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Home My WebLink AboutZ-19324No Z-19324 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date AUGUST 29, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5415 SKUNK LANE CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 138 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Private One Family Dwelling buildt prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19324 dated AUGUST 29, 1990 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 1 CAR WOOD FRAME GARAGE & (1) ACCESSORY WOOD FRAME STRUCTURE. The certificate is issued to ORA SCHEERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDI:,:G DEPART'.1EiiT MIN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 5415 SKUNK LANE CUTCHOGUE, N.Y. knumoer do street) Piunicipaiity) Subdivision Map No. Lot(S) Name of Owners) ORA SCHEERS Occupancy A-] OWNER (type) owner -tenant) Admitted by: JOAN WAGGNER Accompanied by: JOAN WAGGNER Key available. Suffolk Co. Tax No. 138-2-7 Source of request ORA M. SCHEERS Date DWELLI`1G : 8/10/90 Type of construction WOOD FRAME #stories ONE Foundation CEMENT BLOCK Cellar Crawl space Total rooms, 1st. Fl 5 2nd. F1 3rd. Fl Bathroom(s) ONE Toilet room(s) ONE Porch, type Deck, type Patio, type Br a ez e aay Garage____ Type Heat OIL Warm Air_ Fireplace(s) ONE No. Exits Domestic hotwater ELECTRIC Other REAR ENTRY ACCESSORY STRUCTURES: 2 Utility room .Hotwater STEAM _Airconditioning -- Type heater NATIONALINE Garage, type const.1 CAR WOOD Storage, type const. 1WOOD FRAME Swimming pool FRAME Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: BP /f1250'Z CO Z-12668 ADDITION & ALTERATION Inspected by • J Date of Insp. 8/22/90 0ar Fish Time start 9:"—end--9:50 U FORM NO.8 _ TOWN OF SOUTHOLD (Ci Building Department Town Hall � Southold, N.Y. 11971 t� ;t1 b j 765 — 1802 i APPLICATION FOR CERTIFICATE OF OC66PANCY.�j_. _ J 0 sbu -, Instructions A. This application must be filled in typewriter OR ink, and submitted w vww+ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S•9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: , 1. Certificate of occupancy $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-.00 3. Copy of certificate of occupancy $ 5 :00, over 5 'years $ 10.00 4.Vacant Land C.O. $20.00 5.Undated C.O. $' 50.00 Date .. August 144,. 1990. . New Construction, , , , , , Old or Pre-existing Building . A ......... Vacant Land ............. Location of Property ... 541,5 ,5k4nk ,Bane,, ;Gutchogue, New York .. , , , , , , . , . , . .. . . House No. Street Hamlet Owner or Owners of Property ....Qra ,NJ., ,Scheers . . . ......... . . . . ........ . ..... . . . . . .. . . i County Tax Map No. 1000 Section AM .... Block . 2 ......... .. Lot. 7 . . . . . . . . ... . . Subdivision ........................... .Filed Map No. ..........Lot No. .. ......... . Permit No........... Date of Permit ..Applicant .................................. Health Dept. Approval .............. .... .Labor Dept. Approval .... . Underwriters Approval ........................Planning Board Approval ................ . Request for Temporary Certificate ................../'�inal Certificate . .. .. ............ . Fee Submitted $ ...100,00.. , , ... , ... , Construction on above described building and per it as app 'cable codes and regulations. Applicant �`. , , , ... ......... �ary�Flan �r�0 sen, Esq. Rev. 10-10-76 P. 0. Bo 706 �. 403t�q , Cutchogue, NY 11935 1�3vC0-2= l93a`� CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) th`e,owner(s) of the premises in the Town of Southold located at VsV\ 1 (\ �t 6\W . CV� &,3 aV\R , - which is shown and designated on the Suffolk County tax map as District 1000, Section )"Jg , Block 2, Lot -] I That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in�he_southold Town Building inspecw,, •o o.rf!�o dor +ha fnilowina: 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: % 0 9,-40 A , � � bA t 40 k,ri—L 1a�IFd 'n) n41 (signature) (print name) (signature) (print name) Z 'd 21:01 06/01/80 Q �}I ---------- 21-DG. DEPT. ` TOWN OF SOUTHOLD t 2982 GU3 WONA a i�+1v1 to d t;! :VI 06/01/80 I/ HH3 woa3 SURVEY OF ,SOT 109 MAP OF `OT FEN'A SSAB ARM S 1178 FILED 19 O. %35 ATPECONIC -'TOWN OF S4UTHCLD SUFFOLK COUNTY, N.Y. )000 - 138 02 - r 07& 15 H Scale 1 June 19, 1990 �o oQ 4pT 00, S g2 Prep Bred in scoordence Was ith the minimum ad standards for title Bury! owed and adopted p� the L.1• U.S. a"d 1rh%.P" Yak State Land for such use 0y Title AssOcist/on• N BANK 0 LAND r51$/ / — guddv MAx pole IN ROAD SOtl -maD, nn UC. NO. nnn BUILDIi,:G DEPART IE iT TO, -IN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location L 6;4 number & streez Subdivision Name of Owner(s) Occupancy �- typ e Admitted by: .lap No. Muni c owne Accompanied by: Lots) enant Key available &'VSuffolk Co. Tax pilo . / 3P� Source . of request ,j �,, V1. Date D` /0 DWELLING: Type of construction 'Stories Foundation f�.i(��, Cellar Crawl space Total rooms, lst. Fl ..5' 2nd. Fl 3rd. F1 Bathroom(s ) v , Toilet room(s ) 0-7t)Z_- Porch, type Deck, type Patio, type_— Breezeway Garage Utility room Type Heat Igarm Air Hotwater , Fireplace(s) GI -Le, No. Exits Airconditio ing Domestic hotwat er Type heater , Other i?0" a - ACCESSORY STRUCTURES: Garage, Swimming Other U type const. orage, L type const. pool Guest, type const. tl VIOLATIONS: Housing Code, Chapter 4.5 N.Y. State- Uniform -Fire Prevention Remarks: Inspected by: Date of Insp. �� D .Time start Ild en