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HomeMy WebLinkAboutZ-19962FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19962 Date JUNE 10. 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2710 PRIVATE ROAD #18 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19962 dated JUNE 10, 1991 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 ESTATE OF EDWARD W. OFFENHEISER (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. B ilding Inspector Rev. 1/81 BUILDI:;G DEPARTHE T T07 �i OF SOUTHOLD, N. Y. HOUSIi:G CODE INSPECTION REPORT Location 2710 PRIVATE ROAD #18 SOUTHOLD, N.Y. �numoer (:c street) �i,iuniuipality) Subdivision Nap No. Lot(5)- Name of Owner(S) ESTATE OF EDWARD W. OFFENHEISER Occupancy A-1 OWNER (type) owner-cenanz) Admitted by: Ray Offenheiser Accompanied by: SAME Key available Source of reques DITEMLING : Suffolk Co. Tax No. ROBERT E. OFFENHEISER Date 54-1-14 MAY 16, 1991 Type of construction WOOD FRAME Tstories ONE Foundation CEMENT BLOCK Cellar NO Crawl space II Total rooms, 1st. F1 5 2nd. F1 3rd. F1 Bathroom(s) ONE FULL Toilet room(s) Porch, type FRONT ENCLOSED Deck, type Patio, type_ Breeze,aay Garage Utility room Type Heat OIL 'alarm Air Hotwater K% Fireplace(s) NONE _No. Exits 2 Airccnditioning Domestic ho twater YES Type heater OFF THE FURNACE Other ACCESSORY STRUCTURE'S: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const._ VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION BUILDING CODE Remar!cs • BP #6568/CO z-5436, BP # 15040/CO Z-19818 Inspected by: Date -of Insp. MAY 29, 1991 �' ISH Time start 9:40 end 10`_ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 7 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: 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. 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—tural 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .May. 161 .1.991 .......................... New Construction........... Old Or Pre-existing Building .... X............ Location of Property..2710 Private. Road _ # 18 c . Southold t , New .York ........ ....... . .. . . . . . .. .. .......... .... ..... House No. Street Hamlet Onwer or Owners of Property Estate'.of. Edward W. Offenheiser . . . ... .. ............. County Tax Map No 1000, Section...5 .......... Block..1.............Lot.14 Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit................ Applicant.Robert E. Offenheiser, Admin- i'stra'tor Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate... :�....... Fee Submitted: $.100;00,,,,, ylg90 C�'ti co � i99 d �— CANT......................... SWNEYED FOR:- IWICA(4,61. I .5o/C45e LOCATED AT SOU7A- 1404.0 7433�(/A/ OAC' LOT MW OF 04E5 CAell5EAP c%ekqoE,21y Zf �ejf Al Y SCALE I 5u�jcot.e co.T� M-ao OcT,.o �' O/5T • J°oa ��cT. o54•d�o B«• O/.aa �o�-= oi4 cameo Foe&fy/IYA77- �'�• "' �C./ 25"/O'E /moo. �9 7v: titre- _Z�!5RAOFe c A.wrfy T7cAw- 4::a si til *.Xl s T5wAry /off' 22T�i �•QH 1A0'W Agt7-E2 iv/Ff'�""SaSt" srr��a/�a�zr f� w ?� �► w�wsr� yri.�s � 1 ��+o. 2ro,�°J1 rnoE � . CONSENT TO INSPECTION Estate of Edward W. Offenheiser ROBERT E. OFFENHEISER, as Administrator of the / 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 2710 Private Road #18, Southold, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 54 , Block 1 , Lot 14 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existing building 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 inspections 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: 5/16/91 (signature) (print name BUILD'T',::- TOaid OF SCUT: OLD .; N . Y. FOU- I::C CCD- IiS?_CTIGi; R- ORT Location „270 k.:L:.aoer (u s tree u ) Subdivision M, trlun: cipall :y) No. Lot(s) e i ��..1 of Owner(s) Occupancy f} - t L'yp o Admiy-ted by: _ -AcCcimpanied owner-zenar . ) by: Key available Suffolk Co. T Source of request Tax No. Date DWELLING: Type of construction Foundation �� �� � stories � Cellar�Craw1 space �- Total rooms, I-1- 2n 1st. F1 .d. F1 Bathroom(s)3rd. F1 Toilet room(s) Porch, t -y -pe U Deckp type YPe Patio, type Type Heat Breezeway Gara�� d Utility room Warm Air Fireplace(s) /o�� Ho twater No. E;ti is v� Aircondi Lioni.-gig Domestic ho treater Type heater/ Other ACCESSORY STRUCTLTRFS: Garage, type const. Storage, type const. Sri„ �,,mi ng pool Guest type ype const. v i VLA-! CHAPTER 45--N.Y. STATE IINTrnum r. Tnr. n.,.,♦.... _____ Remarks: t P #- � P /Sb Vo C 0 V_/ Hoppe Inspected by: Z Date of Insp. ✓`� Time start -L& end ' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DfSTRICT SUB. LOT FORMER OWNER A" 4 -- E ACREAGE� S W TYPE OF BUILDING RES D SEAS. VL. FARM COMM. IND. CB. I misc. LAND IMP. TOTAL DATE REMARKS ,q CC = Ly AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acrd Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brush -i5l' nd %-* House Plot Tota I CIr M. Bldg. Foundation.rL�i.Bath Extension Basement Floors Ext. Walls Interior Finish Extension Extension 2. 7 Fire Place -JA Heat Porch Attic Porch Rooms Ist Floor Pati Rooms 2nd Floor Breezeway Garage Driveway 0 B.