HomeMy WebLinkAboutZ-19881FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19881 Date APRIL 30, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 930 JACKSON STREET NEW SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 10 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19881 dated APRIL 30, 1991
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 PORCH & ACCESSORY WOOD
WOOD STEPS TO BEACH *
The certificate is issued to ESTATE OF CHARLES W. MORGAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: VIOLATION EXISTS ON GARAGE IN FRONT YARD.
NEEDS ZONING BOARD OF APPEALS APPROVAL.
Building Inspector
BUILLDI :G DEPART:•IENT
T0:•J,I OF SOUTHOLD, N. Y.
HOUSI77G CODE INSPECTION REPORT
Location 930 JACKSON STREET NEW SUFFOLK, N.Y.
knumoer be street) ki-iunic.ipaiity)
Subdivision Hap No. Lot(s)
Name of Owner(s) ESTATE OF CHARLES W. MORGEN
Occupancy.
Admitted by:
Key available
A-1 ONE FAMILY DWELLING
typ e)
L. GERRARD
OWNER (VACANT)
kowner-tenant)
Accompanied by: L. GERARD
Suffolk Co. Tax No. 117-10-6
Source of request R. RADIGAN, ATTORNEY Date APR. 12, 1991
_
D?;BLLING :
Type of construction FRAME JLstories 2
Foundation CEMENT BLOCK 75 -_---
Cellar Crawl space
Total rooms, 1st. F1 6 2nd. F1 6 3rd. F1
Bathroom(s) 3 l
Toilet room(s)
Porch, type CLOSED IN Deck,
type Patio, type_
BreezewayGarage Utility room
Type Heat OIL alarm Air Hotwater X11Fireplaces) 1 No. Ecits 4 Airconditioning
Domestic hotwater Type heater ELECTRIC
Other ADDITION BY PERMIT 2123Z CO Z-2002 10/27/64
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Stivimming pool Guest t
P -e const.
Other
WOODEN STEPS TO BEACH (NEED MAINTAINANCE) FRRAME GARAGE IN FRONT YARD
NO PERMIT NOT PRE EXISTING
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE
Lncation Descrirtion Art.� Sec.
NOTE: VIOLATION EXISTS ON GARAGE IN FRONT
ARD. NEEDS LISA APPROVAL.
Remarks:
Inspected by: Date -of Insp. APRIL 16, 1991
• Time start 10:05 end 10:50
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF 0
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 $15.00
Date .. April .91. 1991
New Construction.........33... Old Or Pre-existing Building .................
.l
Location of Property...;l.�... , ,Jackson Street New Suffolk
.. .. .. ...... . . . . ..
House No. Street Hamlet
Onwer or Owners of Property.., Estate of Charles W. Morgan ..............................
...... ... ... . . . . . ..
County Tax Map No 1000, Section.. 117........Block.....10.........Lot... 6 ..................
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:
$..19P.-.00 .................
..... ........ ....... ..............
.. .
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CONSENT
TO
INSPECTION
Estate of Charles W. Morgan 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 Jackson Street, New Suffolk
which is shown and designated on the Suffolk
County tax map as District 1000, Section 117 , Block 10 , Lot 6
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:
Certificate of Occupancy - Pre -Existing Building
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 9Kth Town of ou hold.
Dated: '(1z
% C '
(s' nature)
Raymon C. Radigan, Attorney
for the Estate of Charles W. Morgan
(print name)
(signature)
print name)
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Location �72-3a
1 num
Subdivision
Name of Owner(s)
Occupancy
ItYP
Admitted by:
Key available
BUILDI�•:G DEPART:•LiiT
T0:•1N OF SOUTHOLD, N. Y.
HOUSIi:G CODE INSPECTION REPORT
street)
cip
clap No. Lot(s)
downer -tenant) -T--
Accompanied by: (;&9�
Suffolk Co. Tax No.
Source of request ,�,
Date_
M ELLING:
Type of constructioni�,��,
stories -�2—
Foundation. Cellar S'!o-tCrawl space 2T.�
Total rooms, 1st. Fl 2nd. F1 3rd. F1
Bathroom(s) 3 Toilet room(s) /
Porch, t-yp Deck, type -- - Patio, type_
Breezeway --�_
Y Garage --- Utility room
Type Heat .4 'alarm Air Hotwater
Fireplace(s) / No. 11cits ,Z Airconditioning
Domestic hotwater Type heater �c i
Other_—r��.� f �z
ACCESSORY STRUCTURES
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other 17-
VIOLATIONS: CHAPTER 45-N.Y. STATE UNIFORM FIRE PREVENTION & BUILD NG CODET
Remarks:
Inspected by: �� G" t� Date of Ins
P•_
Time start o S end