HomeMy WebLinkAboutZ-23838FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23838 Date AUGUST 28, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1175 BRIDGE LANE CUTCHOGUE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 2 Lot 6.2
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-23838 dated AUGUST 28, 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 A SEASONAL COTTAGE.
The certificate is issued to ELEANOR NOSE
(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 INSPECTION REPORT.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1175 BRIDGE LANE CUTCHOGUE, NY
number 6 street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) ELEANOR NOHP
OCCUPANCY SINGLE FAMILY DWELLING h SEASONAL COTTAGE
type owner -tenant
ADMITTED BY: PETER KREN ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. 'TAX MAP NO. 1000-118-2-6.2
SOURCE OF REQUEST: ELEANOR NONE DATE: 7/21/95
i\l. IC! 1 T Gln I.
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT BLOCK CELLAR FULL
TOTAL ROOMS: IST RLR. 6 2ND FLR. 3 3RD FLR.
BATHROOM (s) 3 TOILET ROOM (s)
PORCH TYPE DECK, TYPE
BREEZEWAY FIREPLACE 2
DOMESTIC HOTWATER YES TYPE HEATER OIL FIRED
TYPE HEAT OIL WARM AIR
OTIIER:
ACCESSORY STRUCTURES:
/ STORIES
CRAWL SPACE
2 1 EXITS 3
UTILITY ROOM
PATIO PAVING BLOCK
GARAGE 2
AIRCONDITIONING
HOT-WATER YES
GARAGE., TYPE OF CONST. STORAGE, 'TYPE CONST.
SWIMMING POOL. GUEST, TYPE CONST. WOOD FRAME - SEASONAL
OTHER: GUEST COTTAGE - 5 ROOMS, 1 BATH, I STORAGE ROOM, I FIREPLACE, 2 E%ITS, NO HEAT SEASONAL
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
REMARKS: BP#22942-Z ENCLOSE PORCH h INSTALL FIREPLACE CO#Z23837.
INSPrCTED BY JOHN BOUFI
DATE OF INSPECTION
TIME START 9:20AM
7/27/95
END 10:IOAM
. FORM NO. G
TOWN OF SOUTHOLD
Building Dopartment 41
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted as sommma n 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.
R. 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.
S. 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 property 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 $25100 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $`50.00 Date ,Ul.y.2.1.,..1995.............
NewConstruction,,,,„Old orPre-existing Buildincpouse and.garaVacantLand .............
Location of Property .... 117,5 .Brtdse .�anp...%4ssau Point,. Cutchogue. . . . . .. . .. . ...... .
House No. Street Hamlat
Owner or Owners of Property .. , .E1.eanor S.. Nohe .. .. .. .
County Tax Map No. 1000 Section .1.� 8 ........... Block .. 2............ Lot 5&6 . , ... , . , . .
Subdivision .................................Filed Map No. ..........Lot No.
Permit No........... Date of Permit ..........Applicant ..................................
Health Dept. Approval .................. ....Labor. Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate ................
Fee Submitted $ .100,00 .....................
Construction on above described building and
Applican
Rw.1o•lovo
P-01
�Mr- do
P✓uerjrp --?D3,wy
Certificate .......................
allapplic le codes and regulations.
��........ ...................
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CONSENT
TO
INSPECTION
\� ayyz— 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—w\�
t. \,k which is shown and designated on the Suffolk
County tax map as District 1000, Section \1 Block 11 Lot +
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in -the Southold Town Building lnspec;Lv.L otri..o row. +hn fnllowing:
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".nspections
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: 7/21/95
(signatu e)
(print name)
(signature)
(print name)
T "(
OF SOUTHOLD PROPERTY RECORD CARD
OWNER
SYREET
VILLAGE
DIST.
SUB. LOT I �t? ,PG1
e a h a J, %i/Q `j t°
a� %a .. e
7�c `io v e
�yd Ja -v I"Q��f ��� T"A_o .3 �
FORMER OWNER
N
E
ACR.
S
W
TYPE,OF BUILDING'
REZ o
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS j , S,r /Q/ A-�- �,�"GQ vr.+ , r d (hc �� ' E
2S6 D
Y ,? Q d
�Q
7 �y. �y
q1q,4,,, 'Pr c? ao��i 7�io n C. � Q d 47
2,5-6
�'3Qd
�o ��
.Z
_-
- i - 1i e -�.. Fe ._ _- 1c-
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
I�FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Q' vu 6 �4D
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
s
House Plot
BULKHEAD
Totun—
DOCK
ILI
TOWN OF SOUTHOLD PIOPERTY RECORD CARD
A
_ L!
OWNER
STREET127-6
VILLAGE
DISTRICT
SUB.
LOT — �z a f ¢
112-
�le d n o r. V / �' 6 �i e
i� e
� d A e
C� v t� �o v 8
FORMER OWNER
N
E
ACREAGE
,7S_
�0 A/a -1
S
W
TYPE OF BUILDING
RES. e1 4d
SEAS.
VL. '
FARM
COMM.
IND.
I CB.
( MISC.
I
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
f J—
L ?� 0
(O D
6 66
� / 1virh, d e
�`' vf-ofe`7,v�-C',
o
/o --o
0 (1e
3 29 e ' e `
k :r , d
i(Xd
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER ' �j-d i m /�
/(0 o d
Farm
Acre
Value Per
Acre
Value
FRONTAGE ON ROAD
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
Brushland
House Plot
Total
W
M. Bldg.
Extension
,Foundation
Basement
"3
4/0
Bath
Floors
Extension
Ext. Walls
4101)5 SIO 0
f2 ierior Finish
Extension
Fire Place
/V a
Heat
S -O
d
Porch
Roof Type
Porch
Rooms 1st Floor
Breezeway
Patio
Rooms 2nd Floor
Garage
Driveway
Dormer
O. B.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT ,
LOCATION: /l 7(5 -
(number
number b street) municipaIi
SUBDIVISION / MAP NO. LOT(s)
NAME OF OWNERe�/YD/c!'J
OCCUPANCY
yl�e owner -tenant
ADMITTED BY: `�%� ACCOMPANIED BY:d-
KEY AVA1 LAIILE SUFF . CO. T'AX MAP NO.%�O — / 01 - , 2,
SOURCE OF REQ EST: �i�YbJZ. -e- DATE:
DWELLING:
TYPE OF CONSTRUCTION �t�l� O STORIES_ / EXITS
FOUNDATION 1 CELLAR_CC.I CRAWL SPACE
TOTAL ROOMS: IST FLR. 41 2ND FLR.-:? 3RD FLR.
BATHROOM (s) �j TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE 2-, GARAGE
DOMESTIC HOTWATER TYPE HEATER (�!/// AIRCONDITIONING
TYPE BEAT Q 4/ WARM AIR tHOT'WATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. !.T/�lQ/fj STORAGE, 'TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
/. d1��1lJCHZ��7i♦i•t�.:a a�1r.•��c�i iaii:�.:.r..�i..���r�a��Y�.�.'►'!�1\!<r l�1Ct�'a i�.....__i�•_=-' ..
LOCATION DESCRIPTION I ART. SEC.
REMARKS:
INSPCCIT.D BY
0
DATE OF INSPECTTIION 4.�I J J
TIME START qt' ZO END