HomeMy WebLinkAboutZ-22975FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
No Z-22975 Date MAY 2, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 985 OAK AVE. & 35 HICKORY AVE. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 77 Block 1 Lot 11
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-22975 dated MAY 2, 1994
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 STORAGE SHED
The certificate is issued to LAWRENCE OSTERMANN
(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.
ilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 985 OAR AVENUE SOUTHOLD, NEW YORK
number street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) LAWRENCE OSTERMAN
OCCUPANCY I FAMILY DWELLING OWNER
type owner -tenant
ADMITTED BY: OWNER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TA% MAP NO. 1000-77-1-11
SOURCE OF REQUEST: OWNER DATE: APRIL 24, 1994
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CEMENT BLOCK
TOTAL ROOMS: AST FLR.
BATHROOM (s) 2
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER II
TYPE HEAT OIL
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
FRAME
4
CELLAR 1/3
_# STORIES 1 # EBITS 2
CRAWL SPACE 2/3
2ND FLR. 2 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK TYPE PATIO
_ FIREPLACE 1
TYPE HEATER LPG
WARM AIR II
GARAGE
AIRCONDITIONING
HOTWATER
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
WOOD FRAME
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
T.nr.ATTnN DESCRIPTION I ART. SEC.
REMARKS. BP #17646Z CO Z-22922 ISSUED FOR ALTERATIONS (DORMER)
INSPECTEDBY DATE OF INSPECTION APRIL 29, 1994
TIME START 9:55 END 10:20
$ AOR 2 61
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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:
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
2. Certificate of Occupancy on Pre-existing Building - 100.0
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..../x%./?. .......................
New Construction........... Old Or Pre-existing Building .....
Z/ ....,./
Location of Property .... a3 i% .... ��G �.Y. /../!f<..........lt3.v.7 f P/l/ ....7Y. 1 ................. .
House No. Street Hamlet
Onwer or Owners of Property.. ............................... .
County Tax Map No 1000, Section ........ 77 ..Block ...... .........Lot..../ ...............
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $... �� �....................
? C 0 APPLICANT
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CONSENT
TO
INSPECTION
s) Name(s)
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
, -,vhich is shown and designated on the Suffolk
County tax map as District 1000, Section ZZ Block / , Lot
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:
0,
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 Nvith 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: -R 7 Al, /z'? �/
Z_S�
, _Vz2Gr�9rc� *�
(signature)
�uct�`^ehcto U-
(print name)
signature
(print name)
TOWN OF SOUTHOLD ROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT
j l 11
FORMER OWNER
N
E
ACREAGE
I41.1•���'''�'''
F w
S
W
TYPE OF BUILDING
RES. Z�O
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
( MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
j
Xe -04 J -
U o
v d
Z ,/
i / a g /r
E /1
cn o o v /LA s;/ Q —7.--
T4-60 P -Aq A -r^'L rrV - TC. L . Cf Fe,- r• i •V
fit 0
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
�; 7 �-d
S w
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
Brushland
House Plot
Total ' a.►
1
M. Bldg.
>( -3,4- -
-7 014)
a
1 3 / *q
Foundation
i
p/ 4-�- � 5 : Both
i i
- I - -
i
E n 12- T6
EY4 qnsion Y, Z4 q2-(
Extin'Rion 'K -7
Breezeway
Garage
_,...Tire
BasementA'f
Ext. Walls
Place
l" '-
C'5..
6ao,-
Porch
I Floors
_Interior Finish
Heat
Roof Type
Porch
Patio
Driveway
!Rooms 'Ist- Floor
Rooms 2nd Floor
Dormer
0. B.
m
sono -77- I -- II
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. . LOT " ' - g60
0S;-krma-n
O0..( Ade
-SOUtNOLD
ACR. /9&
REMARKS
/�SPIa/� L . OsiCrma.i�
�ah L 61 h
TYPE OF BLD.
Ja nu S M,• nQ ,i- ul{
PROP. CLASS
LAND/0
IMP.
TOTAL
DATE
l Z P d"l" '" 6 — - x:• t ��.%. 11 --A .. i ora
600
3600
41200
.412,& 9/
c. 0 9Jg6 —
FRONTAGE ON WATER
/� `j 5�3
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
4
TOTAL
i
Rr;P
COLOR
TRIM
A5 .
M. Id .
1 g)( /0 � /
6'�
q0C)
Foundation
Bath
Dinette
_
�ss+
/4 A Xn
If { V
15
�.
Basement
FULL L
SLAB
Floors
Q
I \
Kit.
Aenss n2
X 22 =- ZOOY
5a
4
g d
'r
COLOR
TRIM
A5 .
M. Id .
1 g)( /0 � /
6'�
q0C)
Foundation
Bath
Dinette
_
�ss+
/4 A Xn
If { V
15
�.
Basement
FULL L
SLAB
Floors
Q
I \
Kit.
Aenss n2
X 22 =- ZOOY
5a
4
g d
Ext. Walls
' J
Interior Finish
��AZc CJI
L.R.
Elites' ion
2p X CI Igo
3,
585
Fire Place
�S
Heat
h OI t
D.R.
:N
5 2l7
�a
50
Woodstove
BR.
RAW,
32
0,50
5
Dormer
Fin. B.
Deck
Attic
Breezeway
Rooms 1st Floor
Garage
Driveway
Rooms 2nd Floor
5-M 6E
O.B.S,,eb
9 X _ 54
1, ��
Pool
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
MAP NO.
LOT(s)
owner -tenant
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO
SOURCE OF REQUEST: DATE: o?
DWELLING:
TYPE OF CONSTRUCTION # STORIES t # E%ITS ?-
FOUNDATION CELLAR '� CRAWL SPACE °Z
TOTAL ROOMS: IST FLR. 2ND FLR._ 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER 1/ TYPE HEATER G AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
, GUEST,
STORAGE, TYPE CONST.
PE CONST. ✓�
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY DATE OF INSPECTION (l��i 9
TIME START ' j END (� -0