HomeMy WebLinkAboutZ-24311FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
No Z-24311 Date APRIL 260 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 495 GLENWOOD ROAD CUTCHOGUE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 137 Block 5 Lot 15
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-24311 dated APRIL 26, 1996
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 & STORAGE SHED*
The certificate is issued to JAMBS MCKILLOP
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. x/a
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
//Buklding-Inspector
Rev. 1/81
BUILNINC INiPAIVIfIl ll'
TOWN OF SOUTIIOLD
NOUS I NG CODE 1 NSVECT I ON I(EI1011'1'
LOCATION: 495 GLENWOOD ROAD_
number & sl: reel
CUTCROGUE NY
---(niu�icZprlily)
SI1111)IVLSION LO'1'(a)_ - —_—
Nnttr: of OWNER (s) JAMES MCKILLOP
ODUI1AIJCY A-( RES. OWNER —
(I y P e --- --- ------ --- ---Z
—()w n e r- t: e 1-1
AUNITTI7.0 BY- ROSE MCKILLOP _ _ ACCO11VANIEU IlY: SAME
KRY AVAl1,AlII.E--_SI1FIr'(:0. TAR NAP NO- 1000--
-----------
sOu1N;E of 11KOIJ 19T. JAMES & ROSE MCKILLOP DATE: 4/21/96
-------------
DWELLING:
TYI'E OF CONSTItUCTION WOOD FRAME ---------_---_ I STONIES 2 ► I-m,rs 3
FOUNDATION CEMENT __ CIiLt.Alt PARTIAL. CItAWL SPACE --
TOTAL ROOMS: IST FI.N. 4 2ND FLM. 3 'JIM FI,It- -----
ItAT111100Il (e) opm _ TOILEIT Itooll (n) UTILITY ROOM
I'OI(CII 'TYPE ----_� HECK, 'TYI'li WOOD REAR_ PATIO
FIItEPLACH NO GA ItAGIi -
--------------------- ------
OONESTIC 1101WA'TE11 YES TYPE 11FATE11 LILCO GAS AIltCONOITIONINC '---- -----
TYPE IIFAI' LILCO GAS_ _-- WARN Alit ------------110TWA'Trit
-----------------------------
01INUt: PANTRY OFF KITCHEN -- --
ACCLSSOItY li'ITUC'fUltrS:
('AltAGE, TYPE OF CONS-r.I� CAR WOOD FRAME STOItAGIt, TYPIC CONST. WOOD FRAME
SWII111ING POOL— -------- -- --' GIII?fN" '1'YI'F. CONS111. — --
O'T111iIt:---------- ---- ------
---------------------------------------------------- ------------------------------------
VIOLATIONS: CNAI'TrAt 45 N.Y. S'I'ATU7 UNIFONI( Flltr fltl?vliN'1'ION 6 IIOl1.DING COUL'
-------------- -- ------ ------
LOCATION DESClUrTIOtI Alt'f. SEC.
- -- -- ----- 1---- - --- — ---- — ---------- -= ---- - -
ItF.1lAI(KS:—BP#6427-Z (ADD) CO#Z5209 - BP#7372-Z (ADD) CO#Z6078 - BP#10401-Z (ACCY) CO#Z10189
I
INsPr(;TrD BY
CO#Z18506
- -7.;
NATE, OF TNSPIiCTTON 4/23/96
TINE STAlfr 10:00 AM ENI)
10:20 AM
Form No. 6
TOWN OF SOUTHOLD (�-
BUILDING DEPARTMENT
TOWN HALL
765-1802 b -
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. Fo`r existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pyre---exiisstt.ag" land uses:
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 insRecr signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $�j155.00, Commercial $15.00
Date��I,f- �! • ............................... .
vew Construction ....... ..q. /Old Pre -ex st� Building.. ...../....... �) ?f�
.ocation of Property....1. J...... ....c..? .... J.lc'�0 ......... .v.l.e �1 � �L... [ '. .. � .Y`�.J ...
