HomeMy WebLinkAboutZ-20221FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20221 Date SEPTEMBER 16, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2435 CEDAR LANE EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Block 4 Lot 9
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-20221 dated SEPTEMBER 16, 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 WILLIAM. AILEEN & JOHN PARROTT
(owners)
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.
/ullcYing Inspector
Rev. 1/81
I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2435 CEDAR LANE EAST MARION, N.Y.
number & street (Municipality)
Subdivision Map No. Lots)
Name of Owner (s) WILLIAM PARROTT
Occupancy A-1 RES. OWNER
type (owner -tenant
Admitted by: WH- PARROTT Accompanied by: SAME
Key available
Suffolk Co. Tax No. 37-4-9
Source of request WILLIAM PARROTT
DWELLING:
Date 9/16/91
Type of construction WOOD FRAME #stories 1-1/2
Found ation CEMENT BLOCK Cellar FULL Crawl space
Total rooms, 1st. Fl 4 2nd. F1 2 3rd. Fl
Bathroom(s) 1 FULL BATH Toilet room(s) 1
Porch, type Deck, type Patio, type RAISED SLATE
Breezeway Garage 1 CAR- SINCE Utility room PATIO
RENOVATED 15P Type Heat OIL Warm Air 11a Hotwater
Fireplace(s) ONE No. Exits 2 Airconditi.oning - -
Domestic hotwater YES Type heater OIL (SEPARATE)
[1T1W* *
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.__
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks: BP #16212-50 Z;19724 , BP #19691 CO Z-20068, BP #20143 CO Z-20220
Inspected by _Date of Insp. Sept. 16, 1991
GAR SH Time start 11:30 end 11:45
I
CONSENT SEP 1 61991
TO
INSPECTION
�'^1 z_ -Z C- u AI I/VI, A Y d veb� ��� 1ejiohe undersigned,
Owners) Namc(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at �C��,r huh(
-%vhich is shown and designated on the Suffolk
County tax map as District 1000, Section 3 7 , Block�`- Lot I�
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the following:
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:
(signature)
�
(print name)
(signature)
print name
1 : C-1
RIO
t4 SEP 1 61991
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
o, X- 9 7 � - aIe,--,
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.
,
:i. 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $155.00, Commercial $15.00
Date ..... �l.l A !�.........................
':ew Construction........... Old Or Pre-existing Building... ............
Location of Property..... ✓ ...... n4........ .�: .. .�.r101J.....�.%,•..
House No..�� %%' %l � Street y//�\ Hamlet }{
lnwer or Owners of Property... k/ �Jld �..�!. ��� rO ! 1!::x.,1.4°Vru ah(� �0�� �: f�W-a
-t i t�
:ounty Tax Map No 1000, Section.... �J /....... Block .......J ........ Lot ...... %...............
subdivision....................................Filed Map ............ Lot ......................
'ermit No................Date Of Permit ................ Applicant .............................
fealth Dept. Approval..........................Underwriters Approval.........................
anning Board Approval ........................
equest for: Temporary Certificate........... Final Corticate...........
ee Submitted: $.;.. % b=: .....................
C�.ec, N aGao
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ernDOi�1'�d sari cr,xlt n:n l?a cansiGsr.:6
to b, a valid true copv.
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CONSENT
TO tjEi' 16 191
a
INSPECTION
f
LI
Ila A- I�v ru
I �J he undersigned,
(O vner(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 ced) " h vv
which is shown and designated on the Suffolk
County tat map as District l000, Section Block �Lot_,
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the following:
Y-& L ,
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: /6
(signature)
(print name)
(signature)
(print name)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location .J� llc,-
(number & street Municip
Subdivision Map No. Lot(s)
Name of Owner(s) OA
Occupancy -i-i A-4,
type o ner-tenant
Admitted. by: (�t%L2Qw�...LAccompanied by:
Key available
Suffolk Co. Tax No. 22- Y -
Source of request Lw- Date n116AI
DWELLING:
Type of construction #stories y
Foundation Crs Cellar Cravrl space
Total rooms, t. Fl 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, typej 4
Breezeway - Garage 4�' ��t11ility room
Type Heat Warm A' K4iotLwater
Fireplace(s) 04'KA- No. Exits Aircond'ti.oning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES: AS --
Garage, type const. Storage, type: const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks: BCW r i c COO 1q).2 V 0P* (9& qL Co" -
C1100 X0220
Inspected by:� C! _Date of Insp.
7 Time start&jQ-end
r
TOWN OF SOUTHOLD OPERTY RECORD CARD y
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT
ar
i�
o ps
C R Z AIV
FORMER. OWNER
N
E
ACREAGE
S
W
TYPE OF BUILDING
RES., /6 SEAS.
VL. FARMI
COMM.
I IND. I
CB. I misc. I 4,Z
LAND
IMP.
TOTAL
DATE
REMARKS
'
.( v
U
9 0�
79
S'oL e, Soo P.M.Q.
&
$ •m ID �a W. t�RR61 I-0XS P� 5a9
1z
- z
A -1 e {,�r �.. n , _
a s
s v -a
o o✓
/ GG
'I
/
3—j 0- o
%P
1200
q60
z)
S$oo
AGE
BUILDING CONDITION
_,. v
. NEW
NORMAL
BELOW
ABOVE
'
C,,
Farm
Acre
Value Per Acre
Value
r
Tillable 1
Tillable 2
Tillable, 3r��
Wcodland
y �C
Swampland
44
Brushland
�-D
House Plot
/ _.. ... .
Tota
NA
.e
Iii