HomeMy WebLinkAboutZ-24737FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF O~JuPANCY
No Z-24737
Date NOVEMBER 14, 1996
THIS CERTIFIES that the building
Location of Property 230 BTROHSON ROAD
House No. Street
County Tax Map No. 1000 Section 103 Block 10
Subdivision Filed Map No.
ONE FAMILY DWELLING
CU'J.'CHOGUE, N. Y.
Lot
Lot No.
Hamlet
19
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24737 dated NOVEMBER 14, 1996
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 *
The certificate is issued to ES'£~K R. TAYLOR
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAc~D INSPECTION REPORT.
N/A
N/A
N/A
//Bu~lding Inspector
Rev. 1/81
BU 1_ LD [NG I)F, PAR'I~.IENT
TOWN OF SOUTIlOLD
tlOUSING CODE INSPECTION REPORT
I.OCA'r ! ON: 320 STROItSON RD.
(nu,nber & sl:reet)
SUBDIVISION
NAME OF OWNER (s) ESTBER R. TAYLOR
A-I RES.
~ype)'
SELF
PAUL A. CAMINITI
()CCIIPANCY
ADHITTEI) BY:
KEY AVAILABLE
SOURCE OF RE(]UEST:
CUTCHO~UE, N. Y.
MAP NO.
LOT(s)
OWNgR
~( ow n e'~Z'_ ~-e~n ~'] ............................
ACCDMPANIEI) BY: SELF
S[JFF.CO. TAX MAP NO. ]000-103-]0-]9
I)A'rE: NOV. 6, 1~9~9~6 .........
4
TYPE OF CONSTRIJCT1ON WOOD F~ I STORIES ONE ~ EXITS
FOUNDATION CEt4ENT BLOCK CELLAR FULL CRAWL SPACE - -
TOTAl, ROOMS: IST FLR. ? 2ND FLR. - - 3RI) EI,R. - -
BATIIROOM (.q) TWO TOIl.ET ROOM (.q) D'FII,ITY ROOM
PORCII TYPE BECK, TYPE PATIO
BREEZEWAY FIREPLACE ONE GARAGE I CAR (32' x 14')
I)OMESTIC IIOTWATER YES TYPE IIEA'ifER OIL AIRCONI)UFIONING
TYPE ilEAT OIL WARM AIR X~ IIOTWATER
OTIIER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTIIER:
NONE
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOI,ATIONS: CIIAPTER /~5 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING COi)E
LOCAT1ON
DESCRIPTION
REMARKS: BP {402Z - CO Z-245 (ADDITION)
DATE OF INSPECTION
TIME START 9:30
NOV. 8, 1996
END 9:50
Form No. 6
TO~ OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR C~,,~ICAT~ OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted co 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 chat the solder used in system contains
less than 2/10 of fl. 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:
I. 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~.
2. Certificate of Occupancy on Pre-existing Building _~01?~0?
3 .Copy of Certificate of Occupancy - $5.00 over 5 year~ $t~00
4. Updated Certificate. of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $I5.00, Commercial $15.00
Da~e ...... %~.r~ ........ ~ ........... ~ .........
construction. Old uilding...- .............. -
ocation of ...... .... ..... ..
House No. Street 'Hamlet
Subdivision ................. ' ................. Filed Map ............ Lot ......................
Permit No ................ Dace Of Permit ................ Applicant .............................
!{ealgh Dept. Approval .......................... Underwriters Approval ................ : ........
Planning ~oard Approval ............. : .......... .
Request for: Temporary Certificate ........... Final C~ - '-
Fee Submitted ......... ~..
Owner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
~ [~ , which is sho~ and designated on the Suffolk
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:_
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, includi~g inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances· rules or regulations 9~th~
0
A-c "'ko J-- 3C/lee
C ~.%tjz A C¥
(print name)
(signature)
"To ; ao a £d c ,,--
(print name)
O .BoH$O N
90-
_Dy W000
SHEEP
H.W.L
CM
NI, O'
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REMNANTS OF
DOCK
CM FD
TAX MAP NO. 1000-105-10-I9
SURVEY OF
DESCRIBED PROPERTY
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK C0., N.Y.
SURVEYED 5 OCTOBER, 1996
SCALE: I" = .,~0'
AREA = 23,280,36 S.F
Ot
O. 53,44 Acres
GUARANTEED TO:
u,AMES ,~. CANCRO
JOH~4NNA, L CANCRO
PECONIC ABSTRACT /NC
L23~52
~MERICAN HOME MORTGAGE
TOWN OF SOUTHO~
SURVEYED FOR:
Geel~lees imllcatod here on shall nm
~ ~ lira ~enon for whom the survey
is 1~*9meed, and on his behalf to Ihe
t~t~ cemf~m,., Go~ermental Agency,
tending inStJl',,.,Ik~, if listed hereeno and
to the css~ of the lending inst~l~tion.
Guerem~l~ ~e not transferable to
~ ~ ~r s~bseque~t owne~
,JAMES J. CANCRO
JOHANNA L. CANCRO
~'.authorlzed olteraflon or add'dion to ~
t. rvey is a violation of Section 7209 of
the New Ymk Stere Educ~zfion Law.
C=?=.ies of this sunmy map not bearing
the Lend SUrVeyer$ embossed seal shal~
not be considered to be a ve~Jd true
ELEVATIONS SHOWN ARE IN
NVD 19~9
SOURCE ; SUFFOLK COUNTY
DEPT' OF PUBLIC WORKS
SURVEYED BY:
STANLEY d ISAKSEN, JR
PO BOX 294
NEW SUFFOLK, N Y , 11956
9BR609