HomeMy WebLinkAboutZ-22164FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-221g q
Date FEBRUARY 25~ 1993
THIS CERTIFIES that the building
Location of Property 135 TUTHILL LANE
House No.
County Tax Map No. 1000 Section 96
Subdivision
ONE FAMILY DWF. T,LING
CUTCHOGUE ~ N.Y.
Street Hamlet
Block 1
Filed Map No.
Lot 4
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-22164 dated FEBRUARY 25~ 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 ONE FAMILY DWFI~.ING *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PTgASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
HAROLD TAYLOR & ORS.
N/A
N/A
N/A
Building Inspector
LOCATION:
suBDIvISION
NAME OF 0W~R (s)
BUILDIN~ DEPAR:FMENT
TOW~ O~ SOUTHOLD
HOUSING CODE INSPECTION REPORT
]35 TUTHILL ~ CUTCHOGUE, N.Y.
(number & street) (municipality
MAP NO. LOT (s)
.HAROLD TAYLOR & ORS.
OCCUPANCY A- ! RES. OWNER
(type)
ADMITTED BY:.
KEY AVAILABLE
SOURCE OF REQUEST:
HAROLD TAYLOR
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-96-1-4
DATE: FEB. 5, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION cEMENT BLOCK
TOTAL ROOMS: ]ST FLR. 7
BATHROOM (s) ONE FULL BATH
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER YES ·
TYPE HEAT OIL
OTHER:
2ND trLR.
TOILET ROOH (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR XX
ONItI~A'£KD ROOM IN ~ RE~R OFF KITCHEN.
NONE
PROPANE
~ STORIES ONE # EXITS 2
CELLAR FULL CRAWL SPACE
3RD FLR.
UTILITY ROOM
PATIO, TYPE
GAP~a_GE
AIRCON-DITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF cONsT.
S~IMMING POOL
OTHER:
NONE
STORAGE, TYPE CONST.
· GUEST,.TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSIDE TUB CEILINGS, WALLS, FLOORS & STAIRWAYS SHALL BE MAINTAINED 9(B) NYCRR
AREA INA SAFE AND SOUND CONDITION.
INSPECTED BY:
DATE ON INSPECTION FEB. 8~ 1993
TIME START 9:30 AM END I0:00 AM
Form No. 6 Zc/
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 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.
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
I. 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 $15.00
Date .... · ..............
~ew Construction ........... Old Or Pre-existing Building...~ ............
Location of Property....N~..~$~A~ .~P.a~. ~.~ ~. ~..@~..%q~. A~. ~Y~.q~9~q~9~9~ ~., .N~..
House No. Street Hamlet
)nwer or Owners of Property..~. ~.~. ~ .~9~. .%9¥ RY ....................
· ~ounty Tax Map No 1000, Section...~ ......... Block...1 ............ Lot ........ ~ .............
iubdivision .................................... Filed Map ............ Lot ......................
'ermit No ................ Date Of Permit ................ Applicant .............................
lth pt App al U d riters Appr 1
~ea De . rov ................... , .... n erw ova .... . ...... . ....... ......
'lanning Board Approval ........................ ~
.equest for: Temporary Certificate.. · Final Certicate...~ ....... ~'
CONSE,,T
TO
IN~ PEC'FION
_ ,.ESTATE OF BELLE TAYLOR and HAi~OLD TAYI,OR
k3wner~ s) Namcl:;)
do(es) hereby state:
· [!let
That the undersigned (is) (are) the owner(':) of tile premise:; in tile Texts
of So'.,thold located at NWC Middle Road (Route 48~ ~r~,4 ~uthill
,CutchoR:ue, Ny . which is ~hox:'n and design.hied on tile Suffolk
County tax map as District 1000, Section_ 96 _ . ]3lock 1 . Lot
'That thd undersigned (has) (have) filed, or caused to be filed· an applica-
tion in the Southcld Toxvn P. uilding Inspector's Office for the following:
,Certificate of' Occupancy.
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
an'..' and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to thc aforesaid application, inc!udLng inspections
to determine that said premises comply with all of the laws; ordinances0 .rules
and re.~ulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so with the
kno".:'lcdge and understanding tim[ any information obtained in the conduc~ of
such inspcction.~ may be used as evidence in subsequent prosecutions for vio-
lations of thc laws, ordinanccs, rules or regulations of the Town of Southold.
Dated: February 1.993.
( p~-hit name) ....
(siL:naturc)
(pz'in t name}
r.
F'rN~ (c3 r~: ii 'i\Ti
I, i; ~: !,;~..~:~,~~~_ ,~.: --',-
!' l ~;
! B Lj
: I ;, \ ". FEB - 5 1993
,~p. d
i ' \ ~)
U ut~-,~~.
~~:~~.:.-~; .:,'\f-, ,. j ,
TQY~2g;~,~'tigj~;~",_.
~
&
Q)
u
,!"
,
,
,
1~' ....-T----
! I
!
la)
;_______J_.
,
1-.
3
~
iR
;2
8IWWN
I
i
!
I
132.66 I
o
iii
-
fV
7"~
4J
~
.]:l
-tit
iii
-
T
I
, ,
3Se
5. 21bo'w:
MIDDLE
71.( I
ROAD
(:,1<.48
-
".
~
-
...J
..J
-
~
~
.
I
I
i
,
I
,
~
~
0(
.
\
",.
"'--
_ .__'__n"_ '_'_~_____M_________.._ ._....~ ____.._n________,____..___ _~_.._
'-1
I
i
MAP OF PROPERTY
SURVEYED I="OR.
JAMES D f LI NDA M. WOLBEQT
.-
:
/
~--._----
-_.--- ----,.---.---..--.
AT
CUTC~OGUE
TOWN OF SOUTHOLt:> !-J.Y
,
-
'.
.~ <111",
~,,:'''''.t'9i'or,;;rt;;Lf) ,"~.
,~' ~~ai' ./lJirect..
"""~Jitl sha1ffJot *,-:-, .
trU$ CODy be Ce.
.,...t~~8 i. ' '
?},. f)d/(!'!t!Jf!
:.;:; DftrBon io, h$~ ~
-'O;;.~ 81'1{j on his ~o:r t'
Y, 9O\ter Vlfr.!',-,l'
,- i.'~-'on fI n~ntt:.'
.' _>~"1-.'f.,
//.....-
--//
//
/
'.,
~. <ce,
, .
SCALE-4Q.:i
Al2EA" 27..658 SQ.F1__CQ,63S_~
SUFF. CO.TAX MAP DATA: 1000-96-1-4.
GUoA.RANTEED TO TICOQ TlT'-E GUAI(ANTEE CO.-
----_._---~--..- -.-_. ._- .--.-----."-- .-_.-.-
AS_S~R\,I_~\(.~P ~AN21,1993
RODERIC.c Vfl':l.CL.J.\(~P;:
/2. v-...- ~
Lle,LAND SURVEYOQS
GREENPOQT,.N.'l'~