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Home My WebLink AboutZ-23518FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23518 Date MARCH 1, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5245 PEQUASH AVENUE CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 4 Lot 6 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-23518 dated MARCH 1, 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 A ONE FAMILY DWELLING WITH ACCESSORY GARAGE* The certificate is issued to ELSIE MC CORMACK (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 INSPECT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5245 PEQUASH AVENUE CUTCHOGUE NY number 6 street) municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) FT.SjF 2IC C01U-1ACK OCCUPANCY SINGLE FAMILY OWNER type owner -tenant ADMITTED BY: ETHEL JESSUP ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-110-4-6 SOURCE OF REQUEST: ELSIE MC CORMACK DATE. 1/31/95 UWCLLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE NOME DECK, TYPE PATIO BREEZEWAY FIREPLACE ONE (NEEDS REP)GARAGE DOMESTIC HOTWATER OIL TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER X OTHER: ATV'FCSTIRP STRyT TRRFC- GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: # EXITS 2 1 CAR WOOD FRAME STORAGE, TYPE CONST. ATTACHED TO GARAGE , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE REMARKS: INSPECTED BY //JOHN M. BOUFIS DATE OF INSPECTION 2/8/95 TIME START 9:35 END 10:00 ,. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 5 1 4 �'� VILLAGE DISTRICT SUB. COMM. FORMER OWNER N I CB. I MISC. I Est. Mkt. Value RES.(5�/o E ACREAGE '(.?Q/ IMP. TOTAL S W TYPE OF BUILDING S`001266 FARM ` COMM. I IND. I CB. I MISC. I Est. Mkt. Value RES.(5�/o SEAS. VL. LAND IMP. TOTAL DATE REMARKSeat cG e S`001266 J-260 cJees a/ J. h ��- Qp levo Z;`vv tiG/ -' 0 0 00 -2.5-0 O / 3 7.; � ob �S"d� -Z 3/od ✓ 2 3 7� i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD 6 y _ �-i£W'D L C4 Tillable 1 Tillable 2 Tillable 3 Woodland Swampland — --' Brushland ""'.- �.►_ House Plot Total. / „t YY^3 µl {i'+. My;� ,� � t� � .3" L� 9'# Y'}r• ft`_ .�i . # :. ^�. s •fib `� ��.� �� ,� ,, { <: 3` ,r � 1 ' a i:�� f �'' #' .,'Y -.Yh •! + /'S � A 4J 1�' r � I � Kiri ��^�' s � ■■■■■■■■■■■■■■■■N■■ YY^3 µl {i'+. My;� ,� � t� � .3" L� 9'# Y'}r• ft`_ .�i . # :. ^�. s •fib `� ��.� �� ,� ,, { <: 3` ,r � 1 ' a i:�� f �'' #' .,'Y -.Yh •! + /'S � A 4J 1�' r � I � Kiri ��^�' r "rpt ■■■■■■■■■■■■■■■■N■■ ry f MEMO WOM■■■■■■■■N■■ OMEN M, "F INEEN Ifulumm oME■■■■■ NON • .., •; WIR :.ONION ®.. _ .am r 61•uG ti+:'6y J .00 to t w t i r.' ��,y �w ,5' '.fir&' • s� ..'��' �Y�' �`'A k i � ��y. : K � ,.'' '^ �\'1Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 -vcv"-- APPLICATION FOR CERTIMCATE OF O XUPANCY A. This application must be filled in by typewriter OR in: and submitted to the building inspector with the following: for new building or nes use: 1. Final survey of property with accurate location of all buildings, property lines, scrast9, and unusual natural or topographic features. , 2. Final Approval from Health Dept. of water supply aid sawerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the a ilder used in system contains less OLAn 2/10 of 19 lead. 5. .Commercial building, industrial building, multiple residences and similar buildings anis installations, a certificate of Code Complianai from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site p..an requirements. B. For existing buildings (prior to April 9, 1957) non-ci-nforming uses; or buildings and 'pre-existing" land uses: 1. Accurate survey of property showing all property 1 -nes, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to .:nspect signed by the applicant. If a Certificate of Occupancy is denied, the Build: ng Inspector shall state the reasons therefor in writing to the applicant, C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Ad+itions to dwelling $25.00. Alterations to dwelling $25.00, Swimming pool $25.10, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Euila ing • $1100.00 3. Copy of Certificate of Occupancy - $2o.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $:5.00., Commercial $15.00 Date ....... ......... 