HomeMy WebLinkAboutZ-23016 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-23016 Date MAY 24, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 53850 COUNTY ROAD 48 SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 52 Block 2 Lot 19
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-23016 dated MAY 24, 1994
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 TERESE BRADY MENDEZ
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
:3' B ilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
• TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 53850 COUNTY ROAD 48 SOUTHOLD
(number & street) (municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) TERESE BRADY-MENDEZ
OCCUPANCY A-1 RESIDENCE OWNER
(type) (owner-tenant)
ADMITTED BY: SELF ACCOMPANIED BY: SELF
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST: TERESE BRADY-MENDEZ DATE: JUNE 16, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE if EXITS TWO
FOUNDATION CONCRETE CELLAR CRAWL SPACE X
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) ONE FULL BATH TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT LILCO GAS WARM AIR CENTRAL FLOOR HEAT HOTWATER
OTHER:
ACCESSORY STRUCTURES: - NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED , ,.
�=� DATE OF INSPECTION 6/21/93 REINSPECT 5/13/94
GAR' FIS:
TIME START 9:30 END 9:50
i��
Form No. 6
TOWN OF SOUTHOLD
• 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,��Commercial J1 .00
Date 411 l5
New Construction Old Or Pre-existing Building
Location of Property 6-43$745-10 A4414* iI9t ' , ‘57014A44.00(
House No. Street Hamlet
Onwer or Owners of Property. . . .-arOsc S/ - M dcZ
County Tax Map No 1000, Section. . . . .52 Block Lot i?
Subdivision Filed Map Lot
Permit No Date Of Permit Applicant
Health Dept. Approval Underwriters Approval
Planning. Board Approval /
Request for: Temporary Certificate Final Certicate N°
Fee Submitted: $ 100.00
-WINCHAM;'fJY VESSLER, P.C. Daniel C. Ross,E5
• Main Road, , box 1424, Mattiutuck, NY 11952 -_
516 - 2QR-R1r,1
NORTH ROAD
`_ ABOUT 3000 ' TO
N.61659'10" E. i 1 _ - ALBERTSON LANE
49.33 ' I . -/'c/
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" OLD COVE BOULEVARD " I''' N
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49.39
100'
6.61'59' 10" W.
LAND OF HELMUT FHASS
O = IIoN PPE
MAP OF PROPERTY
SCALE. : 30' - I"
SURVEYED FOR
R`. IC. 1-1ARD L . GIBBS - GUARANTEED TO INTER—COUNTY TITLE
GUARANTY tf. MORTGAGE CO., AND TO NORTH
AND
p FORK BANK 4. TRUST COMPANY , AS
GFlf'�OL, �J GIBBS SURVEYED • MAY 18 , 1959 . .
AT OTTO W. VAN TUYL ZE SON
Al SHAMOMP,'' UE -r- . V 1---
Aza
TOWN OF SOUTHC ` , NI, Y. LICENSED LAND SURVEYORS
Gtt-EENPoe.r, N. Y.
CONSENT
TO
INSPECTION
TERESE BRADY-MENDEZ
Owner(s) Name(s) the undersigned,
do(es) hereby state:
That the undersigned (is) xXg) the owner( of the premises in the Town
of Southold located at 53850 North Road(Old Cove Blvd & North Rd bounded on Eas)
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 52 , Block 2 , Lot 19
That the undersigned (has) ktigme>) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Old or Pre-existing Building Certificate of Occupancy (Final Certificate)
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: June 16, 1993
(signat e)
T res e• Bract - Hit z.
(print nAme)
(signature)
POC to coordinate time of (print name)
inspection is:
Daniel C. Ross, Esq.
at WICKHAM, WICKHAM & BRESSLER, P.C.
