HomeMy WebLinkAboutZ-22819FORM NO. 4
TOWN OF SOUR"HOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22819 Date
THIS CERTIFIES that the building.
Location of Property 110 OAK DRIVE
House No.
County Tax Map No. 1000 Section 104
Subdivision
DECEMBER 29~ 1993
ONE FAMILY DWELLING
Street
Block 5
Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot 26
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-22819 dated DECEMBER 29~ 1993
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 DW~IJ,ING WITH ACCESSORY METAL STORAGE SHED *
The certificate is issued to FLORENCE PARKER
(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 ATTAC~ED INSPECTION REPORT.
--- //Building Inspector
Rev. 1/81
BUILDING DE I'A RT~, L~:NT
TOWN OF SOUT]{OLD
tIOUSING CODE INSPECTION REPORT
LOCATION: 110 OAK DRIVE
(number & street)
SUBDIVISION
NAME OF OWNER (s) FLORENCE PARKER
CUTCHOGUE, NEW YORK
(municipality
MAI' NO. LOT (n)
OCCUPANCY A-i RES. OWNER
'(type) (owner-tcmant)
ADMI'Fr~D BY: RICHARI~ ABATELLI ACCOMPANIED~ By-'SAME
KEY AVAILABLE SUFF. COl TAx MAP NO. 1000-104-05--26
sour, c~ OF REQUEST: WILLIAI~ WICKHAM, ATTY DATE: DEC. 8, 1993
DWELLING:
TYPE OF CONSTRUCTION
FOIfNDATION
TOTAL ROOMS: IST FLR. 4
BATllROOM (s) 2 FULL BATHS '
PORCH TYPE
BREEZEWAY
D0~STIC HO~ATER YES
TYPE I~AT ELECTRIC
o~IER:
WOOD FRAME
CENENT BLOCK
~ STORIES I-1/2 # EXITS 2
CELLAR FULL CRAWL SPAC~
2ND FLR. 2 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK,'TYPE PATIO, TYPE
FIREPlaCE ONE GARAGE ~NO
TYPE HEATER ELECTRIC AIRCONDITIONING
WARM AIR HO~ATER
ACCESSORY STRUC-ru~ES:
GARAGE, TYPE OF cONST.
S~IMMING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
METAL SI~D
V~0LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~. DESCRIPTION "' ~M~T.' SEC~'
REMARKS: BP #3188Z-CO Z-2573-ADDITION, BP #15268 -CO Z-15417 DECK ADDITION
DATE ON INSPECTION DEC. 22, 1993
TIME START 9:50' AI~ ENIJ 10:15 Al4
~OV ~g '93 11:5~ TOWM OF SOUTHOLD
Form No. 6
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
ToWN HALL
~65-1802
· DEC 8 1993
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~_..<,~:~ c;
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, amd unusual natural o~ 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 natural or'topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Ce:tificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy- New dwelling $25.00, Additions to dwelling $25.00,
Alterations ~o 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 ~uilding - $100.00
3. Copy of Ce~tificate of Occupancy - $5.00 over $ years - $10.00
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... D¢cember. 7..l~93 .....................
New Construction ........... Old Or Pre-existing Building ....... ~ .........
Location of Property 110 Os~ Priy~ ~utchogue
House No. Street Hamlet
Onwer or Owners of Property...Flo~p¢¢.~.~ .............................................
County Tax Map No 1000, Section...lD~ ........ Block..~ ............. Lot..$~ ..................
Subdivision .................................... Filed Map ............ Lot ................ ......
Permit No ................ Date Of Permit ............... .Appltcant.........Wickham, .... Wickham................& Bressler
Heal=h Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicat/. ..........
C.O. for Pre-Existing Use m~J~~~/~////'
Fee Submitted: $...%QQ~QQ ...... ' .............. Wickha
] S33 · '. ..... .....
CONSEN~ TO INSPECT'ION
William Wickham, At~Qrney for FI ...... ~ , the undersigned, do(es) hereby
Owner(s) Name(s)
state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 110 Oak Drive, Cutcho~ue, New York
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 104 5 26
, Block , Lot
That the undersigned (Las) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for Pre-existinK use
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 inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the ?own of Scuthold.
The undersigned, in consenting to such inspections, do(es) $o with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regular, ions of the Town of Southold.
Dated: D acember 8, 1993
William Wickham
Print name
Signature
Print name
SENT DY: ;10-14-93 ; ?:59AM ; 9195604632~516 290 8565
LIJ
~EO 2. 7 1993
OAK
~OI.40~
NOTE:
m s MONUMENT
ELLrVATION$ SHOWN THUS,
ARE REFERENCED TO AN ASSUMED
OATUM.
SCALE: I" = 40'
DEC. 4, 196~.
SURVEY FOR
COLONIAL MORTGAGEE CORP.
PECONIC
TOWN OF SOUTHOLD
SUFF CO., N,Y. eUAR"NTEED TO,
COLONIAL MORTeAGEE CORP.
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