HomeMy WebLinkAboutZ-25374FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
No Z-25374 Date NOVEMBER 21, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1100 PINE AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 77 Block 3 Lot 1
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-25374 dated NOVEMBER 21, 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 WITH ACCESSORY TWO CAR WOOD GARAGE
The certificate is issued to JANET ODELL
(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
RI111.II I NG DEPARTMENT
TOWN OF 80111,1101,)
11011SING CODE INSPEC'T'ION REPORT
LOCA,riON: 1100 PINE AVE. SOUTHOLD, N.Y.
number b sCreeC)----------------------(nwnicipaIICY�------- ----
SIIEDIVISION
NAME OF OWNER (s) JANET O'DELL ----------------------------- - -
OCCUPANCY SINGLE FAMILY
CY-pe )----- --downer=tensn�
ADMI'T'TED BY: PENELOPE MCCARTHY ACCOMPANIED BY: SAME _
KEY AVAILABLE-----SIIFF.CO. TAX MAL' NO. 100��T-3=T
SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: JUNE 6, 1997
TYPE OF CONSTRIICTTON WOOD FRAME l S'I'ORTI?S 1 i 17X1'1'8 2
FOUNDATION WOOD FRAME CELLAR PART. CRAWL SPACE PART
TOTAL ROOMS: IST PLR. �----2NU I?I,R. - - 3RD PLR.- - - -- -
BATH ROOM (s) 2 TO1 LET ROOM (s) 11.1' 1 L I TY ROOM
PORCII 'T'YPE SIDE ENCLOSED HEATED DECK, 'TYPE PA'T'IO
BREEZEWAY FIREPLACE ONE GARAGE — -----
-- --- ---------------- --- --
DOMESTIC HOTWATER XX _ TYPE IIEA'I'Ell ELETRIC _ AIRCONDITTONINC
TYPE HEAT OIL WARM ATR 1101WATER XX ---_-
OTHER:
CARACE, 'TYPE OF CONST. 2 CARWOOD S'T'ORAGE, 'rym.-. CONST.
-
SWIMMING POO(. -- -- GUEST, TYPE CONST.
0'1'111! R :------- -------------
VIOI.ATTONS: CIIAP'T'ER 45 N.Y. STA'T'E IINIFORM FIRE PREVEN'T'ION 6 1111TLOING CODE
LOCATION DESCRIP'T'ION ---------
REMARKS: BP #35_04 -Z -CO Z-3027 (ADDITION)
Iithlutl1YYtl)l lVA
SEC.
DA'Z'E OF INSPH-CTION JUNE 10, 1997- REINSPECTED
- --- ----------NOVEMBER--I9T-1997----- ---
JOHN M. BOUFIS TIME START 10:30 N.M. ENO 11-00 AM
Form No. 6
_... TOWN OF SOUTHOLD
' �i �. i'•, BUILDING DEPARTMENT
_ TOWN HALL
61997
765-1802
.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
701W OF -A. Thss2z�onmust 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. 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 $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 Building - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
>� Date .......... .. ...................
New Construction........... Old Or Pre-existing Building ....
X........... '
Location of Property 1�.... (""" 1.�.................
P Y ...� �. � �! . /� e" G' z lG':k �: ..� t-rry E'!E 4.1� . Soc:]�
House No. Street / Hamlet
�'! '
Onwer or Owners of Property........... yz�P �i??� .........................
ef
County Tax Map No ./
�1000, Section...3........Block.......././......Lot..1...................
/�
Subdivision.... �,��..Q F. 4osz., h(9�/� �� .Filed Map. 11.7 1 .....Lot.. ..........
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $...........................
cam- _36gf ?
ef\&- cA -?--o?,S 3-7 y
PLICANT
JUN" - 61997
C'0 NSlSIT1,
BLDG. DEPT.
-rDtAlN OF 1 N S I' Il ; ( )T[ L O N
p _--------- —, the undersigned,
( Na,ner-W 1`la nm(s-------
do(e'A hereby state:
'I'Iiat the underSigned (is) (t' ,) the nwncr(.�;-) Or the iscs in tlW 'I'Own
ref `irnllll(dd located at
which is shown and desivimted on the Suffolk
(;unnl_y tax reap as District 1000, Scction Q% Block i,ol.
That the nndersif;ned (has) filed, or caused to be filed, all applica-
I.foii in the Southold T
o
wn 13uildiug hlspec.l. is Office for the following:
I'h,lt the undcrsigna:d do(cs) hereby give consent to the 13uildint Inspector:;
of Clic 'Town of Southold to entc�;r upon the above, described property, including
any ;old all buildings local.cd thereon, to conduct such inspections as they may
do( --in necessary with respect. to the aforesaid application, including inspections
to dct( rumiue that said pr-cmiscs comply with all of the laws, ordinances, rules
iuld regillations of the 'Town of Southold.
The undersigned, in corlsc.uling to such inspQetions, do(es) so with the
kiimvledge mud understandirq; that any information oblained In the conduct of
such irl:;pections may bh used as evidence in subsequent prosecutions for vio-
Iml ioW:of the laws, ordinance ,, rules or regulations of the 'Town of Southold.
latkil
('l)i'lll1. name
(tilj?n (tore )--- --
print name
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hlo-fe: Lo+ n itriber•s shown rrefe- 4c
"Map of Goose 6aV Es+a-Ass,"
filed in 4he Suffolkr Cour1-Aj Clerk
dice as MeO No. x176.
