HomeMy WebLinkAboutZ-19974FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19974
Date JUNE
12,
1991
THIS CERTIFIES
that the building
ONE
FAMILY DWELLING
Location of Property 375 FIRST STREET NEW SUFFOLK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 9 Lot 31
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-19974 dated JUNE 12, 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 SEASONAL ONE FAMILY DWELLING WITH ACCESSORY GUEST COTTAGE
& CEMENT STORAGE BUILDING. *
The certificate is issued to HUGH F. MURRAY
(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.
uilding Inspector
Rev. 1/81
ENT
BUI:.DI::G DEP',P.T:LiIT
TO'a;•I OF SOUTHOLD, N. Y.
HOUSIi:C CODs. IIISPECTI T RZIDC tT
Location 375 FIRST STREET NEW SUFFOLK, N.Y. _
lnu.�oer ac Szreez) ll'iunicipality)
Subdivision Nan No. Lot(5)
Naze of Owner(S) HUGH F. MURRAY 6 WIFE
Occupancy.
Admitted by:
Key available
A-1
hype)
DONNA GOODALE
Source of request HUGH L- MURRAY
M!'E'LLI_NG :
OWNERS
( owner- uenanz )
Accompanied by: DONNA GOODALE
Suffolk Co
Tax No. 117-09-31
Date MAY 9, 1991
Type of construction WOOD FRAM Tsttories 2
Foundation CEMENT BLOCK & POST Cellar 1/8 Crawl space 7/8
Total rooms, lst. F1 2 2nd. F1 2 3rd. F1
Bathroom(s) 1 FULL BATH Toilet rooms)
Porch, type Deck, type Patio, type_
Breeze,. -jay Garage Utility room
Type Heat NONE ?farm Air Hotwater _
Fireplace(s) NONE No. Ecits 2 Airconditioning
Domestic hot -later YES Type heater LILCO GAS
Other REAR ENTRYWAY
ACC'SSOR`r STRUCTURES
Garage, type const. Storage, type const. CEMENT BLDG.
Swimming pool Guest, type const. WOOD FRAME 3 ROOMS
Other
VIOLATIONS: CIlAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Location
Descrintion (Art I Sec
LRE PREMISES
(ELECTRICAL FI%TURES, DEVICES, WIRING AND SYSTEMS
`
` CHAPT. F.
SHALL BE MAINTAINED IN SAFE WORKING CONDITIONS
1243.8 (A.
IN A MANNER WHICH WILL AVOID A POTENTIAL SOURCE
I OF IGNITION OR SHOCK. DETERIORATED MATERIAL AND
EQUIPMENT SHALL BE REMOVED AND REPLACED AS MAY
1
BE REQUIRED
.
I
Remarks: BP $2906Z CO Z 43412 THIS IS A SEASONAL DWELLING.
InZpccted by: J. FISH SH Date of Insp. MAY 15, 1991
J • Time start 9:30 end lo:
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted =ww r to the Building Inspec-
tor wl#h the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25.00 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50-.00
3. Copy of certificate of occupancy $ 5 : 0 0 , over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $`50.00 Date ..NY. 9,.1991 .............
NewConstruction......OldorPre-existing Building 4........ Vacant Land .............
CornQr,gf,j$
Location of Property ,St Leet.d4d.JdGkS00sT.,,New,�uffQ�k.........
House No. Street Hamlet
Owner or Owners of Property .. , , ,Hugh Murray. , , . , . , .. . , ...... . ..... ... . . ........ . . .
County Tax Map No. 1000 Section ..117. .. Block .09........... Lot ... 31...........
Subdivision ........................... ...Filed Map No. ..........Lot No. .............
PermitNo. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval .............. .Labor Dept. Approval ........................
Underwriters Approval ........................Planning BoardApproval ............... .... .
Request for Temporary Certificate ....................
Fee Submitted $ . ,100 ;00 . , . ,
Construction on above described building and permi is al
Applicant .. .. . ..,
Gary Flanner Olsen,
Rev. 10-10-78 P. 0. Box 706
Cutchogue, NY 11935
L�►q 10
_On
;cable cs and regulations.
Esq.
