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Home My WebLink AboutZ-26206FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26206 Date: 01/08/99 THIS CERTIFIES that the building DWELLING Location of Property 6995 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 0004 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- 26206 dated JANUARY 8, 1999 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 DETACHED TWO CAR GARAGE.* (HAMLET) Lot 033.001 The certificate is issued to GEORGE R TUTHILL (ESTATE) (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. Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6995 SKUNK LA CUTCHOGUE SUBDIVISION: MAP NO.: __ LOT (S) -- NAME OF OWNER (S): GEORGE R TUTHILL (ESTATE) OCCUPANCY: A-1 RESIDENTIAL GEORGE R TUTHILL (ESTATE) ADMITTED BY: JOANNE AUGUSTINE ACCOMPANIED BY: SAME KEY AVAILABLE: __ SUFF. CO. TAX MAP NO.: 104.-4-33.1 SOURCE OF REQUEST: TRUDI T. CALBERG DATE: 01/08/99 TYPE OF CONSTRUCTION: WOOD FP. AME FOUNDATION: CEMEN~ TOTAL ROOMS: 1ST FLR.: _~ BATHROOM{S): 1.0 PORCH TYPE: BNCLOSED (REAR) BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL OTHER: 2ND FLR.: _~_ TOILET ROOM{S): _.. DECK TYPE: FIREPLACEs ONE TYPE HEATER: OIL WARM AIR: HOTWATER: ~ # STORIES: 1.5 # EXITS: _ CELLAR: FULL CRAWL SPACE: -- 3RD FLR.: _~ UTILITY ROOM(S): -- PATIO TYPE: CONCRETE BLOCK GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR WOOD FRAME STORAGE, TYPE CONST.: SWIPING POOL: GUEST, TYPE CONST.= OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRI~T~Q~ ART, SEC. REMARKS: INSPECTED BY: ~ DATE ON INSPECTION: 01/07/99 TIME START: 11:20 END: 11:40 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 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 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-existinR Buildln~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ........................... New Construction ........... Old Or Pre-existing Building .... ~ ............ Location of Property ....... S~n~ ~e Jpa~ ~y~n?e! Cutchoque 6%95. . . . .. ............................................ . House No. Street Hamlet 0nwer or Owners of Property George R. Tuthill County Tax Map No 1000, Section. 104.00 Block 04.00 ........ Lot. 033.001 .M. gp ~f ~gs~u Farms ...'.Fil d 1%79 149 Subdivision ...................... e Map ........... Lot .................. .. · Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...,,X. ...... Fee Submitted' $ 100..00 ' ..... i~C- ~'3 ~' 5~ ...... APPLICANT Trudi ~ Calberg, ~ec. " v,_s~a~e of '~e-orge R. Tuthill CONSENT TO INSPECTION Trudi T. Calberg, Exeeutor of the Estate of George R. Tuthill , · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 6995 Skunk La.ne (Bay Avenue) , Cutcho~ue · which is shown and designated on the Suffolk County tax map as District 1000, Section 104.00, Block 04.00, Lot 033.001. 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 Ce~tificate.~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 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 the Town of Southold. .... . (signature) ~ Trudi T. Calberq~ Executor (print name)