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MAP OF P opseTY
5cfevEYED POO
COOEC2T J P�(NELOPE ,J BICC 4 2Tl 4Y
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" 04YVIEW O
TOWN OF 7;40LV, Wr
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PAPA.;, =..?-
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b:� ''. :',n IdGp cl II:A New York aat�
-7.
1.:[.,>.f,on Law.
re4- wall 0.2 N. /
(' , as of this Survey map not bearfrq
N -72' 25'30' w. - 125.0
t - and surveyors Inked seal or
f-05 _—
52
hlo-fe: Lo+ n itriber•s shown rrefe- 4c
"Map of Goose 6aV Es+a-Ass,"
filed in 4he Suffolkr Cour1-Aj Clerk
dice as MeO No. x176.
ti
t
R
MAP OF P opseTY
5cfevEYED POO
COOEC2T J P�(NELOPE ,J BICC 4 2Tl 4Y
Ar
" 04YVIEW O
TOWN OF 7;40LV, Wr
Scale; 40 I"
Ar -+dot w 180 157 sy.;F+
0 = rnonume nt
Su f o lk Courrfy Tax Map Qs5i qw r ion:
OiV+. 1000, Ser -+Q-", Slk. 3, Pc 1. 1.
&.Jarrlrtiacd -fo Caber-+ J t Ae+nefo e J
McCar44%j)8ridfehaw#fcm Mortallhni;
Cohi rnorr wie* 1441 Land -refle NY5c.lrartu ,
Cotrfoaaftyf' as sur-v"Ved Mary 27, 1997.
6" Oi5e/ce V<xvTU`fL-, P.C.
Licensed Land St*- *v*pM
Greett�oe- f -- "ew York,
(N
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O
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r t
t
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U
PAPA.;, =..?-
b:� ''. :',n IdGp cl II:A New York aat�
1.:[.,>.f,on Law.
(' , as of this Survey map not bearfrq
t - and surveyors Inked seal or
a:...,ossea deal Awa rgtm anafaer.n
u. o vald true ropy,
C.:namees IndWed hereon shag r n
or+y to the person forwhorn the survey
h rrapared, and on his behalf to dv
i'-crmpnnv rovemmen;al a0arcy aoM
Scale; 40 I"
Ar -+dot w 180 157 sy.;F+
0 = rnonume nt
Su f o lk Courrfy Tax Map Qs5i qw r ion:
OiV+. 1000, Ser -+Q-", Slk. 3, Pc 1. 1.
&.Jarrlrtiacd -fo Caber-+ J t Ae+nefo e J
McCar44%j)8ridfehaw#fcm Mortallhni;
Cohi rnorr wie* 1441 Land -refle NY5c.lrartu ,
Cotrfoaaftyf' as sur-v"Ved Mary 27, 1997.
6" Oi5e/ce V<xvTU`fL-, P.C.
Licensed Land St*- *v*pM
Greett�oe- f -- "ew York,
(N
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SUBDIVISIOr
NAME OF OWI
OCCUPANCY
ADMITTED BY:
KEY AVAILABL
SOURCE OF REQUEST:
tyP (owner -tenant)
ACCOMPANIED BY: 67A
SUFF. O. fAX MAP NO,fdG�d
12 A& A _ DATE:
7
DWELLING: �f
TYPE OF CONSTRUCTION (Ao dad 6LA'v # STORIES _ # E%ITSy
FOUNDATION �� ,�%j CELLAR - CRAWL SPACE 4i�'
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. •--
BATHROOM (s) L� TOILET ROOM (s) M
UTILITY ROO
PORCH TYPE SI,696WO;W ,&6" DECK, TYPE `�- PATIO
BREEZEWAY FIREPLACE GARAGE ------
DOMESTIC HOTWATER _ TYPE HEATER AIRCONDITIONING
TYPE HEAT Qom/ WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST .c� & k.J " � STORAGE, TYPE CONST._
SWIMMING POOL `- GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY / ' f DATE OF INSPECTION 4110I 7
TIME START �0 O END
7 7-3 _�--- TO y N O 0,,{ TH�LDP OPERTY RECORD CARD
•
"10
s
-. OWNER
`:`
�
V LLAGE
DISTRICT
SUB. LOT
^--
�r
FORMER OWNER
N i
E
ACREAGE
t,
7
-
eA4
�
.y
S
W
TYPE OF BUILDING
'
} ES. Z�d
SEAS.
VL.
FARM
COMM.
( IND.
I CB.
( MISC.
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
to 0
1/27
102
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER /Q... Af
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
Viable * 1
BULKHEAD
{
table 2
DOCK
Ilable. 3
o
oodland
Qnpland
Piot
k-
¢Tip
MIA ";1,11U. -10
M. Bldg.
?- [r �C �j — �t� ✓
�!q.,2,;,-LWndation
G i3
Bath
_Extension
�� X y�
S
/ Z� v
B ement
YI��tJ �--
Floors
01A
ExtensionExt.
Walls
�,pc/jr,
Interior Finish
Extension
Fire Place
vC�
Heat OIL
-
- If
Porch
Roof Type
Porch
Rooms 1st Floor
Breezeway
Patio
Rooms 2nd Floor
. Garage
r' oy
Dormer
uIIN
Ill
IA in NMI
I I II � .. a .. a ,. .j::� .�Y7 +.�SSwa . "� ,: F `e ;, a. a •'�`h°: `yt
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