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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 G Q E E GOO 5 E mark docl� �ap skora_ltr _ r+°r�"er °re"+ ht9buried( 2, ` A 5 S� 09'30 W4'(( o cptic f" t(1 Q W Q X W Z Q - Q�ENv� 0A� 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 OOL�w - KO V b m - N ti V 58 e570 56 55 54 53 � i (9 - [: r t errcL 1, . porch WI 3+ory .0 0L me house m U PAPA.;, =..?- r 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 m �p O +r r t t d 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 . 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