HomeMy WebLinkAboutZ-20646FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20646
THIS CERTIFIES that the
Date APRIL 15, 1992
ONE FAMILY DWELLING
Location of Property 3040 SKUNK LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 8 Lot 12
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-20646 dated APRIL 15, 1992
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 & ACCESSORY STORAGE SHED *
The certificate is issued to CHARLES & DOROTHY McASLAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
TO',,, -Lf OF ZCUT;iOLD, N. Y.
HOUSI::G COD,` Ii;DPDCTION i2Z?Ci.T
Location 3040 SKUNK LANE CUTCHOGUE, NEW YORK
lnu:.ocr L;Creec)
Subdivision Pian No.
Name of Owner (o) CHARLES R. McASLAN JR.6 DOROTHY J.
Occupant, A-1 OWNER
(type)) o�:,ner- �;enan
Admitted by: CHAS. McASLAN, JR. Accompanied by: SAME
Key available Suffolk Co. Ta:c \?o. 97-8-12
Source of request OWNER Dato FEB. 19, 1992
D7. - LING:
Type of construction FRAME z4 1
„stories
Foundation CONCRETE BLOCK Cellar_ _Crawl space
Total rooms, 1st. Fl B 2nd. Fl 3rd. F1
Bathroom(s) ONE Toilet room(s)
Porch, type Deck, type Patio, type_
Breeze;•�ay Garage Utility room
Type Heat OIL
,Warm Air Hot:•iater xx
Fireplace(s) NONE No. Fcits 2 A.i.rconditioning
Domestic hotwater 3% Type heater OFF BOILER
Other
ACCESSOmY STpTJCTTJRES:
Garage, type const. Storage, type const. FRAME
Swi,.ning pool Guest, type const.
Other SPLIT RAIL FENCE (REAR)
VIOLATIONS: CIIAPTER 45--N.Y. STATE UNIF0I:M FIM: PREVENTION h BUILDING CODE
Remar'.cs :
Inspccted by
^� �� Date of Incp. APRIL 14, 1992
ISHER • Time start 9:20 end 9:40
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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.
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.
CiJ 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 ................. Pq!l.11.:[.'.............
New Construction........... Old Or Pre-existing Building.A< ...........
Location of Property..-304/�.....�l ::l.!k....�,!orV e............ �L-r�:�P.q ?(z. Y
House No. 1�Street Hamlet
Onwer or Owners of Property..S, ,pp��. .�... .. 0(Lo7ky..a1�....m��� LArJ...........
County Tax Map No 1000, Section.... Q.7......Block....5...........Lot....�.1'Z..............
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Corticate...........
Fee Submitted: $. . ........ .. ....
APPLICANT
r
/000 - 97- 8-,z TOWN OF SOUTHOLD
I^
PROPERTY
RECORD CARD
OWNER A
JSTREET(-�p�joVILLAGE
DIST.
SUB. LOT
FORMER OWNER
N
'a
E
ACR.
S v'
W
TYPE OF BUILDING
RES. O
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value '
LAND
IMP.
TOTAL
DATE
REMARKS 70 a/Q�yat f Pn, ovP d�f� C 4 d . C IA d rredf" en
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Vclue
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland !
DEPTH
a�f. ver -z
House Plot j
BULKHEAD
Totdri
`gip
--
DOCK
�� �
w-"'R_�
�) I � � �
_ \�
)'
�, 3 � t , ';
_�
"� �_:
CONSE,i1T
TO
IIN: PECTION
> i t a T- s✓ Ca V-0 t rt
Owner(s) Name(s)
do(es) hereby state:
,�-2A5L A YJ
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
1 ls---
of Southold located at 3pV C) Wit, K nye (�,vfQ-nc,c�"C— 4 A), r
which is shown and designated on the Suffolk
County tax map as District 1000, Section , Block $' Lot /2
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the following:
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 ,%,ith all of the la«•s-, ordina^ccs, rules
and regulations of the Town cf 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:
(sibnaturc)
tQrzt,.--s R- 5 L A
(print naive)
(p?int name)
51
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VMQ*iail* *t4iQ +0 +Vi e- V4(>*"e
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New `fevk
TO d --L4 OF SOUTHOLD, N. Y.
ROU :Ii:G CODE IiiS? CTIOi1. iZL°ORT
l /
,Location 3o ,`o 0
�nu�..oer cSc s creep
Subdivision
Name'of C
Occupancy
�i
c1pa_. /Lf )
—Lot(z)
Admitted by G y Accompanied by:
Key available Suffolk Co . _Tax No. /Z
Source of request Date
MT_-' L!MG:
,Ty -be of construction JL
stories�_
Foundation Cel
ellar Crawl space
Total rooms, 1st. Fl- 2nd. Fl 3rd. F1
Bathroom,(s) Toilet room(s)
Porch, type Deck, type Patio, 'type
Breeze: -ray Garage Utility room
Type Heat_ 0�>D Warm Air Hot:water �-
Fireplace(s)VX-
/a— No. Exits
'�--� 2. Aircor_di tioiling
Domestic hot:water Tie heater D�
Other
ACCESSORY STRUCTURES:
Garage, type const._
SWi� -ming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFOM FIRE PRL:VENTION & BUILDING CODE
Location DescriD-tion Art.Sec.
Remarks:
Inspected by:
Date of Insp.�if��9?
• Tine start �Io end - G
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