FROM : COVE PHONE NO. : 5164754773 P02
N
TM 1000-117-09-31
CM Fd. = Concrete Monument
Found
I.P Fd. = Iron Pipe Found
N/F VICTORIA
2 17.3
STUCCO
STRUCTURE 13.5
25.6
k
r
a
Fd.
17.
WOOD FRAME
BUNGALOW
( ELEVATED ON 23'2 1..
(LOCKS 1
17, 4
✓ACKS01V
dlwrantses MdWW bora cn Mall no
_ C 3
only to the person for whom the ulrwy
TM 1000-117-09-31
CM Fd. = Concrete Monument
Found
I.P Fd. = Iron Pipe Found
N/F VICTORIA
2 17.3
STUCCO
STRUCTURE 13.5
25.6
k
r
a
Fd.
17.
WOOD FRAME
BUNGALOW
( ELEVATED ON 23'2 1..
(LOCKS 1
17, 4
✓ACKS01V
dlwrantses MdWW bora cn Mall no
_ C 3
only to the person for whom the ulrwy
Is prepared, and on his behalf to tbe
SF to it 4
N 6 iA
title company, Govwnnwrtal Agway,
2 STORY
koding Mslitudwp v if fisted hereon, and
WOOD FRAME e
to Ile asg%ne" of the tendWq iatihaiaL
RESIDENCE V
GUorant+es ars not transferable to
0.2 h
additional ktsllh*WW or sr.bsequent Swan.
30.3
CELLAp O
ENTRANCE
_
Unauthorized aileralioe or addit(an to thle
W 6G.W1
a —y is a vrolation of Sottton 7209 of
lbe Now Yak Stoq lducosiss Law.
of r4ore n^"y'"°p na oorhw
cof"STREET
atdd
0 S yoembossed eoai thou
root be considerred to be o valid true
copy.
MAP OF SURVEYED 27 APRIL,1991
SCALE: I"= 20'
DESCRIBED PROPERTY
SITUATE
HAMLET OF NEW SUFFOLK
TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y.
SURVEYED FOR, GEORGE 4 LAURA MAUL
GUAHANIEED T0;
GEORGE E LAURA MAUL
TICOR TITLE GUARANTEE CO.
TOWN OF SOUTHOLD
SURVEYED 9Y.+
S7!!A (,EY J. ISAKSEN, JR.
P, 294
NEW SUF L Y. 11936
516
LICENSE,LAND SURVE
CONSENT
TO
INSPECTION
F.
Hugh Murray 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 corner of 1st Street and Jackson, New Suffolk NY
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 117 Block 09 Lot 31 ,
'
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion inch -Southold Town Building inspecw. •o orri�4 rer ♦hn fnilowing:
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 of the Town of Southold.
Dated: May 9, 1991
ignature)
uWcN F. IhNRR0%-i
(print name)
+a (signature)
(print name)
BU-. D
Dt
1....LJ �.i1
TO'. -F4 Or S UT:.oLD, N. Y.
F:OUSIi 7G
Locaticn
CC IiS=SCTIG•i :RSORT
lr.L.:�oer a s tree , )
Subdivision
Name of Owner(s)
r
Occupancy -�
�y e
Admitted by:
�i•iu:�ycipa � icy)
No. Lot(S)
_Ac.t_,dmpanied
Key available
Suffolk Co.
o;vner zenanz)
by:
Tax No. i/%
Source of, request
Date 9 99
DVE-L L I,TG :
Type of constr
Foundatio ,
c tion
n r1stories
Cellar �
Total rooms, 1st. Fl Cra.vl space
� 2nd. 'F1 02
Bathrooms)
� Toilet room(s) 3rd. F1
Porch, type
Deck, type Patio,
Breezeway Garzbe type
Pe Heat
Utility room
tiE . V'larm Air
Fireplace (s)HO uWa ter
. E:c i �
Domestic hoti�ater __NO.S AircCMdi Lionina —_
Other
Type heater LIlze
ACCESSORY STRUCTL?RL'S ;
Garage, type consi. .�
S�vi;,.,ming pool Storage, type cojist.
Other
Guest, type const.ow
•y�L=-�ui,J; CHAPTER 45--N.Y. STATE
UNIFORM FIRE PREVENTION X RTTTT nTATn n......