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HomeMy WebLinkAboutZ-23425FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23425 THIS CERTIFIES that the buil Date DECEMBER 27, 1994 ONE FAMILY DWELLING Location of Property 550 GROVE DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section Subdivision 80 Block 4 Lot 23 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-23425 dated DECEMBER 27, 1994 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 EDWARD J MC GURN TRUST (owner) 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. c s Bui ing InNrector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 550 GROVE DRIVE SOUTHOLD Ui—ttmber 6 street municipality SUBDIVISION REYDON SHORES MAP NO. LOT(s) NAME OF OWNER (s) EDWARD J. MCGURN TRUST OCCUPANCY ONE FAMILY VACANT type (owner -tenant) - ADMITTED BY: EDWARD J. MC GURN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 80-4-23 SOURCE OF REQUEST: EDWARD J. MC GURN DATE: 12/19/94 DWELLING: TYPE OF CONSTRUCTION FRAME # STORIES 1 # EYITS 3 FOUNDATION MASONARY (CEMENT BLOCK) CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: IST FLR. 3 2ND FLR-LOFT 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE 1 GARAGE DOMESTIC HOTWATER YES TYPE HEATER L.P. GAS AIRCONDITIONING TYPE HEAT L.P. GAS WARM AIR FLOOR FURNACE HOTWATER OTHER: AC(:F.SS(TRV STRTTCTTTRAC - GARAGE, TYPE. OF CONST. SWIMMING POOL OTHER: FRAME W/STORAGE STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART- SEC. CELLAR L.P. FLOOR FURNACE REQUIRES SERVICING IF USED 11243.10 CELLAR SUPPORT CHIMNEY CONNECTOR FROM FURNACE AND PROVIDE CLEARANCE OF 18" FROM COMBUSTIBLE MATERIALS CELLAR REMOVE OLD WIRING IF NOT IN USE 1243.80 LIVING RIM REMOVE FIREPLACE INSERT (SOLID FUEL APPLIANCE) OR INSTALL TO 1243.1(] CODE BEFORE USING. 1260.2(1 LOFT PROVIDE TEMPORARY RIDGE (ROOF SUPPORT) FOR CONSTRUCTION UNDER CURRENT OPEN BUILDING PERMIT 022536Z. INTERIOR DWELLING NON -HABITABLE WITH EXPOSED INSULATION 718.1(1 REMARKS. BUILDING PERMIT 122536Z ISSUED FOR DORMER AND ADDITION TO DWELLING IS IN EFFECT WILL EXPIRE 6/19/96. INSPECTED BY THOMAS J. FIS7E!DATE OF INSPECTION_ TIME START 11:00 AM 12/22/94 END 11:40 1) Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 9 1994 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00�y Date.. �CG�///J� RC2 New Construction........... Old Or Pre-existing Building... ........... Location of Property ... ...:��, , , , , , , , , , , ,,,,. . .Ro.. . House No. Street Hamlet Onwer or Owners of Property. L - .Zilit%�� /. �. County Tax Map No 1000, Section... z �......Block.....�4.........Lot..°R -73 Subdivision....................................Filed Map ............ Lot ...................... . Permit No..'5 ,q 'f%.e....Date Of Permit................Applicant............