0....................... New Construction........... Old Or Pre-existing Building.... .. /.0..... Location of Property.. �Y,S^ ��' cam: if3��e .G;^:� ...... .. .. . . ... ...... House No. Street Hamlet Dw;er or Owners of Property ........... ..L:.`?7.� Cyq/Zi ................................... County Tax Map No 1000, Section.....;/.0 ...... Block. L/....... Lot.,:.............. Subdivision....................................Filed Map... ........Lot...................... Permit No ................ Date Of Permit ... ..... ,....... Applicant ...... I...I... Health Dept. Approval..........................Underwriters Approval........... ... Manning Board Approval ........................ / 7equest for: Temporary Cppe��rtificace........... Final Certic:ta........... Pee Submitted: .................... ... .. ....... ........ F•i�-r'L11��3� � � i1DDTTf'ek7� �..�_.. ` c;q P03 KEHHEfH W. LEEDS * RTTORt IFY AT I RlJ 611-2a-9ti 7 4 ?? CONSENT TO INSPECTION , 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 ` r �-1«« If .S% RL,e 1,L71: z t ; which is shown and designated an the Suffolk County tax map as District 1000, Section j ; Mock Oji , Lot e c j That the undersigned (has) (have) filed, 'or cat: i3ed to be filed. an applica- tion in the Southold Town Building inspector's Offil!e 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 dei cribed property, including any and all buildings located thereon, to conduct s ich inspections as they may deem necessary with respect to the aforesaid appl kation, including inspections to determine that said premises comply with all -o the laws, ordinances, ru)ea and regulations of the Town of Southold. The undersigned, in consenting to such inspet tions, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subs-;quent prosecutions for vio- lations of the lavers, ordinances, rules or regulati,>ns of the Town of Southold. Dated: 4/J r 9C99 M4 KENNETH W. LEEDS T ATTORNEY AT LAW (signature) (print name) (signature) (print name) 01-24-95 14:x4 fYlc-(oeM,s4� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL VdIffleo"lloll REMARKS: DATE A�T INSPECTOR 77 STOUTENBURG ROAD ((*( M_WMI No. SURVEY OF 38 & P/0 LOT 3c. MAP OF PROPERTY OF INE REALTY CORPORA' LE No. 539 FILED DECEMBER 22, 1930 SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD iFFOLK COUNTY, NEW YORK C. TAX No. 1000-110-04-06 SCALE 1" =20' JANUARY 4, 1995 AREA = 13,125.00 Sq. ft. 0.301 ac. CERTIFIED T0: TICOR TITLE GUARANTEE COA TITLE No. 1294-06232 NORTH FORK BANK ANN BENSON -HILL UNATHORIZED ALTERATION Ol AGl=1 TO THIS SURx IS A VIOlAt1ON aE SECTION 7209 OF THE NEW YCRY EDUCTION UAW. COPIES OF THI5 SURVEY MAP NU' THE LAND SURVEYOR'S INt SF1,. TOwBEE AV E CG VALID TRUE CORY. WAPAN; INDICTED HEREON 5. ONLY TO THE PERSON FOR SEFVL LS PREPARED, ANO ON HIS BEWLL: DOING NSDMION 11NStED HEREO' TO TIff ASSIGNEES OF THE IENprx TI1TiON. GUARANTEES ARE NOT TRN' THE EXISTANCE OF RICHT OF I AND/OR EASEMENTS OF RECLA ANY, NOT SHOWN ARE NOT GJ Joseph A. Inge;, Land Surveys T'Ve Surveys — ScbdiviSiODs - Sde Plans — Ccr. PHONE (516)727-2090 tax (`' OMCES LOCATED AT At%, One Union Square P Ao ebcgce, New York 11931 a.arhec: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: / -&' v number & str municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY type (owner -tenant) ^ f ADMITTED. BY: f. ACCOMPANIED BY: �i�fi.-C..- _� � ,Tc�� KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OFREQUEST:�j �%� C�i4Gi�® DATE: DWELLING: TYPE OF CONSTRR�UCTION , V_a # STORIES Ogie ## E%ITS FOUNDATION-fi %��r/ LJ �iC CELLAR /'��.. CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR.�4° 3RD FLR_ BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE. DECK, TYPES BREEZEWAY -- FIREPLACE 011�• DOMESTIC HOTWATER TYPE HEAT OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE SWIMMING POOL OTHER: WARM AIR PATIO ---- ,. AIRCONDITIONINNGG HOTWATER e� OF CONST. /��. ��TORAGE, GUEST, TYPE CONST. TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE - UNIFORM FIRE PREVENTION && BUILDING CODE LOCATION ,�`� DESCRIPTION o ART. SEC. 1,t2 REMARKS: INSPECTED BY DATE OF INSPECTION G ,I TIME START lr, �• END