HomeMy WebLinkAboutZ-26863FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z-26863
THIS CERTIFIES that the building DWELLING
Date: 01/03/00
Location of Property 615 EAST GILLETTE DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 038 Block 0004 Lot 013
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- 26863 dated JANUARY 3, 2000
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*
The certificate is issued to JOHN & CYNTHIA NEWTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTI
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 615 EAST GILLETTE DR EAST MARION
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): JOHN & CYNTHIA NEWTON
OCCUPANCY: SINGLE FAMILY DWELLING JOHN & CYNTHIA NEWTON
ADMITTED BY: JOAN TYRER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 38.-4-13
SOURCE OF REQUEST: CHARLES R. CUDDY DATE: 01/03/00
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CINDER BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: --E
BATHROOM(S): 1.0
PORCH TYPE:
2ND FLR.: _Q
TOILET ROOM(S): 0.0
DECK TYPE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE: ONE & 1/2 CAR
DOMESTIC HOTWATER: X TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER: -1
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ' DESCRIPTION
i--.. ART. ' SEC.
REMARKS:
INSPECTED BY:
M BOUFIS
DATE ON INSPECTION: 12/29/99
TIME START: 9:45 END: 10:15
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY 1
Instructions
A. This application must be filled in typewriter OR ink, and submitted indopilliII111111111i to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pxoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00 Q
Date ..!cis .'. ?:/.-..g:J .........
New Building ............. Old or Pre-existing Building ..... ...... Vacant Land .............
Location of Property .. ,615 ,East ,Gillette Drive East Marion
Nouse No. Sneer Na1;
1et
Owner or Owners of Property .. , ,John ;Newton and Cynthia Newton
County Tax Map No. 1000 Section ....03$ ;00 , , , . , Block .04..00.. , ... , , , Lot .... M ;000 . , .. .
Subdivision ..Map .of .MaziQu.Man4v............Filed Map No. 2038, , , ...Lot No. ..?0........ .
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ........ v
Charles R. Cudd y, At ney for Owners
Rev. 10-10.78
R � VVIM
co�sr;:T
TO
Ii%su ccrioN
JOHN NEWTON and CYNTHIA NEWTON
the undcrsic;ncd,
Vwncris) Nam(:t:;
do(ea) hereby state:
That the undersigned (is) (:lrc) the ovincr(s) of the premise:, in the To,.•m
of Southold located at 615 East Gillette Drive, East Marion
which is :.shown and desir-n:,ted on the Suiiolk
County tax map as District 1000, Section 038.00, Block 04.00 . Lot 013.00
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Torn Building Inspector's Office for the follo .inc:
anvlication for a letter of pre-existing use
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
an_: and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application. including inspecticns
to determine that said premises compl; m:•ith all of the laws; ordina^ccs, rules
and regulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so azth the
F:nor:ledge and understanding; that any infor n-lation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the lays, ordinances, rules or regulations of the Town of Southold.
Dated: December /'I, 1999
(si ;nature)
John Newton
(print nasnc)
(sit.�natl u)
Cynthia Newton
(print name)
BUILDING AND ZONING DEPARTMENT
TOWN OF SOUTHOLD
---------------------------------------x
In the Matter of the Application of
JOHN NEWTON and CYNTHIA NEWTON for a
Pre -Existing Certificate of Occupancy
---------------------------------------x
STATE OF VIRGINIA)
) ss..
COUNTY OF )
CYNTHIA NEWTON, being duly sworn, deposes and says:
1) I am one of the owners of the subject property known
as 615 East Gillette Drive, East Marion, New York, having acquired
said property as distribution pursuant to the Last Will and
Testament of my brother, Elefetherios P. Pappas.
2) I am very familiar with the structure located on the
east side of East Gillette Drive, as shown on the survey of Anthony
H. Lewandowski, dated December 8, 1999, a copy of which is annexed
hereto. My brother, Elefetherios P. Pappas, acquired title to the
subject parcel through the Last Will and Testament of our mother,
Elmore P. Pappas, who died on July 1, 1979. My parents, Peter E.
Pappas and Elmore P. Pappas, purchased the property in October
1956.
3) Being that subject premises has been in my family
since October of 1956, I am aware that the structure shown on said
survey were fully completed before April 1957, and have remained in
its current state without expansion from said date. Said structure
has been continuously used as a one family dwelling since prior to
April 1957.
4) I make this affidavit knowing full well that the Town
of Southold Building and Zoning Department will rely upon the
facts as stated herein to issue a pre-existing Certificate of
Occupancy for said structure to John Newton and Cynthia Newton for
use as a one family dwelling.
ynthia ewton
Sworn to before me this
l?fb day of December, 1999
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BUILDING DEPARIIiENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
(number & street) .(municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s)
OCCUPANCY
type owner -tenant a '
ADMITTED BY: -j 0 A -IV 1 y 'e eza ACCOMPANIED BY:
KEY AVAILABLE SUFE. CO. TAX MAP NO.
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION G� �� # STORIES EXITS
FOUNDATION (f CELLAR CRAWL SPACE
TOTAL ROOMS: IST FI.R.'�_ 2ND FLR. 3RD FLR.
BATHROOM ( s ) ��j/ �,� TOILET ROOM ( s )- UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE —`
BREEZEWAY FIREPLACE GARAGE -/,;;f -
DOMESTIC HOTWATER TYPE HEATER(� �i��� AIRCONDITIONING
rTYPE HEAT, t //, WARM AIR - HOTWATER
OTHER: / en le -
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER: 1
-----------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: �/ZA / i 5 12P e d2 �; .: ' -e.4 l-,
INSPECTED BY:
DATE ON INSPE TION
r
TIME START f fj-END,f f