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Home My WebLink AboutZ-22276 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22276 Date APRIL 23, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 25455 COUNTY RD #48 & 5200 BRIDGE LA. CUTCHOGUE,NY House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 2 Lot 2 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-22276 dated APRIL 23, 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 THREE ONE FAMILY DWELLINGS WITH ACCESSORY TWO CAR GARAGE AND LARGE BARN. DWELLING #3 DESIGNATED ON ATTACHED SURVEY IS NON-HABITABLE. * The certificate is issued to THOMAS L. SHALVEY & ORS. (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. l Bui ding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 25455 COUNTY ROAD 148 & 5200 BRIDGE LANE CUTCHOGUE, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT (s) T~ NAME OF OWNER (s) THOMAS L. SHALVEY s ORS. OCCUPANCY THREE R-1 ONE EMPTY - TWO OCCUPIED (type) (owner-tenant) ADMITTED BY: OWNER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. C0: TAX MAP NO. 1000-84-2-2 SOURCE OF REQUEST: THOMAS SHALVEY DATE: APRIL 22, 1993 DWELLING: MAIN HOUSE - DWELLING #1 TYPE OF CONSTRUCTION WOOD FRAMED # STORIES 2 # EXITS 4 FOUNDATION BRICK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 7 2ND FLR. 4 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM PANTRY DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER YES TYPE HEATER GAS AIRCONDITIONING TYPE HEAT OIL FIRED WARM AIR XX HOTWATER OTHER: ACCESSORY STRUCTURES: TWO GARAGE, TYPE OF CONST. WOOD - TWO CAR STORAGE, TYPE CONST. MMUNSCORMX LARGE BARN, WOOD s CEMENT BLOCKS OTHER: 2 OTHER ONE FAMILY DWELLINGS - TOTAL OF THREE ON THIS PARCEL VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE MAIN HOUSE #12 LOCATION DESCRIPTION ART. SEC. OUTSIDE NEEDS PAINTING BADLY CH.45 NEEDS NEW ROOF 1242.5 NEEDS MINOR REPAIRS BARN NEEDS MINOR REPAIRS TWO CAR GARAGE NEEDS NEW ROOF BADLY DWELLING #2 NO VIOLATIONS WERE FOUND DWELLING #3 THIS DWELLING IS NON-HABITABLE UNTIL MAJOR REPAIRS ARE MADE, NO HEAT, NO WATER. REMARKS: CHECK SURVEY FOR LOCATIONS OF BUILDINGS ON THIS PROPERTY. INSPECTED BY: DATE ON INSPECTION APRIL 22, 1993 CURTIS W. HORTON TIME START 1:30 END 2:30 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number 6 street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY (type) owner-tenant) ADMITTED BY:. ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: DWELLING NO. 2 TYPE OF CONSTRUCTION WOOD FRAMED # STORIES 1 # EXITS 2 FOUNDATION CEMENT BLOCK CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER YES. TYPE HEATER GAS AIRCONDITIONING TYPE HEAT OIL FIRED WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. NO VIOLATIONS WERE FOUND. REMARKS: INSPECTED BY: L/ f DATE ON INSPECTION APRIL 22, 1993 CURTIS W. HORTON TIME START END BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number 6 street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY (type) (owner-tenant ADMITTED BY:. ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: DWELLING NO. 3 TYPE OF CONSTRUCTION WOOD FRAMED # STORIES 1-1/2 # EXITS 2 FOUNDATION BRICK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR_ 4 2ND FLR. I 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER NONE. TYPE HEATER NONE AIRCONDITIONING TYPE HEAT NONE WARM AIR HOTWATER OTHER: LING IS - ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: - - - VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION s BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSIDE NO HEAT CH.45 1243.1 " PLUMBING BAD CH.45 (1243.7 " ELECTRIC BAD CH.45 1243.8 OUTSIDE PROPERTY AREA NEEDS TO BE CLEANED UP. CH.45 1243.1 " ROOF s SIDEWALLS NEED MAJOR WORK CH.45 1242.5 THIS BUILDING IS NON-HABITABLE UNTIL IT HAS BEEN BROUGHT UP TO CODE. REMARKS: INSPECTED BY: ,DATE ON INSPECTION APRIL 22, 1993 CURTIS W. HORTON TIME START END Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT T014N HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1• 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 17, 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. 3. 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 C Date .....G%!Yl~..f y • New Construction...." Old Or Pre-exist' ejj~OU g Bu'lding. .,l-....... location of Property, ~i77 , • ,rte /~y`!~~L~u Hamlet Unwer or Owners of Property.. . County Tax Map No 1000, Section.. 49 Block " 1 .Lot................. :;ubdivision.................................... Filed Pi:ip............ Lot.......... Permit No ......Date Of Permit., ..............Applicant................... !!ealth Dept. Approval.., . •••••••••••••••••••••..Underwriters Approval Planning Board Approval request for: Temporary Certificate.........., / Final Ccrticate...