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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: $............................. QX . 1 . IgAp �'* �� �{ 3i ( APPLI AN, oba-137,5-/,r MOWN OF SOUTHOLD XOPERTY RECORD CARD OWNER STREET 41!Z5- VILLAGE DISTRICT SUB. LOT#� �S �a ti, / � � C/ Yo J7D FORMER OWNER /j/f N E ACREAGE N 'y/ (\� S W TYPE OF BUILDING RES./0 SEAS. VL. FARM COMM. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS /h d dY L L'/�i/� " Q 0� 3� 4� F #t Z: �vi /o�.a�, a6/1,74 �c *�2 0 o -o = - -Y 6L- _/1=-/7, z-- a Ew e,C. ✓-,? �--- �>� �z 2-SolZz) N1� p��Z�7-2 _ /6 o%�C'crjaf arae Y aecss o --- �' a a -- 2 0 v . 7 O e y z- o o — 9 °Qo'_%S '/41n Aida i �35do AGE BUILDING COND TION NEW ORMALBELOW ABOVE 17 oo- - -,45,_--1� I L of ;w/f _f L -- Tillable 2 Tillable 3 Wcodland Swampland Brushlond e House Plot Tctal , qlel 15 — M. I g r 9 db Foundation Bath f Exte/hs%P qZ_ GIr Basement Floors � Extensiic,� Ext. Wails Interior Finish Extension Fire Place Heat IN Porch Attic C V, ? X I Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway 0. B. 3. 51 / Y m z inM N O r H1 OF'11'1 N' a kid 3'7" a4 s0U+4 GLENWOOD P-C/A0 -�^-- - -- ---- - - UNAUT IODRID ALTERATION OR ADORNAF To T}11S SURVEY IS A v1OLATION OF SECTION 7109 Of THE NLW YORK STATE EDUCATION LAW. COf1ES OF THIS SURVET MAV NOT FEARING THE LA: D SU:.VEYOM t:'.O'ii AE OR EMIOSSED SEAL SHAD N:T U CONSIDERED SU rLV tYtCl FCK TO U A VAUO fRUE C(:fY. _ GUARANTEES IlGNCAi:O NLLLE:N SNAIL .UN ��� M �v C� t L LO P ONLY 1A THE OkV O FOL vi•.CM THk SNSVfT AND ON N.S O::IAG 10 1Hf �,J/'A 1 � 1 G J 'T- IS PREPARED. TIIU COM►ANT, GOVaNMLNIAL A6Lf:CY AND t" AT_ UNMNG INSTITUTION 1.151U) "-"OK AND 10 THE ASSIGNEES Of THE LENDING INSTI. GUARANTEES AiE NOT TRAUISLO FU TO G U TC H l7 i t ` 1 LJ TO ADDITIONAL INSTITUTION:, OR SUFSLOUE=aT ADD �4: 0V v� StwTE3t>�o, N1! OWNERS. - S LLY V t'� E-1 CCA AAQ o .4 Tu YL- d SOTY n{v;c Lcf r.IiH TJ�r�. s%�Nv.l ve�.:V 10 //�� 7, .:FUE 1G�✓! ` to C,,- va-v u.-,_. R.C_a LGc vi Gz[-4 Lu7nd �7wev.�va 4I{C''C.l IH 1'HN. 5474 -�J{{c IrO�IHyLI L.-{dYk$ 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 : ---------------------------------------------- --------------------------------------------------------------------- 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