HomeMy WebLinkAboutZ-23509FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No Z-23509
THIS CERTIFIES that the
PRE EXISTING
FICATE OF OCCUPANCY
Date FEBRUARY 24, 1995
ONE FAMILY DWELLING
Location of Property 1380 BAYBERRY ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 2
Subdivision
Filed Map No
Lot 12
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-23509 dated FEBRUARY 24, 1995
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 ACCESSORY NON -HABITABLE BOATHOUSE*
The certificate is issued to MARGUERITE P. MULEN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
L7;�e 10Vi[5:1:411042&-y:J:{.id10 CON 0*,J3lzel, M
Rev. 1/81
N/A
ilding Inspector
e
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
1380 BAYBERRY ROAD
(number S street
(mur�:.ip.�iiCy
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) MARGUERITE P. MULLEN
OCCUPANCY A-1 RESIDENTIAL
type owner -tenant
ADMITTED BY: MARGUERITE MULLEN ACCOMPANIED BY: SAME_
KEY AVAILABLE §UFF.CO. TAX MAP NO. 100 - I 18-2-
SOURCE OF REQUEST: WICKHAM, WICKAM & BRESSLER, P.C. DATE: NOV. 17, 1994
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS 3
FOUNDATION CONCRETE CELLAR PARTIAL CRAWL SPACE
TOTAL ROOMS: IST FLR. 8 2ND FLR. 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) ONE _ UTILITY ROOM WASHER, DRYER
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE ONE GARAGE ONE CAR
DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT OIL WARM AIR %% HOTWATER
OTHER: WALK IN CLOSET
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. WOOD SHED
SWIMMING POOL , GUEST, TYPE CONST.
OTHER: ACCESSORY BOAT HOUSE (BEACH HOUSE)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE
REMARKS: BP #9619 -CO Z-13743 (ADD TO DWELL.) BP #22571Z-COZ-23508 (ALT. TO BOATHOUSE)
BP #22598Z -CO Z-23505 (AGCY SHED)
INSPECTED
DATE OF INSPECTION
TIME START
DEC. 28, 1994
END
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
! ? 1994 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 $15.00
Date ....... davwaex..I.L..199.4..................
New Construction........... Old Or Pre-existing Building ... y .............
Location of Property ..... 138Q . * " * * .......BayzbetzX Road, .Cutchagiu.e,. Nerx Yoxk. •1.1A35 .. • • .......
House No. Street Hamlet
Onwer or Owners of Property ...... M,arguerite P.. Mullen,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
County Tax Map No 1000, Section .... LLa....... Block ... 2 ............ Lot. .1.2 ...................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit................ Applicant .... Abiggik A. jdickhm',EsR
Attorney for Mr. and Mrs.Mullen
Health Dept. Approval ............. ...........Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Corticate........... Certificate of
Pre -Existing Use X
Fee Submitted: $ „100;00,,,,,,,,,,,,,,,,,,,,, r C�l���� —
�i a� ...... ....:T,_.., .................
3 5 o q M1 big 1 A. WicfICANT
.,, .. n _,da-
1994
Abigail A. Wickham, Attorney for
Owner(s) Name(s
do(es) hereby state:
CONSENT
TO
INSPECTION
U
. the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1380 Bayberry Road , Cutchogue, New York 11935
which is shown and designated on the Suffolk
County tax map as District 1000, Section 118 , Block 2 , Lot 12
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 for Pre -Existing Use
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: November 15, 1994 Z"kJ
(signZature)
Abigail A. Wickham
(print name)
(signature)
(print name)
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3_01.,55_9v
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s)
OCCUPANCY
(type) towner-tenant)
cl
ADMITTED BY: IA61,14Z4 ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST:
DATE:
DWELLING:
TYPE OF CONSTRUCTION ,� # STORIES 6ke-- # E%ITS
FOUNDATION CmcllE,--�F- CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. ll
BATHROOM (s) ,, TOILET ROOM (s) UTILITY.%
PORCH TYPE DECK, TYPE &� ATiO <<«<
BREEZEWAY FIREPLACE GARAGE (IX -Q-
DOMESTIC HOTWATER �`� TYPE HEATER ��L • AIRCONDITIONING
TYPE HEAT / WARM AIR HOTWATER
OTHER: W17LiG
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
f -%TM CT
STORAGE, TYPE CONST.
PE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
%M" _ 60'4— s'E C -
REMARKS: ' g/#- 'F61f �(/ * /3 / �3 - v -d -k
IS ) • C o 2- ass o� • Q�� c 1��s9&� co d ase � •�.w
INSPECTED BY DATE OF INSPECTION �l
TIME START 9_ END