HomeMy WebLinkAboutZ-24899 BFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCcupANCY
No Z-24899
Date FEBRUARY 7, 1997
THIS CERTIFIES that the building ONE FAMILY DW~?.T,ING
Location of Property. 320 FLEETWOOD ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 4 Lot 13
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-24899 dated FEBRUARY 7, 1997
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 SEASONAL DWELLING *
The certificate is issued to ROBERT J. SCHRODER & ORS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PT~ASE SEE ATTACHED INSPECTION REPORT.
~ing Inspector
Rev. 1/81
LOCATION:
320 FLEETWOOD ROAD
(mmmber & street)
SUBDIVISION HAP NO.
NAHE OF OWNER (s) ROBERT J. SCHRODER & ORS.
BUILDING DEPARTHENT
TOWN OF SOUTIIOLD
IIOUSING CODE INSPECTION REPORT
CUTCHOGUE, N.Y.
(municipality)
LOT(s)
OCCUPANCY A-{ RES.
(type) (owner-tenant)
ADHITTED BY: KEVIN McKILLOP ACCOHPANIED BY: SANE
KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-110-4-13
SOURCE OF REQUEST: CARMELA R. BORRELLI DATE: JAN. 23, 1997
D~ELLING:
TYPE OF CONSTRUCTION
FOUNDATION POSTS
TOTAL
BATUROON (~)
POECU TYPE
BREEZEWAY
DONESTIC HOT~ATER
TYPE HEAT NONE
OTUER:
WOOD FRAME ~ STORIES ONE # EXITS 2
CELLAR CRANL SPACE
IST FLR. 6 2ND FLR.
I/2 TOILET ROOM
3RD FI,R.
DECK, TYPE
FIREPLACE
YES TYPE ilEATER LILCO GAS
WAll[! AIR
OUTSIDE SHOWER
UTILITY ROOH
PATIO
GARAGE
AIRCONDITIONING
IIOT~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWlNHING POOL
OTI1ER:
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
RENARKS: BP ~23910-Z - CO Z-24897 (ACCY SHED)
INSPECTED BY
DATE OF INSPECTION JAN. 30, 1997
TINE START 10:30 AN END 10:45 AN
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTME.NT
TOWN HALL
765-1802
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. Com~ercial 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-exist~n~" land uses:
1. Accurate survey off--err% showing all property lines, streets, building and
unusu~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~ t-~e ~u~d~g Inspector shall state the
reasons therefor in writing to the applicant.
3.
4.
5.
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.
Certificate of Occupancy on Pre~tinK ~ild~g_~_~l~0~0
Copy of Certificate of Occupancy - $20.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/23/97
Date ..... .1 ...................................
New Construction ........... Old Or Pre-existing Building. X
Location of Property. 32.0..Fleetwo,o.d..Ro,a.d,.Cutchogue, NY 11935
House No. Street Hamlet
Richard H. & Elaine L. Schroder,
0nwer or Owners of Property...R.o.b..e.r.t..J.:..&...M,a.r.g?.r..e.t. ,M.a..ry..S.c..h.r.o.d.e..r .......................
County Tax Map No 1000, Section...110 .Block. 04 .Lot 013
Subdivision .................................... Filed Map ............ Lo t ......................
............................. A 1' _ Carmela L. Borrelli
Permit No .Date Of Permit .. pp lcanc .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
i<equest for: Temporary Certificate ........... Final~rticate~.X. ..... ~
00._
Fee Submitted: $ .... · .........................
CONSENT
'FO
INSPECTION
RICHARD H. SCHRODER & ELAINE L. $CHRODER
by C~RMELA L. BORRELLI as ageng
· the undcrsigncdo
Ox:mcr(s) Name(s)
do(es) hereby state:
That the undersigned~t~) (are) the owner(s) of tile premises in the Town
of Southold located at 320 Fleetwood Road~ Cutchogue
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 110 , Block 04 , Lot 013
That the undersigned (has) (have) filed· or ~aused to be filed, an applica-
tion in the Southold Tox~,n Building Inspector's Office for th~ following: __
Certificate of Occupancy on pre-existing building
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon· to conduct such inspections as they may
deem necessary xvith respect to the aforesaid application, including inspections
to determine that said premises comply with all.of the laws, ordinances, rule's
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lations of the laws, ordinances, rules or regulations of the Town of Southold.
(signature)
C~RMEL~ L. BORRELLI as ~gent for
RICHARD H. & ELAINE L. SCHRODER
(print name)
(signature)
(print name)
FLEETWOOD
N. 86°40'00' £'
ROAD
V
(17h45' MAP
t 71.56'
0O'
\50'
CERTIFIED TO'
ABSTRACTS, /NC.
12~65736
SUN VEY OF
L 0 TS 22, 23, & 24 incl
"RA VA TONE REAL TY CORPORA TION"
FTI. ED DEC. 22,1930 AS MAP NO. 539
A T CUTCHOGUE
TO WN OF SOUTHOL D
SUFFOLK COUNTY, N Y.
1000- 110- 04- 13
Scale: 1" = 40'
Jan. 8.. 1997
AREA = 28,821 sqft.
ANY AL TEP~ TION OR ~DITION TO TI~S SURVEY l$ .4 VIOLA TION
OF SECTION ~09 OF rl~ I~W YORK STATE EDUCA ITON L.4F~
EXCEPT AS PER SECTION 7~09-SL~EION 2. ALL CERTFtC,417ONE
NEREON ,4RE VALID FOR THIS MAP AND COP~$ THEREOF ONLY J~
SA~ ~47 OR CG~fES 8E,4R THE JV~S~ED 5~4l. OF THE SURVEYOR
~1¢0SE SIGN4 TUEE APPEARS ~01~
ADDIT~LL Y TO CO~ Y IV~TH SAD LAI~ ThE TERM 'ALTERED BY'
MUST BE USED BY ANY ~ND ALL 5~RVEYORS UT~ A COPY
OF ~NOT.~ SURVEYOR'S WAP. ~ SUCH ~$ "IN~PECTED' ~ND
"BROUC. HT-TO-D~ r~. ~RE NOT IN COWPUM~CE ~IITH THE
NO. 4961~:'
96 - 3,14