HomeMy WebLinkAboutZ-27138FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27138
Date: 06/14/00
THIS CERTIFIES that the building DWELLING
Location of Property 530 SKUNK LA CUTCHOGUE
(HOUSE NO.) (STREET} (HAMLET)
County Tax Map No. 473889 Section 097 Block 0003 Lot 009
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- 27138 dated JUNE 14, 2000
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 COVERED FRONT STOOP AND ATTACHED ONE CAR
GARAGE. *
The certificate is issued to ISABEL E ROSS
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 530 SKUNK LA CUTCHOGUE
SUBDIVISION: MAP NO.: __ LOT (S) __
NAME OF OWNER (S): IS~r. E ROSS
OCCUPANCY: ~I~r.~ FAMTr.y
ADMITTED BY: JANE PITTS. REAL ESTATE
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 97.-3-9
SOURCE OF REQUEST: ABIGAIL WICK~AM. ATTORNEY
ISABEL E ROSS
ACCOMPANIED BY: SAME
DATE: 06/14/00
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC EOTWATER:
TYPE HEAT: OIL
OTHER:
WOOD FRAME
CONCRETE BLOCK
1ST FLR.: __~ 2ND FLR.:
1.0 TOILET ROOM(S):
COVERED FRONT STOOP DECK TYPE:
FIREPLACE:
TYPE HEATER: ~
WARM AIR: ~ HOTWATER:
# STORIES: 1.0 # EXITS: ~
CELLAR: FULL CRAWL SPACE: __
3RD FLR.: __~
0,O UTILITY ROOM(S): __
PATIO TYPE:
GARAGE: ONE CAR
AIRCONDITIONING:
~SORY STRUC"l~urR~S:
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ART. I SEC.
REMARKS: REINSPECTED 6/7/00 BY GARY J. FISH
DATE ON INSPECTION: Q5/16/00
TIME START: 10:00 AM END: 10:20 AM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-i802
· APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupgncy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date May , 2000
New Construction ........... Old Or Pre-existing Building..~~g...
Location of Property ............ ~!q.S~u~!.~.q~~.~.Y~.!~ ....................
House No. Street Hamlet
County Tax Map No i000, Section...~! ......... 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..[ ........
Fe%~ubmitted: $.!qq'.qq... ~ .
..................
¢2,zc. '-%go16, ..................
~BIG~/IL A. WICK~CA~TATTORNEY
SKUNK LANE
TIE= 478'
/ ~ S 07' 08' 40' £ 94"
('~ GARAGE 27.~" ~ N/F N/CO
. STO F
~ ~ RESIDENCE ~
SURLY OF
~ DESCRIBEO PROPERTY
~ S~ ~A
PECONIC, TOWN OF SOU THOLD
SUFFOLK COUNT~ N.
~ ~ ~ SUR~YED FOR: JAMES MINNIGAN
~ SUR~D 12 APRIL, 2000
~N; 15~ 19' ~ W SCALE ~20'
25 AREA= ~0,05~ SF
OR
TAX ~AP NO. N/F MIDGLEY 0.~ ACRES
1000-097-0~-09
~AR~ES /~D H~ ~ ~A~ RUM
~ ~ ~~ ~c~ SUR~YED BY
~ ~E AS~ES ~ ~E ~D/NG INS~.
~ ~ ~or ~ ~ STANLEY J. /SAKSEN, JR.
~m~ ~NSn~n~s ~ ~r o~ P.O. BOX 294
CUA~AN~ED TO
u~,u~,~ ~,,~ , ~,~ ~ ~,s NEW S~FF~?~ NY 119~
JAMES MINNIOAN ~E NEW ~K STA~ ~CAn~ ~
~RST AMERICAN D~E INS. CO. OF N. ~
~E NO. 161 S 0997 C~/Es ~ ~/s ~R~ MAP NOT
NOT ~ C~OE~EO ~0 ~E ~ WUO ~u~ / LICEN L.4
C~
NYS Lid:
OOR~9 7
CONSENT
TO
INSPECTION
Elaine Taylor~ As Executrix of the Estate of T~mhel Rn~e , the undersigned,
Owner(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 530 Skunk Lane, Cutchogue, New York 11935
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 97 , Block $ , Lot 9
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:
Pre-Existing Certificate of 0cQupancy for one stor?~ frame dw~lli~nE
and garage.
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 ~vith 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: May , 2000 ,~ ~~~//~.~..
' f (~ign~ture)
.Abigail A. Wickham. As Attnrl~ey
(print name)
(siEnature)
(print name)