Main Road, P.O. Box 1424
Mattituck, New York 11952
(516) 298-8353
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: J3d9So /�ier7f ( r
(number & street) (municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) /4-4614- 42,117
OCCUPANCY /3-I 4es. 0���re
(type) (owner-tenant)
• ADMITTED BY: . S,,C/= ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO_ TAX MAP NO. J.2 - OZ - /C�
SOUL:;.: OF REQUEST: /,E/�f J'C' 14f/J c' /V4+�/�,A1 DATE: TJ2 - �6o
/ /993
•
DWELLING: •
TYPE OF CONSTRUCTIONG' )/' � E if STORIES Du.e, ii EXITS 7w0
FOUNDATION C'17,/ CELLAR — CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. —
BATHROOM (s) 021-( /„( /54.4 TOILET ROOM (s) UTILITY ROOM --
PORCH
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT 1,ccej GeS WARM AIR C, 1 /Z ,, , MP1OTWATER
OTHER:
ACCESSORY STRUCTURES: // �
GARAGE, TYPE OF CONST. /` STORAGE, TYPE CONST.
SWIMMING POOL , GUEST,. TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
•
•
REMARKS:
INSPECTED BY: DATE ON INSPECTION 4 /2 pp4'4 ` - 5
TIME START '�p END ;
J
'"` . .-Y;; - '� _ X00 ;,� V" 1. , 7 7.f--
.t "--! 1 Get1
>',. L �, ' - _ - _ / ? TOWN OF- SOUTHOLD PROPERTY RECORD CARD -�,,,t V
OWNER STREET 5 ce 50 VILLAGE DIST. SUB. LOT
ese .grad'' NI e�dem K _ f,'
I
FORMER OWNER NG� 48
4 �� E }4� QACR sr//�I • ,f
�ll-�, g rieC�/exp re r`- s • W TYPE OF BUILDING
Zo i d e t f;e d/eR F.s�i . 5:t H '4'1 s • Ai' 4N'41/31# J _ y n
RES.a'�U SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
O`
LAND IMP. TOTAL DATE REMARKS
Gf 4 V � /� UD lcLZif-e..- j Frei Wee
/d 2 3 9 /622-/G;..� - G, h b s -f o. W. Fr
.-e,-0 2v---6, o , ,2 ---&-o ✓ A//6 yi ✓_ , 1, ., - y .a,a-LR_ z,/.z F/G 6• iv, F e cl/eN -G - A Bfr 4 d
Ak...,4_,Ivt"-v4i en.,„neeLed Lg 6 7 1
y/Z/74side_ 4ba(-). ,fr- 1y/• tU„1 'Ad7 r �, e. ,cedle?
1/14//h4-,(9c..i)eeI. P9.�G- 1U41. A. 1i ecl/0.6 /f-:r%(To— /AL,.•W. re' cte c
AGE _ BUILDING CONDITION S/„leo t.�QG fj,e4 ,e(P9,1.14/lF7.. tom Al,/ 'd/eR Oz.7-- ro- 7 A' WeNdiPicr:rod
NEW) NORMAL BELOW ABOVE 4/28 g9_ fItoh i •eks on '6 J ro ? - d I tzve rc1
FARA Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD .S/9 ' i/ °A = s 3 7
House Plot DEPTH r p D
v+ _ BULKHEAD
Total - DOCK • . .
...--,_„„.., --.......,
COLOR
1 --,kiii4, '
. _
. ...j.s...4
— .
',,, '''t:', • •
1
TRIM
_ Al
Y .
—1,
-pi
fA
11
L .
-....-,
_ .
•
. . ,
..... .-
-- ,
, -.4.4. 4'......
. • - , rtit4.4(..14
Foundation ee_o_nreizsi , Bath
/ Dinette
M. Bldg. 1-141( 2 if* 67Z- 5 .° ° vo I to
Extension Basement -. ' Floors V-4 K.
Extension Ext. Walls
_O-4--f—' Interior Finish . Afihe;V.4/cA LR.
Fire Place Heat
Extension • -?-1..-e) • , 6-4 FF DR.
Type Roof ?ce-b-et. Rooms 1st Floor BR.
Porch Recreation Room Rooms 2nd Floor FIN. B.
--
Porch / 6)1 3 a .O'4 - 3 0-0 . /o _ 30 Dormer
Breezeway Driveway
Garage
Patio
O. B.
r Total c2 6
• 1
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