Loading...
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)