'/r END