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HomeMy WebLinkAboutZ-27716FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27716 Date: 05/29/01 ~IS CERTIFIES that the building DWELLING Location of Property 900 MASON DR CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 0007 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 plzrsuant to which C~TIFICATE OF OCCTYPANCYlqUI~BER Z- 27716 dated MAY 29, 2001 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 * (HAMLET) Lot 004 ·"ne certificate is issued to KAREN A & JESSE F SKELTON (OWNER) of the aforesaid building. SUFFOLK COU/F~YDEPARTMENTOF~ALTHAPPROVAL ELEt-£KIC3%L u~TIFICATE NO. PLUMBERS CERTIFICATION DAT~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 900 MASON DR CUTCHOGUE ~U~DI~-/SION: MAP NO.: LOT (S) ~ OF OWN~ (S): KAREN A & JESSE F SKELTON OCcumANCY: A-1 RESIDENTIAL KAREN A & JESSE F SKELTON AD~I'i-r~ BY: JESSE SKELTON ACCOmpANIED BY: SAME KEY A%5%ILABLE: ~UFF. CO. TAX MAP NO.: 104.-7-4 SOURCE OF P~ST: GARy FLANNER OLSEN, ATTY 5/16/01 DA~'~: 05/29/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FP, AME ~ STORIES: 1.5 # EXITS: 2 FO~DATION: CEMENT BLOCK CEIJ~%/~: PIT ~ SPA~: ~ R~S: 1~ F~.: ~ 2~ F~.: ~ 3~ F~.: ~ ~(S): 1.0 ~I~ R~(S): 1.0 ~ILI~ R~(S): ONE ~R~ ~H: D~ ~PE: PATIO BR~Y: FI~P~: ONE ~E: ~IC H~'r~: YES ~PE ~'r~: OFF BOILER ~R~ITION~G: ~E ~T: OIL ~ ~R: H~: XX ACCESSORY STRUCTURES: STORAGE, TYPE CONST.: (~JEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P,~D~F~g: BP #27338-Z-CO Z-27715 (DORMER ADDS) DATE ON INSPECTION: 05/22/01 TIME START: 10:00 AM ~/D: 10:20 AAM TOWN HA~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Bo This application must be filled in by typewriter OR ink and submitted to the buildil inspector with the following: for new building or new use: [. Final survey of.property with accurate location of all buildingS, property line 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 build 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 Vpre-existing" land uses: l. 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 appltc~ If a Certificate of Occupancy is denied, the Building Inspector shall state th~ reasons therefor in writing to the applicant. Co 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 $25.01 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $I00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Date ...Ma~ .Ltl,/DD~ .................... X New Construction ........... Old Or Pre-existing Building ........ f~a~ .fiamiL~ dwelling Location of Property .... 900. Mason. Drive,.Cutchogue ..................................... House No. Street Hamlet Onwer or Owners of Property..Jesste. A,.Skel~om.and.Ka:an .~.~k~mlXx~ .... , ............... County Tax Map No 1000, Section..%~ ......... Block. 93 ............. Lot..OO4 .......... Subdivision .................................... Filed Map ............ Lot ............... Permit No ................ Date Of Permit ................ Applicant ...................... Health Dept. Approval .......................... Underwriters/~proval .................. Planning Board Approval ........................ / / Request for: Temporary Certificate ........... Final~ / 100.00 Fee Submitted: $ ............................. APPLICANT GARY FLANNER OLSEN Main Rd, PO Box 706 Cutchoi;ue, NY H935 CONSENT TO INSPECTION Gary Flanner Olsen as attorney for Jesse F. Skelton and , the undersigned, Owner(s) Name(s) Karen A. Skelton do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 900 Hason Drive, Cutchogue, NY · which is shown and designated on the Suffolk 104 07 004 County tax map as District 1000, Section , Block , Lot That the undersigned (has) (have) £iled, 'or caused to be filed, an applica- tion in'th. Southold Town ltullding lnspeuL.~ '~ o~£:,.,o .%-- +h. rnllnwin~: One family house with front,.dormer That the undersigned do(es) hereby give consent to the Building Inspectors o£ the Town of Southold to enter upon the above described property, including any and ail 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 ~uch 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 [ ~-~cutions for rio- / lation$ of the laws, ordinances, rules or regulations pi/t! ~rown of Southold. Dated: May 16, 2001 ', /z ' (signature) Gary Flanner 01sen (print name) (signature) (print name) GARY FLANNER OLSEN Main Rd, PO Box 706 Cutchogue, NY 1193~ tv MASON DF IVE S N,/F CORBLEY N 72' 24' 50" E 4' 75.5 · JB.?' C ONe'S/ 1/2 sI-ORy--~ ~q-~.,., RES. ~. ~"' DORMERS "~CHAIN LINK II.?'L / S 52' 20' 29' W S 77' 4J' 47"w.L_._~ 18.24'J N 56' 1~'41/4~8W,~__~.~. : WA TER LINE SUR VE Y OF DESCRIBED PROPER TY SI TU A ?E N/F S~lTu ~ON LINE GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR ~,ttOM THE SURVEY IS PREPARED, ANO ON HIS BEHALF TO THE TIILE COMPANY, GOVERNMENTAL AGENCY, LENDING INSDTUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT D~ANSFTZRA~LE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. UNAUTHORIZED AL TERAI?ON OR ADDIDON TO THiS SURVEY 15 A HOLADON OF SECtiON 7209 OF THE NEW YORK STATE EDUCAITON LAY~ COPIES OF TIllS SURVEY MAP NOT BEARING IHE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP ~ SURVEYED 26 MARCH, 2001 SCALE 1":40' AREA= 22, ,55056 5F OR O, 518 ACRES TM 1000-104-07-04 GUARANTEED TO RICHARD M. BLAIR, Jr. FIDELITY NA??ONAL I?TLE INS. CO., OF NY IN,4SHIIVGTOiV MUTUAL HOME' LOAIVS~ INC. CU TCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR R/CHARD M. BLAIR, Jr. SURVEYED BY STANLEY J. ISAK~EN, JR. P.O. BOX 294 NEW IS~,JFFOLK. NY 119,~6 /NYS L/C, NO. 4~127~ ~ 01R995