HomeMy WebLinkAboutZ-22412FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22412 Date JUNE 22, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 24435 MAIN ROAD ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 18 Block 2 Lot 34
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-22412 dated JUNE 22, 1993
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 FOUR ACCESSORY OUTBUILDINGS IN NEED
OF REPAIR & TWO FARM BUILDINGS IN UNSAFE CONDITION
The certificate is issued to HELENE. J. SCHMIDT
(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.
4L4.� ' /,(,OZ
Bu'lding Inspector
Rev. 1/81
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 24435 MAIN ROAD ORIENT, N.Y.
number 6 street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) HELENE J. SCHMIDT
OCCUPANCY A-1 RES.
(type)
ADMITTED BY:. JOAN HAMILTON
KEY AVAILABLE
SOURCE OF REQUEST-
AF??;DTE J. SCHM7nT
(owner -tenant)
ACCOMPANIED BY: SAME
SUFF. CO. TAX MAP NO. 1000-18-2-34
DA::.: JUNE 11, 193
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2
FOUNDATION CONCRETE CELLAR PARTIAL
TOTAL ROOMS: IST FLR. 5 2ND FLR. 1 3RD FLR.
8 EXITS 3
CRAWL SPACE PARTIAL
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM _
PORCH TYPE RRA& DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOT14ATER YES. TYPE HEATER LILCO GAS AIRCONDITIONING_
TYPE HEAT LILCO GAS WARM AIR HOTWATER XX
OTHER: I rAMTKY EWF KITCHEN
ACCESSORY STRUCTURES:
4 WOOD FRAME STORAGE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST BUILDINGS
S41HHING POOL GUEST,TYPE CONST.
OTHER: 2 FARM BUILDINGS,, 1 WELL TOWER
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION Sr BUILDING CODE
LOCATION
DESCRIPTION
I ART. I SEC.
CEILINGS, WALLS, FLOORS 6 STAIRWAYS SHALL BE MAINTAINED
NYCRR 9 (B)
��ppHHpOUggSEEg
�MRSTAIRS TO
IN A SAFE AND SOUND CONDITION
PART 1142.7 (C)
kSEMENT
�
[.SEMENTO
STAIRWAYS SHALL HAVE HANDRAILS ON AT LEAST ONE SIDE.
PART 1442.2 b (3)
kTER SUPPLY
POTABLE WATER FROM AN APPROVED SOURCE SHALL BE
PART. 243.7 (b)
AVAILABLE AT ALL TIMES.
LOOR BEAMS
BUILDINGS AND STRUCTURES SHALL BE MAINTAINED FREE OF
PART. 242.9
INSECT (TERMITE 6 ANT) VEMIN AND RODENT HARBORAGE AND
INFESTATION.
BUILDINGS
THESE BUILDINGS ARE IN VERY B&I CONDITIONS STRUCTURALLY
PART. 153 h 1154
EAR OF PPTY•
AND CONSTITUTE AN UNSAFE CONDITION.
OUTBUILDINGS
ALL IN NEED OF REPAIR BOTH INTERIOR & EXTERIOR OF THE
1242.5 &
EAR HOUSE 6
BUILDINGS INCLUDING THE ROOFS.
1242.7
kTER TOWER
REMARKS:
INSPECTED BY: F DATE ON INSPECTION JUNE 15, 1993
GARY Isw TIME START 9:20 END 10:00
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 0,49 M , N IT/
TOWN HALL
765-1802
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:
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 frow 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:
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.
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-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
6 -Ii -q3
Date ...............................
New Construction....... 01 Or Pre-existing Building......... .. .
Location of Property ..p?� 3 .. . .... I k/ , _ ... OVA .`� ........... Q (Ef.LT .....K �......_......
House No. / .Street Hamlet
fx
Onwer or Owners of Property...... .p....elcx/.e ..........
..................... ............
County Tax Map No 1000, Section....
1 0 ......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 Certi te.... ...
Fee Submitted: $.............................
..... ... ............ ..........
•APPLICANT
� �oizaa��2
/000 - lit- ? -.?s/
TOWN OF SOUTHOLD PROPERTY RECORD CARD _
OWNER
STREET t�yyli�L3s
VILLAGE DIST.
SUB. LOQ
�-
` lC l� ~/ �✓11� 1
(02
��N l��/�iT OtJ
'L
FORMER OWNER.
t
E,, F qCl� zy�
Doo) ke I MAa ro- L4C10- i 4 ano
ftonil�, Shm,'
S .
l'%':, ,C -o�S
W - TYPE OF BUILDING
SChMtb - %2S
RES.
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value Vq4 PAS
LAND
IMP.
TOTAL
DATE
REMARKS
s va LGD�= - a I• W;cli
61
R 7 ao �'
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AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value,
Tillable 1
a
a
a 5, o
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushlond
FRONTAGE ON ROAD
YGo, 3 k
House Plot
/
a p p
DEPTH
a.I
BULKHEAD
Total
1,
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der._, .• 70W/V OF.5OU7 o &_ V
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�:: - . � � � s of 'i ' .. . • ---'- _. - .
Owner(s) Names
do(es) hereby state:
CONSENT
TO
INSPECTION
J-7 �C�n�rO ►
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located atdyg3} MA rd & Q Q 1 c 0 1
, which is shown and designated on the Suffolk -
County tax map as District 1000, Section /<? , Block Z , Lot 3 �
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:
E C/o
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 Town f Southold.
Dated: �D - ► Q3
( 'gnature)
L 4, C441/A07
(print name)
signature)
print name
COa7-6ct �R-�Lro�I
4T7- 0991
LOCATION: 2
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
3 s- IV
(number & street. (municipality
SUBDIVISION 'MAP NO. LOT (s)
NAME OF OWNER (s) �fL �/ Sw_ ~'A7-
OCCUPANCY
(type) l (owner -tenant)
ADMITTED BY:. ��tsJjg w� 1 L ACCOMPANIED BY:
KEY AVAILABLE SUFF . CO.. TAX MAP NO.�
SOURCE OF REQ-ffZST: DATE: 93 --
DWELLING:
TYPE OF CONSTRUCTION
.
# STORIES # EXITS
FOUNDATION
CELLAR CRAWL SPACE ~
TOTAL ROOMS: IST FLR. S
2ND FLR. 0-*i�
3RD FLR.
BATHROOM (s) L%k Q.
TOILET ROOM (s)
—. UTILITY ROOM
PORCH TYPE 3�,�t.,�.I DECK, TYPE
—:PATIO, TYPE
BREEZEWAY
FIREPLACE//
GARAGE
DOMESTIC HOTWATER
TYPE HEATER�:%LGp Gds AIRCONDITIONING 'r
TYPE HEAT.4i S'
WARM AIR
HOTWATER
OTHER:
ACCESSORY STRUCTUX/Esio
GARAGE, TYPE OF CONST.
STORAGE, TYPE CONST. �a
SkMMING POOL
GUEST, . TYP/E/CONST. J
,,,,nn
OTHER: lQ ! =26_0712
- — _
- _ - < ,
VIOLATIONS: CHAPTER 45. N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
Comg)_
DESCRIPTION ART. i SEC.
W�d2 7�C
_% e.�a .16�AY nJ. a/,tA,
at, MIR ffl&MFIWIA�Ml!
DATE ON INSPECTION
TIME START r
h