HomeMy WebLinkAboutZ-25580FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25580
Date: 03/09/98
THIS CERTIFIES that the building DWELLING
Location of Property 5700 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 101 Block 0002 Lot 018.004
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- 25580 dated MARCH 9, 1998
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 THREE ACCESSORY STRUCTURES *
The certificate is issued to WESLEY F. SIMCHICK
(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.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 5700 ALVAHS LA CUTCHOGUE
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): WESLEY F. SIMCHICK
OCCUPANCY: SINGLE FAMILY WESLEY F. SI CHICK
ADMITTED BY: JOEL BRAVERMAN ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 101.-2-18.4
SOURCE OF REQUEST: RICHARD F. LARK. ATTY-JAN. 21. 1998 DATE: 03/09/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD # STORIES: 1.5 # EXITS: -2.
FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 1.0
PORCH TYPE:
BREEZEWAY:
2ND FLR.: -1
TOILET ROOM(S): 1.0
DECK TYPE:
FIREPLACE:
3RD FLR.: S
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
DOMESTIC HOTWATER: XX TYPE HEATER: OIL FIRED AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER:
GARAGE, TYPE OF CONST.: 3 CAR WOOD & 2 CAR WOOD STORAGE, TYPE CONST.: ACCESSORY SHED
SWIMMING POOL:
OTHER:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE
LOCATION I DESCRIPTION ART ' SEC
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REMARKS: BP #10304 -Z -ADDITION TO ACCESSORY - CO Z-25581 REINSPECTED 3/6/98
INSPECTED BY: >49.4 f/�J AM DATE ON INSPECTION: 01/29/98
M. BOUFIS / TIME START: 11:00 AM END: 11:35 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 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:
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 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 $15.00
Date........%:.?.3.....r"U ..................
New Construction........... Old Or Pre-existing Building ..... X ..........
Location of Property... 5700.Alvahs.Lane .............:.... .._..�..Cpt��igg�p.............
House No. Street Hamlet
Onwer or Owners of Property ..... Estate of We Simchick ,,,,,
�ounty Tax Map No 1000, Section., 101:00,..,,,Block . 02:00..,...... Lot.41$tQQ4..............
Subdivision....................................Filed Map ......... ...Lot......................
?ermit No................Date Of Permit ................ Applicant .............................
lealth Dept. Approval.* .........................Underwriters Approval................. .....
'lanning Board Approval ........................
tequest for: Temporary Certificate........... Final Certicate...X.......
lee Submitted: $,i25:00 ......................
John APPLICANT Simchick.• F.xerrntnr
w w �►,
It' 0 0 - , 0/ , a _ / 9. a TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET 5?
VILLAGE
DIST.
SUB. LOT
SGGA..4�
K'
Cu / 1io 9 u
DfSCle/BtcD
FORMER O NER
N
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E /
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/ /
GU
S
A/7 cs
W
s L
TYPE OF BUILDING*
ES.Z/a
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
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0
q 00
6
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2 Z A SoOi 7% fG 9SBC. W. 'P,'02 , �yW t f "r) aA i a K
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600
%000
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GE �``a
a
BUIL G CONDITION
or #90
0
In
NEW lco
NORMAL
BELO ABO E
FARM
Acre
Value Per
Acre
Voiue
illable 1
y --777.0
'iflable 2
illable 3
/oodland
womplond
FRONTAGE ON WATER
rushland
FRONTAGE ON ROAD
ouse.Z ot.,
.
DEPTH
-.+
BULKHEAD
otal
DOCK
0
76 ll
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Rooms I st Floor
Porch
Porch
Dormer
Driveway
i
76 ll
N/F
Long Island Vineyards, Inc.
Po 14, S J.3'31'40" E 175'
10-
Wood Fence
Utility 5 6$Oa
Poleo-
CM
ori
w
Fence
h
Wood
ar. , 1t
/.2' An
F.4, (Chin.)
Tie, .r N' 33'31 140" W
72.96'
Guarantees indicated here cn shall nm
only to the person for w•lirm the survey
is prepared, and on his behalf to fl"
title ecmpany, Coverment<:1 A -J; ncy,
lending institction, if list, -d heremv, and
to the assignees of the le-tdinn institution.
Gunrantees are not tronslf roLle to
additional institutions or s;bs.,qu:nt own&M
TM#, 1000-101-02-18.004
q Sky
Wwd Fi'.
A
ALVAN'S LANE
8711
U0
241.52'
SURVEYED: 2 Jonuary, 1998 .
SCALE: 1"=40'
AREA-- 49, 087.628 SF OR 1. 127 ACRES
SURVEY OF
DESCRIBED PROPERTY
S/TUATE
CUTCHOGUE, TOWN OF SOUTHOLD
Unauthorized niterattn of 13:. s:_ SUFFOLK COUNTY. NEW YORK
survey is a violation of Section 7209 of
the Now York State Education Low.
