HomeMy WebLinkAboutZ-25536FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25536
Date: 02/10/98
THIS CERTIFIES that the building DWELLING
Location of Property 7045 OREGON RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 095 Block 0001 Lot 007.001
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- 25536 dated FEBRUARY 10, 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 ACCESSORY STRUCTURES *
The certificate is issued to SOPHIE STYPE
(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.
BuiYding
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7045 OREGON RD CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): SOPHIE STYPE
OCCUPANCY: SINGLE FAMILY SOPHIE STYPE
ADMITTED BY: SOPHIE STYPE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 95.-1-7.1
SOURCE OF REQUEST: ANDREW STYPE - 1/21/1998 DATE: 02/10/98
DWELLING•
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.5 # EXITS: 2
FOUNDATION: STONE CELLAR: 1/2 CRAWL SPACE: 1/2
TOTAL ROOMS: IST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: ** DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER:
OTHER: _*SIDE & FRONT COVERED PORCHES
ACCESSORY STRUCTURES,
GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: **
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: **BARN SHED. ICE HOUSE, WELL HOUSE & OUTHOUSE (ALL WOOD FRAME)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION 1 ART
ACCESSORY BUILDINGS IN GOOD SHAPE.
REMARKS: BP # 81 - - O -18 (ALTERATION TO PORCHES.
f
INSPECTED BY: DATE ON INSPECTION: 01/26/98
MICHAEL J. VERITY TIME START: 10:10 AM END: 11:15 AM
A
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 Undefwriters.
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 BUildine - $100.00.11
3. Copy of Certificate of Occupancy - .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15`.00,1 Commercial $15.00
Date......./1,41(.4.?........................
New Construction........... Old Or Pre-existing Building..../4 ./.........
Location of Property....1.0/s........... Q✓ey.oh.. J?.gf�.............C. u .�ri�. �Jl a �..... .
House No. Street Hamlet
Onwer or Owners of Property........ /.)�!4.....W...J.i1�/��...7. A. i"', w..S�r�P.
County Tax Map No 1000, Section....../. .... Block ...... (......... Lot ...
/i�Q..�...���.�
Subdivision....................................Filed Map ............ Lot ......................
PermitNo................Date Of Permit ................ Applicant .............................
/
Health Dept. Approval...... PA ................Underwriters Approval .... Y.P 5.................
Planning Board Approval......yjp
...............
Request for: Temporary Certificate
Fee Submitted: $....f V//O•.....................
Final cate..X .......
APPLI ANT�'f .....................
CONSENT
TO
INSPECTION
�I S4q4�e -fy J�� e/ the undersigned,
wner(s) Name) % -7T�—
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at A/
which is shown and designated on the Suffoll:
County tax map as District 1000, Section , 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:
lr.jl G el-, to(f�/gzm - Ao- vLl, Will4 h u, Id, Htis
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 regulatj.6ins ol�the '1/own of Southold.
Dated: �/� I/ W
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BUILDING DEVAIVITIKIJ'I'
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DWELLING:
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BATHROOM (e) TO LET Itom (a) /
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ACCESSORY STRUCTURES: �2 Co.- ------- --------- — — � 'C .
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