HomeMy WebLinkAboutZ-24648FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24648 Date SEPTEMBER 23. 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 460 CLARK ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 135 Block 2 Lot 5
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-24648 dated SEPTEMBER 23, 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 WITH ACCESSORY ONE CAR GARAGE
The certificate is issued to ESTATE OF MOLLY P. TRAINOR
(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
I01I1.11IIll: Illil'AIIIlIIiIII'
IO011 (1P S0(111101.1)
110111;111(: C01W IIISI'1?C11011 Ill?I'l)III'
LOCA 'I'Ioff: 460 CLARK ROAD SOUTHOLD, N.Y.
Znumber 6 ntreel) (ni�uric�pnlily%_
1i11111)IV11;1(111 IIAI' 110. L0'I'GO
UAlu? Or 0111IRR T. TRAINER
OCCUPAMiY SINGLE FAMILY
(LypeJ Zouner fennnlj
AOIII"I"1'1;,1) BY: PAUL CATALDO ACCOIWAlll17.0 IIY: SAME
KEY AVAILAIII.i? -.-_ .._- --riillff.Cii- f'AK IIAI' 1)0. _1900.1.35-2-5 - -
- _
,O0uc1? OF lo.-qum;r: MEYER PRESS, ADMINISTRATOR OF EST. OF OA'Ir:
fYIR Or collHllluc'r10N WOOD FRAME I noitir.; 1-1/2 I EKI.1!; 2
170000A'I'lOil CEMENT BLOCK CELLAR FULL CHAVIL SWACI
IOI'AL 110011,: Is PI1t. 3 2111) Pim. 2 -)IM 171.11.
IIAI.11110011 ((1) ONE "I01 I,rl' 110011 (o) IIT 11.1 "1'Y It0011
PORCH 'IYPa FRONT_. COVERED__._.. _ IlrCK, IPIK PAT 10
III(F.RZISOAY PII(I?I'LACKI:AIIAf 17.
ONE _
00111..';11C 1101VIA IH1t YES 'IYI'POrA'IP•.R OFF BOILER AIIWOODITIOil IOc
'1YPr IWAT OIL VlAllll Alu IIOI17AI(FII X%
ulllli.11 :
ACCIi1i1;01(Y lifllllClUllli9:
CAIMC'K, 'IYI'li 017 00IMI', ONE CAR WOOD FRAME 1;'COIMCI?, 'IYI'1? CUH.'il'.
SIMIIII11f: 11001, cou--s , 'I YI'F. C003'I'
111'lllilt
VIOI.AI IOil,; CIIAI'Tf.lt 45 II.Y_ 1;'I'A"Ili 111111'01111 FIIoF l'1lP.VimI'Ioil li 111111.0111(: (:()of;
OCA'l'luN UHSCIUP1'IU11 AI(I. !WC.
II11;1'I'C1101) fly
IF OtF IIISPrC1'1011 SEPT. 17, 1996
S I"1111? slAI(l' 9:40 AM Hill) 10:00 AM
Ir
• rVL10 IIV. V
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 followings 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 statelilent from plumber certifying that the solder used in system contains
.t. less than 2/10 of 1% lead. r
5. Commercial building, industrial buildingb 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
Ilpre-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 tl:e
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling 125.001 Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swinuning pool $25.00, Accessary building $25.000
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 - $5.00'6ver 5 years - $10.00
4. Updated Certificate of Occupancy - $50100
St. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00
9/5/96
Date 4.6 ...... . .. . . . . . . . . ... 0 .........XX
. .
New Construction........... Old Or Pre-existing Building.., .............
Locption of Property460 ClaIk Road Southold NY 11971 ...
.. 1 1 .... / 1 ...... • . 1 ... 1 1 .... 1 1 ... r ....... .... 1 . . . • 1 • . . . { ... 1 .. • .... .
House No. Street hamlet
Estate of Molly P. Trainor
Onwer or
Owners of Prop erty.....1..1...•....11.1...1..{...............1•........1...•......1
County Tax Nap No 1000, Section..iAA.6 ./.. ..............1
Subdivision.... htap............Lot.............:...1..,
PermitI..../:I.:.Date Of Permit.•1...11.....1.1Applicant•.•...I..i.1.•1..{..••.....
health Dept. Approval.0.644...196.160004060646.Underwriters Approval .......................
Planning Board Approval ..............•..........
Request for: Temporary Certificate.:....,.... Final Certicate..x........
