HomeMy WebLinkAboutZ-20461 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-20461 Date JANUARY 9, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 840 OLD SHIPYARD LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 4 Lot 21
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-20461 dated JANUARY 9, 1992
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 ATTACHED ONE CAR GARAGE *
The certificate is issued to ESTATE OF HELENA L. MEREDITH
(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.
„,‹5(
131.2ing Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 840 OLD SHIPYARD LANE SOUTHOLD, N.Y.
(number & street) (Municipality)
Subdivision Map No. Lot(s)
Name of Owner(s) ESTATE OF HELENA MEREDITH
Occupancy A-I Res.
(type) (owner-tenant)
Admitted. by: MR. MEREDITH (SON) Accompanied by: SAME
Key available Suffolk Co. Tax No. 64-4-21
Source of request LESTER M. ALBERTSON Date JAN. 3, 1992
DWELLING:
Type of construction WOOD FRAME ¢stories ONE
Foundation CEMENT BLOCK Cellar PARTIAL Crawl space
Total rooms, 1st. Fl 4 2nd. Fl 3rd. Fl
Bathroom(s) I FULL BATH Toilet room(s)
Porch, type Deck, type Patio, type CEMENT IN REAR
Breezeway YES Garage I CAR Utility room
Type Heat OIL Warm Air Hotwater II
Fireplace(s) NO No. Exitsi 2 Airconditioning
Domestic hotwater YES Type heater OFF BOILER
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool
Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description IArt. Sec.
Remarks: BP /17160-Z CO Z-17469 FOR DECK ADDITION
Inspected by: 4 Date of Insp. JAN. 9, 1992
G• ! J. FISH Time start 9:30 end 9:50
Farm No. 6 deL'i
TOWN OF SOUTIHOLD JAN
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must
inspector with application
be filled in by typewriter OR ink and submitted to
1• Finaltr surythey of property
for new building or new use: the building
streets, property with accurate location of all buildings, property
and unusual natural or topographic features.
2. Final Approval p p Y lines,
from Health Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation )
4prn statement from from Board of Fire Underwriters.
less than plumber certifying that the solder used in
2/10 of 1% lead, system contains
5. Commercial building,
and installations,iindustrial building, multiple residences and similar buildings
a building. of Code Compliance from architect or
responsible for he bcertifi
6. Submit Planningengineer
Board Approval of completed site plan requirements.
=1• ' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
S land uses:
1 . Accurate survey of property showing all property lines, streets
natural or topographic features. building
2. A properly completed application and
(?,
If a Certificate and a consent to inspect signed by the applicant.
If reasonsCtherefortofn Occupancyoishddenied ,
the Buildin h
S Inspector shall state the
applicant.
C. Fees
1 . Certificate of
Occupancy - New dwelling $25.00, Additions to dwelling
Alterations to dwelling
g $25.00, Swimming, pool $25.00 $25.25.
to accessory buildingAccessory0building $25.00,
^2• Certificate of $2istin Businesses $50.00.
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 $15.00
ew Date //374i2
Construction. . . . . . . . . Old Or ;� . . . . . . . . . . . .
•
Q Pre-existing Building
'cation of Property. . . ,4R%O. . ...... . ....... .......
House No, ��70�-eTi�/oL�j
Street
r or Owners of Property. . ,f,i1yJtv Hamlet
+ Tax MapNo 1000, Section. , ,1�,� � • � � • " " " " '
. . . . . .Block Y Lot
pion. F.0!-IN D.i2S. . .FS.rt'N?:.S .
Filed Hap. .V. Lot. 40
. . . . . . . . . . . . . . . .Date Of Permit.
. . . . . . . . . . . . . .Applicant
't• Approval
Underwriters Approval
and Approval
Temporary Certificate
/Iv
Final Cc�atc
$ � loc7 .
. . • • .A Cl
a614I is stir 'Xek �r2� . .
CONSENT
TO
INSPECTION
C o f til L,f AM L.
Owner(s) Name(s)
�kepi the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
.34o CP • /o •4eD L. • . e
s�u7"Ao �D , which is shown and designated on the Suffolk
County tax map as District 1000, Section
4.14 Block z-/ Lot L/
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:
C
0 a re
fXIsrim _
40-4 F,Qe-v.I
•
iW cb/ G
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 regulation :f the Town of Southold.
Dated: i3 /g Z ‘/„/7/(j.K
(sign ture)
_�SrEiz !'bl �Ll3E2TSan�
(print name) execc..Tola
(signature)
(print name)
., ,_i. '+sr',-'2,!;‘n or _ - r w +
c,. -P,-. G:`V73 YG.'.L WI* i 't" t
r .
10..otion LOW. 1 V �._. .-_ .... r ` . 1 L. .t` L-_. . ' i i i "t
f'✓'-' cr tills surrey map no;�`9t^r�;T-Z __—. _ _ __
t4::Y_; surveyor's inked 888V IX" _, -
ct:.