House No. Street Hamle
f/�.Jnwer or Owners of Property.. �...!�!.. ... P � �f1
i
-ounty Tax Map No 1000, Section.../ 3 .......Block.........P......Lot.......�...........
Subdivision....................................Filed Map ............ Lot ......................
?ermit No................Date Of Permit ................ Applicant .............................
lealth Dept. Approval..........................Underwriters Approval.........................
TanningBoard Approval ........................
request for: Temporary Certificate........... Final Certicate...........
Pee Submitted: $.............................
QX
. 1 .
IgAp �'* �� �{ 3i ( APPLI AN,
oba-137,5-/,r
MOWN OF SOUTHOLD
XOPERTY RECORD CARD
OWNER
STREET 41!Z5-
VILLAGE
DISTRICT
SUB.
LOT#� �S
�a ti,
/
�
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C/
Yo J7D
FORMER OWNER
/j/f
N
E
ACREAGE
N 'y/ (\�
S
W
TYPE OF BUILDING
RES./0
SEAS.
VL.
FARM
COMM.
IND.
CB.
I MISC.
LAND
IMP.
TOTAL
DATE
REMARKS /h d dY L L'/�i/� "
Q 0�
3� 4� F #t Z: �vi /o�.a�, a6/1,74 �c *�2 0 o -o = -
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— 9 °Qo'_%S
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AGE
BUILDING
COND TION
NEW
ORMALBELOW
ABOVE
17 oo-
-
-,45,_--1�
I L of ;w/f
_f L --
Tillable 2
Tillable 3
Wcodland
Swampland
Brushlond e
House Plot
Tctal
, qlel 15 —
M. I g r
9 db Foundation Bath
f
Exte/hs%P qZ_ GIr
Basement Floors
�
Extensiic,�
Ext. Wails Interior Finish
Extension Fire Place Heat
IN
Porch Attic
C V, ? X I Porch Rooms 1st Floor
Breezeway
Patio Rooms 2nd Floor
Garage Driveway
0. B.
3. 51
/ Y
m
z
inM
N O r H1 OF'11'1 N' a kid
3'7"
a4 s0U+4
GLENWOOD
P-C/A0
-�^-- - -- ---- - -
UNAUT IODRID ALTERATION OR ADORNAF
To T}11S SURVEY IS A v1OLATION OF
SECTION 7109 Of THE NLW YORK STATE
EDUCATION LAW.
COf1ES OF THIS SURVET MAV NOT FEARING
THE LA: D SU:.VEYOM t:'.O'ii AE OR
EMIOSSED SEAL SHAD N:T U CONSIDERED
SU rLV tYtCl FCK
TO U A VAUO fRUE C(:fY.
_ GUARANTEES IlGNCAi:O NLLLE:N SNAIL .UN
��� M �v C� t L LO P ONLY 1A THE OkV O FOL vi•.CM THk SNSVfT
AND ON N.S O::IAG 10 1Hf
�,J/'A 1 � 1 G J 'T-
IS PREPARED.
TIIU COM►ANT, GOVaNMLNIAL A6Lf:CY AND
t"
AT_
UNMNG INSTITUTION 1.151U) "-"OK AND
10 THE ASSIGNEES Of THE LENDING INSTI.
GUARANTEES AiE NOT TRAUISLO FU
TO
G U TC H l7 i t `
1 LJ
TO ADDITIONAL INSTITUTION:, OR SUFSLOUE=aT
ADD
�4: 0V v� StwTE3t>�o, N1!
OWNERS.
