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Home My WebLink AboutZ-24408FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-24408 Date JUNE 10, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 975 HOBART ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 6 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-24408 dated JUNE 10, 1996 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 GARAGE The certificate is issued to ANNA PLOCK (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. ild' g Inspector Rev. 1/81 BUILDING DE PAR'TMENT TOWN OF SOU'T'IIOI.D HOUSING CODE INSPECTION REPORT LOCATION: 975 HOBART ROAD SOUTHOLD, N.Y. number X street municipality SUBDIVISION MAP N0. LOT(s)___ _ NAME OF OWNER (s) ANNA PLOCK OCCUPANCY SINGLE FAMILY type owner—tenant) ADMITTED BY: LINDA SPANGEL ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-64-2-6 SOURCE OF REQUEST: RICHARD F. LARK, ATTY DATE:MAY 29. 1996 llWELLING: TYPE OF CONSTRUCTION WOOD FRAM E STORIES --A— 1/2 i EXITS 2 FOUNDA'T'ION CEMENT BLOCK CELLAR PART CRAWL. SPACE TOTAL. ROOMS: IST FI.R.__5_ _2NU FLR. I 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) U'T'ILITY ROOM PORCH 'TYPE HECK, TYPE PATIO REAR CEMENT _ BREEZEWAY FIREPLACE GARAGE UOMESTIC UOTWATE.R X% 'TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT pIt WARM AIR HOTWATER X% OTHER: REAR MUD ROOM — SIDE CELLAR ENTRANCE ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. 2 CAR WOOD STORAGE, 'TYPE CONST. SWIMMING P(LOI. GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE RL'MARKS: INSPECTED BY _ - DATE OF INSPECTION JANE 4, 1995 JOH BOJdFls 'TIME START 9:40 END 10:05 n I� MAY ? 1 1996 1-0110 ivu. " TOWN OF souruol.D BUILDING DEPART'ME'NT TOWN IIAI.I. 765-1802 BLDG. DEPT. APPLICA'riON FOR CER'I'1FLCA'I'I: OF OCCUPANCY TOWN OF SOUTHOLD 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: I. 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 19. 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: I. 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-existinp, Buildine - $100.00 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 ..... iaY.?9r..1920 .................... New Construction........... Old Or Pre-existing Building ... X ,(�Q40,,�I... Location of Property... 975 .. .Hobart Road .... Southold , .. .............. . .... ..... .......... ........ ... Nouse No. Street Hamlet Owners of Property. Anna K. Plock Onwer or .................................................... 005.000 and County Tax Map No 1000, Section ... 064...00 .... Block. 02.00,,,,,,,,, Lo t.006iQQ0............. SubdivisionMap,of,Founders,Estates ......... Filed Map..0 4.......Lot..3.aI .4............ Permit No................Date Of Permit ................ Applicant ............ ................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate...X....... Fee Submitted: $,100..,00 .., . "' . EST O ANNA K PLO//--CK66 By..i ............. Richard F. arkl,t' Executor �c��ayyo� CONSENT TO INSPOCTI0N Richard F. Lark the undersigned, Owner(&) Name(io do(es) hereby state: the Executor of the Estate of Anna K. Plock That the undersigned (is)/(xxx1 the owner() of the premises in the Town of Southold located at 975 Hobart Road, Southold, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 005.000 and 064 ._p Block 02.00 , Lot 006.000 That the undersigned (has) kbowc.4 filed, or caused to be filed, an appliea= tion in the Southold 'Down Building Inspector's Office for the following: Pre-existing ' Certificate of Occupancy for house and garage. That the undersigned do(cs) 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, ineludipg,ipspeetions to determine that said premises comply with all of the laws, ordina'nces';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"4s. evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: May 29, 1996 (signFy}ure Richard F. Lark, Executor, Estate of Anna K'. Plock (print name (signature (print name Ftp 7:T'� MA's r � �aCF r 1Y...�� `�� . N SURVEY OF W'r LOTS 3&4 "FOUNDERS ESTATES' FLED MAY 10, 1927 AS MAP NO. 834 AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY N. Y. , AREA = 15, 000 sq. ft. 1000-64-02-05.&06 Scale: 1" = 30' May 28, 1996 CERTIFIED TO+ WCHAEL S. MELL Y CAROL CHIL TON MEI L Y NORTH FORK BANK AOUEBOSU£ ABSTRACT, INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ANY ALWFArX1W CR ADMIrA W rO rtAW SLRVEY 6 A VIOLA MY aF SEC7X W MW Or PE MW YaW STA 7r WX4 AW LAW, eAVEW � vALA A 7M IAM � � MMF VAEY SAD APAP aR Ca w " flE M'i4Esm sm ar 7?E SURVEYOR avir sAm Am APPEARS /fJA W AaWrVMUY M COIWEY rmr SAD LA IF W r8 W •AL7E7iED or BSLI 1 Aw E'1 JAIAP. L ar AAb TAPW ' AAD WOV Wr--rO-VArE-ARE ear N Caru04" rrrrr 1W LAW. p a ;A .S. UC NO. 496/8 PECO P.C, 5/61765- (&6)765- P. P a BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 0971 96-178 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT rI . _ . A LOCATION: number st eet nicipality SUBDIVISION y� MAP NO. LOT(s) NAME OF OWNER (s) /yt t &-Z2 t� , eba, OCCUPANCY Z ---y ,-v f -L' type - owner -tenant) ADMITTED BY: /y %`j /� /y� ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TA% MAP NO SOURCE OF REQUEST :°J�/ DATE : f ✓ 2 f� / DWELLING :.,I- �. TYPE OF CONSTRUCTION d # STORIES # E%ITS FOUNDATION �� CELLAR TOTAI. ROOMS: IST FLR. ,�- 2ND FLR. / 3RD FLR._ CRAWL SPACE BATHROOM (s) ® /V-4-51 TOILET ROOM (s) UTILITY ROOM PORCH TYPE -' DECK, TYPE PATIO lam' 6� BREEZEWAY -- FIREPLACE GARAGE DOMESTIC HOTWATERyl_ TYPE HEATER 0�g < AIRCONDITIONING TYPE HEAT (2/ % WARM AIR ,+HOTWATE�R' OTHER: w %�-y's �. ��C.`- t'. C.s#it c.�C . Lnrr:� ... ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST �� / STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY DATE OF INSPECTION TIME START