Fee Submittedt $.�,QD. Q)�..............1..1...
Benjamin Press-, Administrator APPLICANT
Est.of Molly P. Trainor Meyer Press, Administrator
�C.ot,24GY�, Est. of Molly P. Trainor
7
Njo/f
a
OoNP0
PRK S.
or
52.
M
OPRR�G &
PP,�R�OK
13,
IsnoN N
9 �
bye
Ao
P
6
S • o
s
Q
Q
m
UN
AREA = 10,278 sq. ft.
KPteRGES
N
8�.
2006'1 T &
Nt �R0000
CERTIFIED TO,
LISA A. SCHEINER
CHICAGO TITLE INSURANCE COMPANY
96082173
BRIDGEHAMPTON NATIONAL BANK
SURVEY FOR
LISA A. SCHEINER
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 135 - 02 - 05
Scale: 1" = 30'
Aug. 27, 1996
ANY ALTERATION OR ADDITION TO TMS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-SU8DIVk%ON 2. ALL CERTFXA�4s
HEREON ARE VALD FOR TNS MAP AICD COPIES THEREOF OAC Y F
SAD MAP OR COPES BEAR THE &#PRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
ADDITIONALLY TO COMPLY WITH SAD LAW THE TERM ALTERED BY'
MUST BE USED BY ANY AND ALL SUF?VEYORS UTiL/ZNG A COPY
OF ANOTHER SURVEYORS MAP. TERMS SUCH AS WSPECTED' AND
THOUGHT -TO -DATE' ARE NOT #N COWLUWCE WITH THE LAW.
Q� NEI
tly ��t�
LIC. NO. 496/8
P
(5/ -
q�UR 11 'C'
P. 0.
1230 STREET
SOUTHOLD, N.Y. 1/97/
96-238
CONSENT
Z•Q .
INSPECTION
Meyer Press and Benjamin Press, Administrators of'the Estate of
Moly p- Tr +nor the undersigned,
Owner(s) Names)
do(es) hereby state;
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 460 Clark Road, Southold, NY 11971
which is shown and designated on the Suffolk
County tax map as District 10004 Section 135 Block 2 Lot 5
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:
pre—existing 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
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 to the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lation= of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: 9/5/96 ' :eY4
(silmature)
Meyer Press
(print name)
{signature)
Benjamin Press
(print name)
STATE OF NEW YORK)
)ss..
COUNTY OF SUFFOLK)
MEYER PRESS, one of the Administrator of the
I. Estate of Molly P. Trainor _, being duly sworn
deposes and says:
That I am the owner of premises located at 460 Clark
Road, Southold , Suffolk County Tax Map Number Dis-
trict 1000 , Section 135 , Block 2 , Lot 5 ,
which is improved by a single-family dwelling.
That at least one single station smoke detection alarm
device is installed on or near the ceiling in this dwelling and
that such device is in good working order.
That I make this affidavit pursuant to Section 1193.2
of the New York State Fire Prevention and Building Code.
yet Press
Sworn to before me this
10th day of September r 19 96 .
NOTARY PUBLIC
EDWA A. HO(ASWORTM
wry PUWIP State of N w vat
Ufa t)1 �ffd
. Suk
.' y 30 97
8U||.|>}UU |>HIyh|\ll|,"hl'
llOUU OF SVUIU0|�>
UUUGlU: CUoM lUSY�CT|UU^�o�yVK7
i0GATI0H'
ntr=pt
SU8UlY|Sl0H
`
8ky U0.__�
11AH117 OF
_
OCCOVAlWY
0. TAX MAY 110
NOURCE OU , DATE:
TYPE Or cot,ls'l*lk1jc*r1ot4
FOONDATI ON
PORCH
DOMESTIC 110TWATIM
TYPE MEAT WARM All( _41 e 110TWATER
0�0�|
xCCE-SUUUY GJKUCIU8�S:
(/«x«cx, TY111, Or, :0MST
SauxA:R' THI% c0nST' --------
xV/mnln(l, VV0/ G111"IST, TYPE. CONST-
�'-----'
([rU�K' -- -------�---------
-------
-------------------_----_----
-------------------
Y\0LAT 10NG; C||AtIT"It 45 N.Y' STATE UN(yU|{K vUU� YK/�V|�Mll0N � xUU./>�MCpUo-----------------
lrJl0H ��/
� | |
INSPECTE'D BY
DATE, OF HISPEC'I'lOtj