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted:OPc 2:: . . . e a3ya5 APPLICANT ..... .............. CONSENT TO INSPECTION Owner(s) Name do(es) hereby state: UEC 191994 , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at�Ut/?7- Z_D which is shown and designated on the Suffolk County tax map as District 1000, Section Block 1 Lot 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: 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: D&-7(2- i% (sigVture) (print name) (signature) (print name) 3 t .. r ze L I Pus ii:tlCLF- :4 OF• LI LE t tea. LZF•CE .ti '- r S. •�. ,y l: ,til ,� �F-' 'L - �'•� ��'< ?,+ k'n gtiB. f., <ylY, Y '"�`µ y„fl..lme+� r rtl ..:7'' "'•It0i:1 ` a•"� ! .'r 4 a :�.j y, 3 "* JP , , 1J � r . I % a ,r ?• C✓ Z 4a2Ayb y + �• , —' .8 1 4 Ik n-•'('!'+4:.tt�: J.+yi'+: J1�..., 81,/fi!'b�•i�i�tW1 5j t4 y A47 4,C 5�,�:*y .- _. - p ;'' -p•. '�.�'�, �.'it .acA:, .• _7- ,,.is.:y.�'` .r'R,h.Ni1�'1.xa LOT -5WOWU UE-FaGL T4 " M&F C'r .. t 1 P(' r ri TOWN, OF SOUTHOLD PROPERTY RECORD CARD MA,w irn I STREET 5 6 O VILLAGE / ✓� I I DIST. I COUNTY TAX MAP NO. U' ll�"USt� P ff ovi TOWN OF: SOUTHOLD-MOPERTY RECO OWNER STREET 7-00e -'v FORMER OWNER N S 1� RES. SEAS. VL. FARM C LAND IMP TOTA L DATE REMARKS /^/ e 'q .!I X e l / /_ i 1"O U 4;2 OAU VILLAGEa DISTRICT "'SUB, LOT ., ••+ �C� U s�o ACREAGE " M J AQ9 W TYPE OF BUILDING BU I DING CO DIT N OMM. I IND. I CB. I MISC. I Est. Mkt. Value L DATE REMARKS /^/ e 'q .!I X e l / /_ i Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushlgnd House Plot Totals � . /% 1.1 . -J I FRONTAGE ON WATER FRONTAGE ON ROAD 7A BULKHEAD G DOCK 1"O U 4;2 OAU �C� U s�o yon C2 b yr s�/zz/7 AQ9 d c BU I DING CO DIT N NE 4 RMAL , 396 OW ABOVE Form Z Acre slue Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushlgnd House Plot Totals � . /% 1.1 . -J I FRONTAGE ON WATER FRONTAGE ON ROAD 7A BULKHEAD G DOCK M. Bldg. IJA `�� ✓; /�_ jam! �',�3-D Foundation t�J� Both Extension /L x j`l G Y ISO, L.0 Basement t r) Floors 'r Extension Ext. Walls%ao �� S Interior Finish Extension I Fire Place Heat -y M. Bldg. IJA `�� ✓; /�_ jam! �',�3-D Foundation t�J� Both Extension /L x j`l G Y ISO, L.0 Basement t r) Floors 'r Extension Ext. Walls%ao �� S Interior Finish Extension Fire Place Heat Porch Roof Type { N&V V'- Porch Rooms I st Floor Breezeway, � `-1�h oil)Patio Rooms 2nd Floor Garage,' ,y► Jr D veway Dormer r" E c_ •r T 1 T ¢ V. vuiII4}• -.��. `Yaz. .•UR 'Y. Y`,>i�'`• Y, _ .r 4 '_ _ G BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: (number & street) municipality) SUBDIVISIONy�7oil9 S,l S MAP N0. LOT(s) NAME OF OWNER (s) /1C (50,OO/ T7e<J s Z OCCUPANCY type ADMITTED BY: llee- KEY AVAILABLE SOURCE OF REQUEST: 5we- (owner-tenant) ACCOMPANIED BY: .CO. TAX MAP NO. ,n7r-" DATE: /��/PZIQil. DWELLING: TYPE OF CONSTRUCTION�# STORIES # EXITS FOUNDATION4/4SoW,Z � ,�/r BLt ( CELLAR ��//G CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE l GARAGE DOMESTIC HOTWATER TYPE HEATE 6WJ- AIRCONDITIONING TYPE HE � iPo�1l/� �,¢� WARM AIR ,4;-Zvo1c_' fa_ 4A06X-_ HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. W V,-- ZQ STORAGE, TYPE CONST.. SWIMMING POOL , �GUES., TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE T� LOCATION_DESCRIPTION„�.. i . /� , A R ME KamFR, VA PAN, "M M REMARKS' ��3� INSPECTED DATE . OF INSPECTION ��-L , -:?I— TIME- START END rd)