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Home My WebLink AboutZ-19144FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE CERTIFICATE OF OCCUPANCY No Z19144 Date JUNE 14, 1990 THIS CERTIFIES that the building ONE -FAMILY DWELLING Location of Property 655 FOUNDERS PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 02 Lot 38 64 & Subdivision FOUNDERS ESTATES Filed Map No. 834 Lot No. p/o 65 conforms substantially to the Requirements for a private one family dwelling built prior to April 9, 1957 pursuant to which Certificate of Occupancy No. 219144 dated June 14, 1990 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 GARAGE. The certificate is issued to DAISY E. MYERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A **SEE INSPECTION REPORT Building Inspector Rev. 1/81 BUILDI?•:G DEPART:•IENT TOWN OF SOUTHOLD, N. Y. HOUSIiG CODE INSPECTION REPORT Location 655 FOUNDERS PATH SOUTHOLD (numoer & streez) 14unicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) DAISY E. MYERS Occupancy R-40 OWNER (type) owner -tenant) Admitted by: DAISY E. MYERS Accompanied by: SAME Key available Suffolk Co. Tax No. 64-2-38 Source of request DAISY E. MYERS Date ,NNE 7, 1990 DWELLING: Type of construction WOOD FRAME #stories 1 STORY Foundation C B Cellar FULL Crawl space Total rooms, 1st. Fl 7 2nd. Fl -- 3rd. F1 -- Bathroom(s) 2 Toilet room(s) -- Porch, type -- Deck, type -- Patio, type -- Breezeway -' Garage -- Utility room -- Type Heat OIL Warm Air -- Hotwater xx Fireplace(s) ONE No. Exits 2 Airconditioning -- Domestic hotwater OFF BOILER Type heater Other ACCESSORY STRUCTURES: METAL . Garage, type const.] CAR GARAGE Storage, type const. Swi,:ming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE B.P.#2142--C.0.#1733 Remarks• B.P.#2932--C.O.12562 Inspected by: GARY Date of Insp. 6/13/90 Time start 1:45 end2:05 r -m_ U 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 typewritW6R ink, and submitted = Ew.o� to the Building Inspec- tor with 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 ACCESSORY $10.00 2. Certificate of -occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 4 -Vacant Land C.O. $ 20.00 7 q U 5.Uodated C.O. $ 50.00 Date ...... ...�............... NewConstruction.,._._ Old or Pre-existing Building X......... Vacant Land ......... GsS / n Location of Property .......... House No., Street Hamlet Owner or Owners of Property .... ) , / .....!�............................... . County Tax Map No. 1000 Section ....... fQ.`.f ... Block ......Q...;� ... Lot ......3 .V........ Subdivision .................W.alm .....Filed Map No. . !�.�7.....Lot No. �.? . ./�.!Y N. to �' Permit No. .......... Date of Permit ..........Applicant . . Health Dept. Approval ........................Labor Dept. Approval .......... I ............. Underwriters Approval ..... , . .. , , ........Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate .................. . Fee Submitted S ../0.. 0.... - - Construction on above described building and p it meets all applicable codes and regulations. Applicant .... Rn. 10-1e-78 �(J �� c -v, -zl9iyY -,..?p.,TOWN OF SOUTHOLD ei(OPERT'Y RECORD CARD 0) "I-lp, 41 OWNER STREET VILLAGE DISTRICT SUB. LOT IJ 4 FORMER OWNER N E ACREAGE S W TYPE OF BUILDING RES. '2_14 SEAS. VL. FARM comm. I IND. CB.- misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ;w Co '1'233V - 1.,l I I A Ci Ll o z0-6 6 0 0 2-1,fZ /71 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total M. Bldg. Foundation 1 Bath ExtensionFloors 3., -OA J Basement Extension Ext. Walls 1 Fire Place Interior Finish Heat Exten I Porch Roof Type Floor Porch I Rooms I st — ----------- Breezeway Patio Rooms 2nd Floor P/iveway Garage Dormer O. B. CONSENT TO INSPECTION i3 Wtw I" 7"'o A -I'%, do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the 4tthe premises in the Town of Southold located at f!" � L- t/J JL , which is shown and designated on the Suffolk - County tax map as District 1000, Section , Block ;2 , Lot g U . 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: � � , 0 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: 7 P? 90 (sig ture)�Ile ( S y �- (pri t name) (signature) (print name) r. r oo,, E 03 64 14 s 0..5 E•'l OL 9•z Mpus6 � StpRY AREA -11,250 sq. ft. i PCO 0f' 6 05, 4 o Ot 65 $ L P�0 L3 Prepared in accordance with the minimum standards for title surveys as established by the L.I.A.L.S. and J%ro"d and ado ter ouch use by The New York Stats rAF Title Association. SUR VE Y OF LOT 64 & P/O LOT 65 MAP OF "FOUNDERS ES TA TES" PILED MAY 10, 1927 FILE NO. 934 A T SOU THOL D TOWN OF SOUTHOLD W �� SUFFOLK COUNTY, N.Y. tot 1000 - 64 - 02 - 38 �, : Scale 1" = 20' June 4, 1990 c O Y O, CERTIFIED TO F&9ST AMERICAN TITLE AWURANCE COMPANY OF NEW YORK DOROTHY F. MJILLANEY TWRESE D. O'HOYLE LAND LIC. NO, 49668 N. Y. 11971 90-221 BUILDI:•;G DEPART:•IENT T041,T OF SOUTHOLD, N. Y. HOUSIidG CODE INSPECTION REPORT Location �numoer ,K street) Iriunicipality) Subdivision clap No. Lot(s) ° Name of Owner(s) Occupancy (t, pe) f owner --tenant Adtlitted by: ,, 1� Accompanied by:_ Key available Suffolk Co. Talc No. / - Source of request - Date DT;IELLING : Type of construction (,t/ /% _astories Foundation C Cellar LI --Crawl space Total rooms, lst. Fl 2nd. F1 3rd. F1 Bathroom(s) a Toilet room(s) Porch, type Deck, type — Patio, type_ Breezeway Garage ' Utility room Type Heat l -'darm Air Hotwater Fireplace(s)_No. E:cits Airconditioning -- Domestic hotwater _L-,. Type heater Other ACCESSORY STRUCTURES: M - Garage, type const. Storage, type const. Swimming pool Guest, type const. Other So VIOLATIONS: CHAPTER. 45-N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Remarks • �f � l �Z- C O � � � �9-3oZ c4'' ,r(,*,Z- Inspected by': A Date of Insp. �jIq 0 Time start -/.'((,F en -2 01C