SURVEYED FOR: JOEL SRAVERMAN
GUARANTEED TO: Caples of this survey Map not l enrmg
Joel Brovermon the Lend Surveyors emb�sscd tin' shall
Island Mortgage Network not be considered to be a valid true
Atlantic Reality Dote Corp.
copy'
SURVEYED BY: I
STANLEY J. ISAKSEN, Jr,
P.O. BOX 294
New Suffolk, N.Y. 1 9 6
5 �5
Licen d and SurvelcIr
NYS Lic. No. 49273 988582
0
W
O
LAJ
N
�
Z
R=11'
A 111.15' A
Fence
h
Wood
ar. , 1t
/.2' An
F.4, (Chin.)
Tie, .r N' 33'31 140" W
72.96'
Guarantees indicated here cn shall nm
only to the person for w•lirm the survey
is prepared, and on his behalf to fl"
title ecmpany, Coverment<:1 A -J; ncy,
lending institction, if list, -d heremv, and
to the assignees of the le-tdinn institution.
Gunrantees are not tronslf roLle to
additional institutions or s;bs.,qu:nt own&M
TM#, 1000-101-02-18.004
q Sky
Wwd Fi'.
A
ALVAN'S LANE
8711
U0
241.52'
SURVEYED: 2 Jonuary, 1998 .
SCALE: 1"=40'
AREA-- 49, 087.628 SF OR 1. 127 ACRES
SURVEY OF
DESCRIBED PROPERTY
S/TUATE
CUTCHOGUE, TOWN OF SOUTHOLD
Unauthorized niterattn of 13:. s:_ SUFFOLK COUNTY. NEW YORK
survey is a violation of Section 7209 of
the Now York State Education Low.
SURVEYED FOR: JOEL SRAVERMAN
GUARANTEED TO: Caples of this survey Map not l enrmg
Joel Brovermon the Lend Surveyors emb�sscd tin' shall
Island Mortgage Network not be considered to be a valid true
Atlantic Reality Dote Corp.
copy'
SURVEYED BY: I
STANLEY J. ISAKSEN, Jr,
P.O. BOX 294
New Suffolk, N.Y. 1 9 6
5 �5
Licen d and SurvelcIr
NYS Lic. No. 49273 988582
CONSENT
TO
INSPECTION
John Simchick, Executor of the Estate of Wesley Simchick , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (arri the owner(s) of the premises in the Town
of Southold located at 5700 Alvahs Lane, Cutchogue, New York
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 101.00, Block 02.00 , Lot 018.004 .
That the undersigned (has) (home) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
C 0 for accessory building Permit 010304 and for Pre-existing C 0
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: y r
(signature
John Simchick, Executor
(print name)
(signature)
(print name)
1111 11.1) I NG DIil'ARTMENT
TOWN OF SO11'1'HOLD
110115 I N(, CODK 1 FISI'll'C ' I ON IM1'01t'I'
LOCAT I ON:
(nunl�er 6 nlrer.l:)
pn Y�-----
sum) IVISION lIA1' NO.
WbSw or OWNrit
OCCUPANGY
- — - _ --- ---Towner=tentlnl'
I.ype)
ADM 1" I" 1'RU BY : ACCONPANI
I'sD 1tY : — ._..
KI;Y AVAILABLE �I)ltl .(:O --TAX
MAP NO.
SOIIRCR OIt RIi( uILS'I': �./Lcr///!i_._ n� .._..----__...
.-----•_--.----_—DATlt: z _
DWELLING:
'1'Y1'li Or CONS'1'Itll(:'I'ION
NUIINDA'TTUN—
CRAWL SPACK —
----`-CI±1.l.AR--.__—_
1'OTAT. ROOM(i I ST PLIt. _ -- -'I.ND Fl,lt .-i5�---- _)ltl) l'i.R .--------
HATUROOM (s) pyo% -e — TOILET ROUt( (n)
- - 11'1' 11A TY ROOH
PORGII '1'Yl'h, �— DECK, TYPE
-- PA'TI.0 �-"-
Illtl;ls'UWAY—-- Ylltlil'l.ACK
GARAGM
`-- - _- -----�--
DOMRIi'I'IC 110TWATKI( i _ TYPR HEATER — "All RCONDITTON IN' -v --"
TY11li Ill?A'1' WARM Alit
110TWA'TKI(
— --6d1
AC(:l;SS01(Y STRUCTURES:
L��"ei c
CAItACR, TYP1: OF CONS'T3� STORACK,
TYPE CONS'l' 21
SWIMMING fool, CIIK(i'!', '1'YI'li CONli'I'�4-CLTY
,
OTHIM :
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V)UI.A,rto ut CIIAP'rrsit 45 N.Y. STA'I'R IINILORI.1 1111M PIMVRNTION & BUILDING COOK
IMMARKS :
I tlf URCI'I•KD
Allf OF I NSIT,*CT I ON
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