-, wed 8881 shalt nabs consider/act - __-
to be.a valid true*splti - , . -
usrc/teseIndicated hominids:9ro L - _--_--
cn y to V:»person for wham rho sur.rc; ' '`7 1=1 - -
i: rr coz:�,end on Ns bake!:to t;,a
t`� .'. ,. �r J_ •
+`c rnm
nny,ooveenttl tett•r n:7 ___ .. _ _. . . - . _ _..------.. _.
:-1:y,=inztieution lictc''hC-:n c.:::',1
tr;ts c -na a rho lc^_in;?-..:1- ,
IL-..'....i..Luscracts ere not C:n;-•;.'_40 ;,
tet=!.;o:x;in atutions or€su/sc^ucni - `! /
:7--4,.....
0 II
i .
y _ i
L I I •_rte• E��'4,1 AY ( ♦ I-t'l -
404
w•::,:.: !..; VEN�E - _
::.YC'_JN.:E 0 - —
`f0 f . _-J.., - - —
cre OF NFki-
i LOT Q E r-�2 T.; MAP : Fr.:,J I E:E: c� A E �P` Vq� yO AS :il R -,T-:
C NvJ, T t ED J N y
FILEv iN Trt tC -r^ • 7i< , CF:-4-CE }' ,)/Q -IN-4e, n^�: `I i� Vii t•
l� �.
E F. ...ti L-�'.t v r"•• P�:: MAP �•1 tST .A.2 c, i.
•► 1..1 _
\ r
r r . .. ~ I-II It L r �.� V .J i �.
a jFF, •
C... .Ak MAP ,�PTA,. .�..Q-`:64 - w-t , -� rr ',r.c1;¢
•
�-r CS 25 a
•
rv ` _IL LAP
�)c C'r _- aKEE
_. , vra „'&�.
/�D6 — b 5�— �— �. TOWN OF SOUTHOLD PIOPERTY RECORD CARD A9-2=
OWNER STREET cef 9 0 VILLAGE DISTRICT SUB.
,,.....u...414
Y LL -
_LOT ,
f� ?4^&�...'CA.'" 01: /J10W 0,adio..., i2)
11----.
FORMER OWNER N E ACREAGE ,02c`
S W TYPE OF BUILDING
y
RES. 146 SEAS. VL. FARM COMM. ( IND. I CB. I MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
DD ,2f-O D 29DD tc 7//
J a70 0 _ 36" o o / . //1/7/
Boo 2% 00 3 ( o 1/to/90
AGE BUILDING CONDITION
NEW NORMAL BELOW 1 ABOVE FRONTAGE ON WATER f
Farm Acre Value Per Acre Value FRONTAGE ON ROAD ys-- X / 6_,0 • n /0.6 a
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland j
Swampland .
4.
Brushland 4.
House Plot
Total ,SW .
, , _.. „zr., ''''-',,, ..4,,,,..:
, , ,
...1...,., . . . , 6'--r- e `/
• A , , ,.. .
, • ,.,
ic-ifii. ..• .
______ . ,
..,_.• . , . ...
,.
.2r - 1
.,
227/; f-)a 4 t
.6Y ISI I i
- . ry 6 -i}, �, of •
- . 0"--4`.
.0 f', yf •e%40,1 t11:1..,t
1 I —
7 I 7 +—
•
iyt
I
•
I j
M. Bldg. a e)(a`C 7. 4 7y'' 3. ,, 19 Foundation C Bath
Extension Basement •
f'-'4,, L L Floors b ttK
Extension Ext. Walls 451,3Interior Finish woe)LL BP
Extension Fire Place u Heat �' W
/°a S ,� D X q'' / G p / S-c) a 4 U Porch Roof Type
') Porch Rooms 1st Floor
q+/ o / Ii (/ :-''( / ,io ig
Breezeway 7 X $ s3 o Jw /r Patio Rooms 2nd Floor
Garage , ;q Q g 0 Driveway Dormer
O.B. )
1 o 1.20 : Zoo ,2S 50
_.,,.2---7--q-/-,1
- 2:7 q 1 4/qv _
4 w
ti
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ' ° 6e_c
-Inumber & t eet 067777717757-------
Subdivision
Municipa itySubdivision Map No. Lot(s)
Name of Owner(s) �, � Ok'r _ /
Occupancy 1I—/. -
(typeS caghei77111
Admitted. by: Att_ kiAzi,tA (3 ') Accompanied by:
Key available Suffolk Co. Tax
Source of request pL--ed (Y1 - ael-Cktabi Date 1 /1 1i
DWELLING:
Type of construe`.�n „� - r#stories 4{ �'
Foundation �; Cellar Crawl space
Total rooms , is . Fl 2nd. Fl 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway ..5 Garaged Utility room
Type Heat Warm Air Hotwater I
Fireplaces)
A/0 No. Exits L Airconditioning —
Domestic hotwater y(r5- Type heater ,,„„,,
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description , Art. Sec.
Remarks: I 5 /(,�Q � /2
Inspected by , "✓"'1 Date of Insp. `
Time startPe end Oficso