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HomeMy WebLinkAboutZ-28304FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No. Z- 28304 Date= 03/27/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 335 OAK ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 136 Block 0001 Lot 025 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- 28304 dated MARCH 27, 2002 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 ENCLOSED PORCH AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to ANDREW OTHEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. i utho ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT CoIY.VMto) ;e 10=6)1L�`YY SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): ANDREW OTHEN OCCUPANCY: SINGLE FAMILY ANDREW OTHEN ADMITTED BY: MARGARET OTHEN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO_: 136.-1-25 SOURCE OF REQUEST: MARGARET OTHEN DATE: 03/27/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE: X TOTAL ROOMS: 1ST FLR_: 3 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: BREBZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: PROPANE AIRCONDITIONING: TYPE HEAT: PRO/ELECT WARM AIR: X HOTWATER: OTHER: REAR ENTRY WAY, PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: TWO CAR - NEEDS REPAIR STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: DATE ON INSPECTION. 01/03/02 GARY J S TIME START: 9:50AM END: 10:15AM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL' 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 15 i A. This application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use_:_______ 1. Final survey of property with accurate location of all buildings, property lin streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for, 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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. OB For existing buildings (prior to April 9 ^ `- b g �� 1p , 1 5�i non -conforming uses, or buildings "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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. q0 2 ��30q 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 $25.0 Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing BuildinR - $100,00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.... ).k—. .1.0 ..`1.1 ................... New Construction........... Old Or Pre-existing Building........ ...... Location of Property ............... AT-fj�/ .............Cv ..S a 4 .. rJ I. : House No. Street Hamlet Onwer or Owners of Property..........227:1.�1 V1L !} .T .. ©.�.� ................... County Tax Map No 1000, Section.A.J.0 ...... Block ..... ........... Lot. ? ........ Subdivision. .... �..�.........�,Filed Map,.......Lot. Permit No... N,. -ft .......Date Of Permit... Nf A.......Applicant ....................... Health Dept. Approval......... N/./A ...........Underwriters Approval ................... Planning Board Approval........ u(. 4 ......... Request for: Temporary Certificate........... Final Certicate..e__�..... Fee Submitted: $....144V ................. No icSuT0 County. ComsionEXP 204h"' f h r3 2 G /Fllne,r C,> i._14 r- ✓ CONSENT TO INSPECTION 1M "L (0 VN -YL IF— r— Owner(s) Name do(es) hereby state: the undersigned, That the undersigned (is) (tee) the ownerfa) of the premises in the Town of Southold located at U n- 1�- S i-- C ✓ I N S[ j�►� / ayU - /3 6 /- D- { which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section /� G , Block C , Lot z r . 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: L Ce r •*T e_ Ok-, O c c - d rayl �±l U P('f e)(I 1rS MV )A ) Al 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: I -L- - 1,0 - 9") _ Joanne Fa Notary Public, Su777 County, NY#01FA49911 Commission Exp.1042000 (signature) rn A -K & V} R F— T D DiW- ✓ (print name) (signature) (print name) >Oc r? ZO LOT 105 Z Z LOT 104 (L; OD V' 0 N 82.01' 10„ E o N LOT 103 0 n LOT 102 PIE RCE RD AD m 0 0 a1 Pl0 LOT 85 z Z 125 00 HOUSE I Pip LOT BRICK :VpS LOT 86 w n _FR•''A.M.rrEES lam` 'R /gL ' , 7.9' I y 1 S 82'01'10" W I� WIRES — —I OVERHEAD ,ate \z � STORY BRICK FRAME HOUSE STEPS fT1 U 29.2 LOT 87 N .� HALT •ne„_ A • � a LOT 88 199 r q • ^ d , •a d �a a • 125.00_ ga PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.IALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. N.Y No. SURVEY OF LOTS 87, 86 & P/0 85 MAP OF EUGENE HEIGHTS FILE No. 856 FILED OCTOBER 29, 1928 SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-136-01-25 SCALE 1 "=20' OCTOBER 18, 1999 CERTIFIED TO: LAWYERS TITLE INSURANCE CORP, NORTH FORK BANK ANnRFW n nTHEN AREA = 7,812.50 sq. ft 0.179 ac. W 4.OtG 15 i , Y UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Joseph A. Ingegno Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (516)727-2090 Fax (516)722-5093 OFFICES LOCATED AT MAILING ADDRESS One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverhead, New York 11901 LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY BU1L01bG UEYANXMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MAP NO, LOT (s) ADMITTED BY: ��j-�/�,o1,EL�j1� ACCOMPANIED BY: KEY AVAILABLE SUFF . CO. TAX MAP NO SOURCE OF REQUEST:,41 /jJ DATE: DWELLING: TYPE OF CONSTRUCTION C1/ A - # STORIES FOUNDATION„J� G— CELLAR TOTAL ROOMS: IST FLR. 3 2ND FLR. ”" 3RD FLR. # E%ITS -;- CRAWL SPACE BATHROOM (s)TOILET ROOM (s) UTILITY ROOM PORCH TYPE rA)CtryJ( DECK, TYPE �- PATIO, TYPE BREEZEWAY FIREPLACE — GARAGE DOMESTIC HOTWATER s TYPE HEATER _ AIRCONDITIONING TYPE HEAT A+�l,� WARI!�„ AIR - HOTWATER OTHER: _a.n ,. i n.... /�.A..ityt... t,� /,-.. ice) ACCESSORY STRUCTURES:/ I / I /��^/W dYPJ/hti J GARAGE, TYPE OF CONST. Two, (!�4, STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION 1/ 3 o TIME START i E /O r �� ,rl"I