HomeMy WebLinkAboutZ-25692FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25692
Date: 04/30/98
THIS CERTIFIES that the building DWELLING
Location of Property 135 WOOD END WAY SOUTHOLD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 070 Block 0011
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- 25692 dated APRIL 30, 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 *
(HAMLET)
Lot 020
The certificate is issued to CLARICE TONER
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
NS EC ION
- Building Inspec~
Rev. 1/81
LOCATION: 135 WOOD END WAY
SUBDIVISION:
NAME OF OWNER (S): CLARICE TONER
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: CAROL MILLER
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SOUTHOLD
MAp NO.: __ LOT (S) --
CLARICE TONER
ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 70.-11-20
SOURCE OF REQUEST: RUDOLPH BRUER. ATTY - 4/16/98 DATE: 04/30/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: CEMENT BLOCK
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ._~
BATHROOM(S): 1.0 TOILET ROOM(S): 0,Q
PORCH TYPE: DECK TYPE:
BREEZEWAY: FIREPLACE: QN~
DOMESTIC HOTWATER: XX TYPE HEATER: SUPER STORE
TYPE HEAT: OIL WAP. M AIR: HOTWATER:
OTHER:
# STORIES: 1.0 # EXITS: ~
CELLAR: FULL CRAWL SPACE:
3RD FLR.: ._~
UTILITY ROOM(S): --
PATIO TYPE:
GARAGE:
AIRCONDITIONING: CENTRAL
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ART,
REMARKS: BP #3959Z-~ Z-3378(GARAGE A~D) BP #23479-Z-COZ-24798 (DECK ADDITION
INSPECTED BY: 1/F~" 6,'% ,~/~~
BOUFiS
DATE ON INSPECTION: 04/28/98
TIME START: 10:30 AM END: 10:50 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~65-1802
APR 2 0
: APPLICATION'FOR CERTIFICATE OF OCCUPANCYi ~ -.-:~: '
This application must be filled in by t~pewrtter 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/l'O.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 requirement.~.
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· si .gned 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, Com~ercial $15.00
House No. · Street -- 'Hamlet
Onwer or Owners of Property ............... ~ ~.
County Tax Map No , Section ............. Block ......... Lot ................
Subdivision ' Filed Map Lot
Of ' Appli
Permit No ................ Date Permit .............. cant... ; ......
Health Dept.,Approval .......................... Underwriters Approval .........................
Planning. Board. Approval .................... f....
Request for: Temporary Certificate ........... Final Certicate ........
Fee Submitted: $.. ~..~.....~.....
APPLICANT' '
CONSENT
TO
INSPECTION
IOwner(s) Name(s)
do(es) hereby state:
the. undersigned,
of Southold located at
That the undersigned (is) (are) the owner(s) of the premises in the Town
~'~~~/ . which is shown and designated on the Suffolk
7~> o Block // , Lot ~
County tax map as District 1000, Section
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, 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 [he Town of Southold.
Dated:
:- -~ign a'tur e')
FENCE
ta E~rAL SHED
WOO0 PLATFORM
SHED
LoT ~)
1 B9.7 3'
",/
/
SURVEY OF
LOT 31
MAP OF
SOUTHWOOD
FILE No. 2141 FILED NOVEMBER 24, 1953
SITUA TED A T
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-70-11-20
SCALE 1"---50'
JANUAEY 26, 1996
MAY 7, 1996 ADDED PROP. ADDITIONS
AREA = 29,572,17 sq. fi.
0.679 oc.
.CERTIFIED TO:
NElL TONER
UNA3HORIZED ALTERATION OR ADDI31ON
TO THIS SURVEY IS A VIOLATION OF
SECTION 720~ OF THE NEW YO~K STALE
OF THIS SURVEY MAP NOT BEARINO
THE LAND SURYt~'O~'S INKED SEAL O~
~I~:)~'D ~ ~IALL NOT BE C~N~D~R~D
TO BE A YNJO ~RU£ (~'.
GUARANTEES IND~.~I[D HFJ~EON SHALL RUN
ONLY TO THE PERSON FOR WHOM TI-II ~
iS PRI~ARED. AND ON H{S BEHALF TO THE
LENDII~ INS1TTLmON LISI'EO I'ffiREON,
TO THE ASSIONEES OF THE LENI)II~ INSTI-
TLmON. OU~ES ARE NOT 1RANSFER~.
THE EXisiLNCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARAN~e.I:O.
PREPARED IN .A~CORDAHCE WTI'H THE[ MINIMUM
b~TANI~A~DS FOR TKrL~ SUR'V~.-Y~J ~ ESTA~SHED
BY THE LI.A.L$. AN0 APPROVLq) AND ADOPTED
FOR SUCH US[ BY THE NE~/ YORK S'TAT~ LA~D
TITLE ,~SSOC~AT~ON.
HYq I;~'
Joseph A. Ingegno
Land Surveyor
~Ttle Surveys ~ Subdivisions -- Site P~ans -- Construction Layout
PHONE (,516)727-2090 Fox (516)722-509,3
OFFICES LOCATED AT MAIUNG ADORESS