-
S LLY V t'� E-1 CCA AAQ o .4
Tu YL- d SOTY
n{v;c Lcf r.IiH TJ�r�. s%�Nv.l ve�.:V 10
//�� 7, .:FUE 1G�✓! `
to C,,- va-v u.-,_. R.C_a
LGc vi Gz[-4 Lu7nd �7wev.�va
4I{C''C.l IH 1'HN. 5474 -�J{{c IrO�IHyLI L.-{dYk$
Evf_
do(es) hereby stab:;
CONSENT
'ro
l\ ;I'I�C'I'IOIv
ne undersigned,
That the undersigned ([s) (are) lite otvner(s) of lho prern[ses [n lhu 'Town
of Southold located at 5 (9'[�NG✓Gd� D
(!Suh-6 oq u e
which i;i shciwcl and des'Iflnatecl on the Suffoll.
Couuly tax map as District loon, Soction
_i3 l3loelc b� I_r,t _/ 5
'That the undersigned (Inas) (have) filed, or caused to he fled, all applica-
tion In the ,Soulholcl `Town 13uildiug inspector's Office for the following.,
[ n A r ,.
Mil'
That the unde[•signed do(eS) hereby Give consent to the Building Inspectors
of the 'Town of Southold to enlc:r "port the ahnve described property, including
any and all buildings locc:[ted [hereon, to conduct such inspections as they [nay
deem necessary with respect to the aforesaid aplllicalion, includhng inspections
to determine that said premises comply With 111•of the laws, ordin[irnces, rules
and regulations of the 'fowls cf Soulholcl.
The [undersigned, I" couseIII [lift to Such [uspectious, do(es) so with the
lemons•ledge mud 1111durstikildiug that any infornrtation ohllrined it, the ew"lur_t of
such inspections ivay he "Seel its evidence in suhseduetnl proseccnllons for vlo-
la[ions of the laws, ordinance:,, rules o[• rel;ul,,lions of the Town of Southold,
1)alccl: � lO
(SlgltalUrL'�
(prhll name) �---
(s It�nnturc
()rint minie)
BUILDING DE PARTHE'NT
TOWN UC S0UTIIOLD
IIOI1Sl.NG CODE LNSI'EC'1'LON REPORT
LOCA'T'ION:
number b street
SUBDIVISION
NAME OF OWNER (s)
OCCIIPAIA'Y A -
hype I-
C,
niunic.i�
MAP NO. LOT(s)
x Vw11CL—LCuclam pC
ADMITTED 11Y: / �- ` ACCOMPANIED BY- �
KL'Y AVAILABLE _ SUP1 , CO. 'TAX MAP NO _ IW 7— --
SOURCE OF REQUEST:-- _ ��/�� ----- DATE: �
DWELLING: �" ---- -----
TYPE OF CONSTRUCTION (/V / # S'TORIE'S
FOUNDATION.. _CELLAR--_�.}C, CRAWL SPACE.
'.TOTAL. ROOMS: IST PI,R. __2ND rLI(.� 3RD PLIC.-
-BATHROOM (s)�— T `�---
�0 L LL I ROOM (s) U'T I LI'1'Y RUUM
/ E X I'I'S3—_
PORCH 'TYPE
1111EEZEWAY
DOMESTIC IIOTWATER
TYPE HEAT (� -7—
OTHER:
ACCESSORY STR TURES:
DUCK , TYPE (;{/ PAi'IO SiElli�
FIREPLACE —� CA It AXE-
TYPE
ETYPE nrn'rE11 AIRCONDITI.OMING
WARM AIIY 110'TWATER--
GAVAGE, 'TYPE OF CONST. / CrA2 S'T'ORAGE, TYPE CONST.
SWIMMING POOL --�—
, G( 1'sS'1', '1'YPI's CONST'_
arnER :
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VI:OLA'TIONS: CIIAPTEI.( 115 N.Y. STA'Tl'sIINLI?ORM I'll(E PRI?VEN'I'.ION S 11UILUING COUIi
REMARKS: �) '�` �' AAWP, %�Ol /Ari 7Z Xi ri,
INSPECTED m
DA'Z'E OF I NSPEC'TI.ON
TIME START END P