HomeMy WebLinkAboutZ-26766FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26766
THIS CERTIFIES that the building DWELLING
Date: 10/29/99
Location of Property 230 FIRST ST CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 0007 Lot 006.001
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- 26766 dated OCTOBER 29, 1999
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 ANN SABA & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
B din Inspector
Rev. 1/81
SUBDIVISION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MAP NO.: LOT (S)
NAME OF OWNER (S): ANN SABA & ORS.
OCCUPANCY: A---1 RESIDENTIAL ANN SABA & ORS.
ADMITTED BY: KEN M KILLOP ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 103.-7-6.1
SOURCE OF REQUEST: JEFFREY SABA - AUG. 9. 1999 DATE: 10/29/99
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _ 2
FOUNDATION: CEM_EMT BLOCK CELLAR: PART. CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: _5-
BATHROOM(S): 1.0
PORCH TYPE:
2ND FLR.: 0
TOILET ROOM(S): 0.0
DECK TYPE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
,DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER:
GARAGE, TYPE OF CONST.: WOOD FRAME-1CAR STORAGE, TYPE CONST.:
SWIMMING POOL:
OTHER:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
BY
DATE ON INSPECTION: 09/28/99
TIME START: END:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
Ce he,
� (o S_ - -_Q 'J 5
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 12 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 tp accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing 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 ..... June ....1. 1999 .....................
New Construction........... Old Or Pre-existing Building..... X..........
Location of Property... 230...................First.•Street .,.......,..Cutcho�ue ,_,.,,,
... ...... ........ . ...
House No. Street Hamlet
Onwer or Owners of Property. .E ate.of. Ann. Saba:, Henry. Kislow & .Victoria Bruno ._
....... .. .. .. ........
County Tax Map No 1000, Section ... 103; 00.. „glock...07. 00„ . , . , , ,Lot, Ons ;00, &„0Q6; 000„
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate....X......
Fee Submitted: $.100. ....................... STA 0 N SABA 1
By.... ........................
o APPLICANT Jeffrey Saba,
✓� �d �6%�b Administrator
TOWN OF SOUTHOLD PROPERTY RECORD CARD N1. 2
OWNER
STREET (
VILLAGE
DIST.
SUB. LOT
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FORMER OWNER
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TYPE OF BUILDING
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LAND
IMP.
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DATE
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FARM
Acre
Value Per
Acre
Value
/illable I
"illable 2
illable 3
Voodland
womplond
FRONTAGE ON WATER
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FRONTAGE ON ROADf
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DEPTH
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'Driveway
Garage
Patio
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CONSENT
TO
INSPECTION
JEFFREY SABA the undersigned,
Owner(w) Name(g)
do(es) hereby state:
the Administrator of the Estate of Ann Saba
That the undersigned (isy the owner(s) of the premises in the Town
of Southold located at 230 First Street, Cutchogue, New York
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 103 , Block 7 , Lot 5 & 6
That the undersigned (has) (kKwO filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre-existing Building
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: June , 1999
ESTATE 0 66 tScABA
By
ature)
Jeffrey Saba, Administrator
(print name)
BUILDING DErAK•1'i` ENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 02. Do -
number & street
SUBDIVISION
NAME OF OWNER (s)
.(municipality
MAP NO. LOT (s)
4 C
OCCUPANCY
(type) / i (owner -tenant)
ADMITTED BY: ��l ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1(93-67-06
SOURCE OF REQUEST: AMA DATE:
DWELLING:
TYPE OF CONSTRUCTION f� STORIES �� EXITS
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD/ FLR.
BATHROOM (s) zJ'tTOILET ROOM (s) - UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER -:r TYPE HEATER AIRCONDITIONING
TYPE HEAT y WARM AIR a ' - HOTWATER r
OTHER: 1
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. �t Lco--vsTORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: t
INSPECTED BY:
DATE ON INSPECTION