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Home My WebLink AboutZ-24260FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24260 Date APRIL 5, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 335 PRIVATE RD. #3 SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 13 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-24260 dated APRIL 5, 1996 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 REAR WOOD DECK The certificate is issued to WILLIAM MOFFAT & WIFE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 11011 -DING DIiPARTME'NT TOWN OF SOU'T110111) 1101151 NG CODE 1 NSI'EC'I' m REPORT LO(;A'I'ION: 335 PRIVATE' ROAD SOUTHOLD, N.Y. number ti st'reeCy �niunicipatit� SUBDIVISION MAP NO. NAME OF OWNER (s) WILLIAM MOFFAT 6 WIFE OCCUPANCY SINGLE FAMILY CypeT — owner-tenantj— - --- ADMITTE.D BY: MARJORY MOFFAT ACCOMPANIED BY: SAME KEY AVAILABLE SIICI'_(;0.. 'fAX MAP NO. 1000=7U--"- 3— SOURCE OF REQUEST- MARJORY MOFFAT STEVENS UA•TE. MARCH 28, 1996 UWELLING ----- ---- TYPE OF CONSTRUCTION WOOD FRAME I STORIES 1-1/21 E%I.'I'S 2 FOUNDATION CEMENT BLOCK CEI.I.AR PART. _ _ CRAWL SPACE TOTAL ROOMS: IST FI.R. 4 2ND FI.I(._ 2--- 3111) - FLR. -- BATUROOM (s) TWO TOILET ROOM (s) U'f l 1.I"I'Y ROOM POIICII TYPE COVERED FRONT UI;CK, *i*yt E REAR WOOD BREEZEWAY FIREPLACE NONE GARAGE - — DOMES1'IC IIOTWATF.R —xx -_ TYPE NEATER L.P. GAS_ ---------- AIRCONDITIONING - - TYPE. HEAT OIL WARM AIR 110'TWATER %A OTHER: FRONT FOYER ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. SWIMMING POOI. OT'l1ER: - ---------------------- ---------------------- V1OLATIONS: CHAPTER 45 N.Y. STATE. UNIFORM FIRE PRIiVENTION 6 IIULLUING CODE S'T'ORAGE, 'TYPE CONST. GUEST, TYPE.. CONST. REMARKS: INSPECTE.1) BY DATE OF INSPECTION TIMI' START 10:00 APRIL 4, 1996 ENI) 10:20 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ','r`.}i 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 newbuilding 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.QO, Commercial $15.00 Date ... cvt, �^�u�.912s .1M ................... New"Construction........... Old Or Pre-existing Building ..... X........... Location of Property .....kx3,vete,Road off Oaklawn Avenue, Southold . House No. Street •Hamlet Onwer or Owners of Property.... Stevens,. Marjory.Moffat ............................................. County Tax Map No 1000, Section .....0,70.,0,0, ... Block ...... 0,Q4.....Lot..,013;000 .. ... Subdivision ................................. ..Filed Map ............ Lot ...................... Permit No................Date Of Permit...... .......Applicant... Marjory.Moffat.Stevens..._ Health Dept. Approval..........................Underwriters Approval...... ................. Planning Board Approval ....................:... Request for: Temporary Certificate........... Final Certicate...X....... Fee Submitted: $,•,100:00 .................... MarjorXm%oNaMA?�idens T CONSENT TO INSPECTION Marjory Moffat Stevens 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 Private Road off Oaklawn Avenue , which is shown and designated on the Suffolk County fax map as District 1000, Section 70 _, Block 6 , Lot 13 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: PreExisting Certificate of Occupancy 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: 11 A /96 ib a� r ) Marjory Moffat Stevens (print name) siLynature) print name :`BAR ` 91995 SCALE. -40 t"I 4 0sMOWlJM8lJT AR, EA. CD oft boy C`14�FAr Ar , N'iS9 9 EaFMo I sw ill -SS --- 0 f2 lie 97--37 50.9 I t5, W, Adlazdo 42" I;.33 ( Qj6�:; 1 / Ut:2 k� � � 1� fr 4, 15 I i -ftz z Dear x ri Ar , N'iS9 9 EaFMo I sw ill -SS --- 0 f2 lie 97--37 50.9 I t5, W, Adlazdo 42" I;.33 ( Qj6�:; 1 / Ut:2 k� � � 1� fr 4, 15 I i BUILDING DEPARTNENT TOWN OF SOUTHOLD HOUSING CODE INSPECT LOCATION: G! num er & street REPORT municipality SUBDIVISION MAP NO. I.OT'(s) NAME OF OWNER (s) OCCUPANCY ADMITTED BY: KEY AVAILABI. SOURCE OF REOUEES'T : ACCOMPANIED BY:57, AX MAP NO.//w"'j" -- DWELLING: TYPE OF CONSTRUCTION !9/ �r`STORIES# EXIT'S FOUNDATION (�t 61 ^__ CELLAR CRAWL SPACE TO'1'Ai. ROOMS: IST F. 2141 _2ND PLR. ��- 3111) PLR.- - BATHROOM (s) i 7% TOILET ROOM (s) UTILITY ROOM PORCH 'TYPE DECK, TYPE /_awa4 kb PQFIO BREEZEWAY <_____ FIREPLACE GARAGE — — DOMESTIC IIOTWATER k"', TYPE HEATER � �� s - AIRCONDITIONING TYPE HEAT// WARM AIR _ _ 110TWATER ---- OTHER: �?�tJ ACCESSOI(Y STRUCTURES: GARAGE, 'TYPE OF CONST. SWIMMING PO01. OT'IIER : STORAGE, 'TYPE CONST. GUEST, 'TYPE CONST. ------------------------------------------------------------------------------------------- --------------------------------------=---------------------------------------------------- VIOLA'TIONS: CHAPTER 45 N.Y. STA'L'E UNIFORM FIRE PREVE'N'TION 6 BUILDING CODE REMARKS: INSPECTED DA'L'E OF INSPECTION `e / TIME START /0) END TOWN OF SOUTHOLD PROPERTY RECORD CARD ""IM OWNER STREET J VILLAGE DISTRICT SUB. LOT FORMER OWNERN I .� E _ a ACREAGE i S ti W I , . its .+ TYPE OF BUILDING RES. a� ` SEAS. VL. FARM COMM. ' IND. ` CB. ( MISC. LAND IMP. TOTAL DATE REMARKS 4P e i' fish 7-o_ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 -- — C!e Pe k. ------ Tillable 3 Woodland Swampland Brushland House Plot Tota