(/ :'cc Submitted: $ „ 4~7 Q,ec. t/~g............... APPLICANT C ~aaA?~ TOWN OF SOUTHOLD P OPERTY RECORD CARD OWNER STREET5ZL7F VILLAGE DISTRICT SUB. LOT FORMER OWNER O,PS N a E ZI EAGE /~A f G S W TYPE OF BUILDING ~ t t~id ~ e t~OAc'{ ~C~ 69 tst 0 SEAS. VL. ARM) COMM. IND. CB. MISC. RES. 12 LAND IMP. TOTAL DATE REMARKS C Y 0 J'd U D " S~ Kao G(j a a~+' r a 6 33 Qd Ida y6 6400 ? 1"7700 1 1c AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 2f~ Tillable, 3 Woodland. Swampland _ B rusuW T House Plot- I I fy 6 Qd t~Q ti Co Total Y~ OJ rs Y 4 ~ [P /1=r?r.c(/road.:; r~ M. Bldg. 2 c r7.2 71 Foundation Bath Extension Basement fA- Floors t Extension Ext. Walls r Interior Finish ~(P Extension Fire Place Heat 4 1p_ f Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway - O. B. 944- 772- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT %!b r.:..r FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Yd. ki AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK ~W COLOR TRIM F„„' ,gym M. Bldg. X, 3 Ile Extension -17 a 8- S S~ . 3: ss'S2 Extension Extension Foundation Bath Dinette Porch c SO osement _ v I_ Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place s Heat DR. Garage -2 2 a 51,8 ype Roof f~ i= Rooms lst Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total G 38-TO 09 T °F - TOWN OF SOUTHOLD PROPERTY RECORD CARD gv: .2 OWNER STREET VILLAGE DISTRICT SUB. LOT /?1i/(lo6~a~ ~6 7~~~fcC ~~Jcrib eat FORMER OWNER N r E S I ~ A 9, 63GE G .r i r'A S W n TYPE OF BUILDING r 1 y~` • 1-a C Ld h t .71 RES. SEAS. VL. FARM comm. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS ~3 #3~6 9 7- L~ e ? yin v1 e. /7O7G a--o d 2 G U LsU G o ~%Op o-e O 60 3~ 5~~ ~C oo I U L Gg 1 Le1WG CONDM0W7 0 NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value - Tillable 1 63 ~-•~~U s1 Tillable 2 Tillable 3 _ - ~ - - Woodland Swampland Brusl,lanU --I House Plot. /6416 /O d d Tctol V ` 0 s M. Bldg. / 8 X Z L: 6 Foundation L K Bath / Extension ~G X ~6 2 S~ Lip O 9 Basement Floors r Extension b 2 X 2--0 ~O j 0 / UO Ext. Walls k Interior Finish Extension 2=X ~2 L 5~ ?o Fire Place J Heat r,.s Porch Attic ( Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage CA K N~ I/a ! L) Driveway - - y- o 1-17 1 x 5 0 6 CONSENT TO INSPECTION the undersigned, Owncr(s) amc s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District loon, Section p L/ Block Lot 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: 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: - (signature) (print name) (signature) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD ^~i13 Hy)ffSII~G C I91 ECTION REPORT LOCATION: d` '70 (~~/y' e , number 6 s e mu ipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) , OCCUPANCY type 001-tefiant) ADMITTED BY:. y~ ACCOMP ANIE BY: ~ e KEY AVAILABLE SUFF. CO. TAX MAP NO. p?. SOURCE OF REQUEST: DATE: DWELLING: ewjx TYPE OF CONSTRUCTION N # STORIES 3 EXITS_ FOUNDATION QG~E CELLARj,y ' e CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR. RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING " - TYPE BEAT WARN AIR 4efo~' HOTWATER OTHER: ACCESSORY STRUCTURES: GAR TYP OF CONST. (~pjiJl STORAGE, TYPE CONST. SIiH T, TYPE CONST. OTHER: - - VIOLATIONS: CHAPTER 45 N.Y. STATEiIFORM FIRE PREVENTION b BUILDING CODE LOCATION "DESCRIPTION < ART. SEC. c~i Y ~4. s- roe 4- REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START END , 3~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY type owner-tenant) ADMITTED BY:. ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: - DATE: DWELLING: /J G TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION UJlLL / CELLAR CRAWL SPACE~~ TOTAL ROOMS: 1ST FLR. lot 2ND FLR. RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER~~ TYPE HEATER AIRCONDITIONING TYPE HEAT- WARN AIR HOTWATER OTHER: .77 - ACCESSORY STRUCTURES: e7 ~ GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: - - - - VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. G 4~y3, KA U <-I `7 r ' At &L i/ N L s- REMARKS: INSPECTED BY: DATE ON INSPECTION J TINE START END •~w etiar. Lev cm: - o(Yurs..;.uai' mmo mrt W.rE;c 1M1V ;a: a sv,ezyor a mvr peal o. <^nre,', zest span na; I'll mnpl^crcd C~ Y; Uea rolitl iruo mpy, E' 7 PCei ),L, - - E' 7 C) 7t dredr 21.782 R4J'e5 7M S f-+rA V / ES r- -r-,q IiCe abed Land 15ur?eya rL • ! ~a.a I / 7 Geeenhar1; M.Y. j(y tiuffu/k, c: t+. 7'i„r /l~r~'c:a'1: 1d40^54-2-Z f, A n~,rded OeC. r k9.9o 8c.ila`irryr ;one': A-C lslr:b'aril3fis and Co,7/". ur,5: cou.ltyr 7bpo. tv. 5 UL~, ,t1'. Y. 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