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HomeMy WebLinkAboutZ-22909No Z-22909 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY Date MARCH 17, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 205 WILLOW STREET ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 1 Lot 4 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-22909 dated MARCH 17, 1994 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 ACCESSORY 2 CAR GARAGE & 2 WOOD ACCESSORY STORAGE SHEDS* The certificate is issued to JOHN STEWART & ANNE CAROL TUTHILL (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. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 205 WILLOW STREET ORIENT, NEW YORK number S street municipality SUBDIVISION MAP NO. LOT (;) NAME OF OWNER (s) JOHN STEWART h ANNE CAROL TUTHILL OCCUPANCY SINGLE FAMILY DWELLING (type) (Owner—tenant) ADMITTED BY:, ANNE TUTHILL ACCOMPANIED By; ANNE TUTHILL KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-26-1-4 SOUr,CZ OF REQUEST-_ TWOMEY, LATHAM,SHEA & KELLEY, ATTYS DATE: MARCH TEV, DWELLING: TYPE OF CONSTRUCTION WOOD FRAME Q STORIES 2 0 EXITS 2 FOUNDATION STONE CELLAR NONE CRAWL SPACE PARTIAr TOTAL ROOMS: IST FLR_ 4 2ND FLR. 2 3RD FLR. BATIIROOM (s) ONE TOILET ROOM (s) NONE. UTILITY ROOM REAR OUTSIDE ATTACHEI PORCH TYPE REAR COVERED DECK, TYPE BREEZEWAY FIREPLACE ONE DOMESTIC HOTVATER YES 11PE HEATER LILCO GAS TYPE HEAT DILILCO GAS A WARM AIR %X OTHER: . LRY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SfJUIMING POOL OTHER: PATIO, TYPE GARAGE AIRCONDITIONING WALL.URTT HOTRATER 2 CAR WOOD FRAME STORAGE, TYPE CONST. 2 OLD WOOD SHEDS GUEST, TYPE CONST. VIOI.ATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE RICMA2KS: FIREPLACE BRICK INSIDE POOR CONDITION INSPECTED BY: Jv DATE ON INSPECTION MARCH 15, 1994 171 JOHN M. BO IS TIME START 9:30 AMEND 9:50 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 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 p Date .. ! v! R �/ .. l L . f q� .................. New Construction........... Old Or Pre-existing Building...v ............ Location of Property... © 5 .................. .. ..5 I..................I..�1T ......... House No. Street Hamlet Onwer or Owners of Property..Sb.H //%__.• STFW J)9 T Aii-N UC . �: }1 t— .-rUTH/LL_ County Tax Map No 1000, Section.. U°�`.�'.Block.... O1: ba..... Lot...0.0.,fo�.)C:....... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval ............. ...........Underwriters Approval......................... Planning Board Approval ........................ / Request for: Temporary C�ertificate........... Final Corticate........... Fee Submitted: $..�V V..00 ................... y?gg .................. z c .......c. ...:....... . �'�d c -e) z as 9 0 APPLICANT: 9MJQ E C° A-K()L TUT Owner(s) Name(s) CONSENT TO INSPECTION LL the undersigned, do(es) hereby state; D1R � 0-(� That the undersigned (is) (jEr-&) the owner(s) of the premises in the Town of Southold located at o20S (lJ 11,L-blli )TT v.,hir_h is shown and designated on the Suffolk County tax map as District 1000, Section ()c* , Block O_, Lot �� 1 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: d LELTIIF -AT( OF ySJE- 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: '7 y (signature) A,jt-f- fluuE (--4QL-T0Tf4jLL. (print name) signature (print name) A's7 oz PSIN42 I O 3AZA2rAN HEDGE z GARAGE S/ CoNC2. gj jP 2 WOOD FENCE ' W P f l/Z Sro, �To 0 J (I1 5.86 '.,c v 60.0 .41' WILLOW STREET PROPERTY�►-la�y-nS(�3 J SURVEYED FOR 8 ELLEN L tlda aarpag; tp ammadal and - --McKjEl.1, AT �5 1 s 3AZA2rAN HEDGE z GARAGE S/ CoNC2. gj jP 2 WOOD FENCE ' W P f l/Z Sro, �To 0 J (I1 5.86 '.,c v 60.0 .41' WILLOW STREET MAP OF PROPERTY�►-la�y-nS(�3 SURVEYED FOR ELLEN L tlda aarpag; tp ammadal and - --McKjEl.1, AT ,h mm.a.acnu:_.r ..m„eo-gb.a - ORIENTTOWN - e.mm�sasaof baw.waar 017 cLi r cePwaad. noiawNd «rea...a .w a.� not a aawvaa 'mMaaYdNa .. a'. Aw•. axnaa� ' i 6 i 1 (616)727.2M `' r ,. MAP OF PROPERTY�►-la�y-nS(�3 SURVEYED FOR ELLEN L tlda aarpag; tp ammadal and - --McKjEl.1, AT m.rr°rar wa mm.a.acnu:_.r ..m„eo-gb.a - ORIENTTOWN - e.mm�sasaof baw.waar 017 UTHOLA) NY cePwaad. noiawNd «rea...a .w a.� not a aawvaa 'mMaaYdNa .. a'. Aw•. SCALE -26-l' EPMONU MENT -AQE'k-7.687 SQ -P. (O.1 -7G AC2E) SUFE.CD•TN( MAP f>'tTA' 1000 026-!'4 ' - OacanNialMaYdlriaon�Iwl nb .. aayblM paabMMiom dr away tlda aarpag; tp ammadal and - . WA NnAnd Fdtllutrcn dharoai aid mm.a.acnu:_.r ..m„eo-gb.a badCdOrW 4:i..,:.-..:.::u:naquMd axnaa� ' -rI 6 i BUILDING DEPARTMENT TOWN OF SOUT11OLD IIOUSING CODE INSPECTION REPORT LOCATION: number S street SUBDIVISION MAP NO. NAME OF OWNER (s) OCCUPANCY ai �i municipality LOT (n) stype) � (owner -tenant) ADMITTED BY:.A-AINe w (L� ./ ACCO:II'ANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. �p OF REQUEST: SOU — /— C.;;.;��/Ll jf DATE- 3 DWELLING: TYPE OF CONSTRUCTION �%D� %�/�/h # STORIES # EXITS FOUNDATION CELLAR &,e_ CRAWL; SPACEf,&f�j,,,, TOTAL ROOMS: IST FLR. 2ND FLR. c;2— 3RD FLR. BATHROOM (s) ' Q /j/ +E TOILET ROOM (s) UTILITY ROOM PORCH TYPEfgft DECK, TYPE PATIO, TYPE BREEZEWAY — FIREPLACE GARAGE DOMESTIC HOTWATER ��G TYPE HEATER_///Co �' S' AIRCONDITIONING /' 14,40-4,4TYPE HEAT p/'Q ARM AIR HOTWATER OTHER: r� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 0040 �' �&-STORAGE, TYPE CONST.,p— SWIllMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: \, CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE l u: REMARKS: INSPECTED BY: N T DATE ON INSPECTION TIME START END16 19