HomeMy WebLinkAboutZ-25406FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25406 Date DECEMBER 2, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 435 BAY ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 116 Block 2 Lot 11.1
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957
OCCUPANCY NUMBER Z-25406
pursuant to which CERTIFICATE OF
dated DECEMBER 2, 1997
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 PAUL ODEA
(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.
Buil ng Inspe t
Rev. 1/81
11111LOING IWPAlt'1'MtNwr
TOWN OF 5011'1'1101.0
11OUS 1 NG CODE 1 NSPLC'I' 1 ON IMPORT
LOCATION: 435 BAY ROAD CUTCHOGUE N.Y.
------�-�— mi—i n i c i �a 1 i t:
—number 6 at'reel:l------- ( 1 Y� -
SUBDIVISION MAP NO. 7.01'(x)
NAME OF OWNER (s) PAUL G: ODEA
OCCUPANCY SINGLE FAMILY -_
type Zowner=
TOWN OF SOUTHOLD
BUILDING DEPAR=NT
TOWN HALL
765-1802
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:
_. 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.
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 S25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - .25C.
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential [$'15.00, Commercial 5155..00
Date cl 6C% ...3 �.. . ! .............
2
3
4
5
New Construction........�.f.. Old Or Pre-existing Build"ng. ..............
Location of Property.... 33 .... f�.A:K .....� �.........................
House No. P�Street ) p�Hamlet
Onwer or Owners of Property.65�..'0� ... �...6 `� l f:).1,
County Tax Map No 1000, Section... '& ......Block..... ........Lot.... (/:../...........
Subdivision....................................Filed `SaD............ Lot ......................
PermitNo................Date Of Permit................ Applicant .............................
Health Dept. ADDroval..........................Underwriters Approval.........................
Planning Board Approval ........................
Reauest for: Temporary Certificate........... Final Corticate...........
Fee Submitted
S./001.00
.. ...........
� 53(09)
> ?<
AP. C
C(1NiliN'I'
TO
William C. Goggins, Attorney For Estate Of Paul G. O'Dea ll+c: uncl(:( sll;nc:cl,
Urvner(s) IVumc:{:�)
(lo(e;�) hr,reh,y sl(do;
That the un(lersllinecl (Is) (ore) the owner(H) of Iho prenr(sos In llu: Town
of Soulholcl loc;fte(1 ,it 435 Bay Road, Cutchogue, New York 11935
which 1:( :chows 1111(1 +Insillnnled oil lh(i SoffoM
County tax +nap as f]Islrir.t 10Q(), Sr:cllon 116 13111(1( 2 Lot 11.1
That the uncler•slllned (has) (have) filed, or• causer) Io he Mail, an applica-
llon In the Southold Town 131111diulf Inspector's 01110e for the followinff;
A Certificate of Occupancy for pre—existing use
That the un(lersigne(l doles) hereby give consent to the 13ulldinf; Inspectors
of the Town of Southold to enlcr upon the l+hove clescrlbed properly, lncludlnf(
cloy +iod all bull(lings located Ihec•eon, to con(Incl such inspections as they +nay
leen+ necessary with respect to the afor•esald trilphonlion. Inclucling inspections
to determine that §aid premises coinpi)• wllh till -of the laws, or•cllnaocos, rules
an(I refluIll llolls of lilt' Town of Southold.
The uculersigoed, 111 consenlh+lf to such 111spoellons, do(es) so with the
Icnowl(t(Ign olid undu( sl1111d11111 that any Inforn:allou obtained In the c:ouducl of
such inspocllons inny he usell ns evidence in c;(+hsequenl prosecullons for vlo-
talions of the laws, orcliot+uco.ti, rules or rel;ult+llous of the 'Town of Soulhol(l.
October'30, 1997
A6.
(sif;nuluro)
William C`Goggins _.___•
(prlul name)
slit11alurc
pr(11l oan+e)
0
BUILDING DEPARTMENT
TOWN OF SOUTIIOI.D
HOUSING CODE INSPEC'T'ION REPORT
LOCA'T I ON : '/ ✓� V � /�� —
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
ADMITTED BY:
KEY AVAILABI,
SOURCE OF REQUEST:
street lmunicipa
MAP NO. LOT(s)
ACCOMPANIED BY:
AX MAP NO.
ty
DWELLING: I
TYPE OF CONSTRUCTION.ol STORIES f EXITS
FOUNDATION CELLAR liy CRAWI. SPACE
TOTAL ROOMS: I ST FI.R. S 2ND FLR ._ �' _ 3RD FI.R . ""-
BATHROOM (s) TOILET R (s) Z ll'T tLI'TY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPIA E GARAGE
DOMESTIC HOTWATER TYPE HEATER -z Os.� AIRCONDITIONING
TYPE HEAT WARM AIR HO'TWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. t"-- STORAGE, TYPE CONST.
SWIMMING POOH. *--^ GIIES'T, TYPE CONST.
OTHER:
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VIOLA'TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
REMARKS: 'c Y s m 4 C . - O? v .L- w
ART. SEC.—
REMARKS:.
EC
INSPECTED BY / /y" �' l/ DATE OF INSPEC'T'ION /// 5—/ f l7 _
TINE START --� U 3 v_ END