HomeMy WebLinkAboutZ-20045FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z- 20045 Date JULY 1~ 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3275 SKUNK LANE CUTCHOGUE~ N.Y.
House No. Street
County Tax Map No. 1000 Section 97 Block 9 Lot 10.3
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One FAmily
Dwelling built prior to: APRIL 9~ 1957
Hamlet
pursuant to which
CERTIFICATE OF OCC. #Z-20045 dated JULY 1~ 1991
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 DWW3.LING WITH ACCESSORY 6 CAR WOODFRAMEGARAGE
STORAGE BARN~ & FARM STAND IN SIDE YARD *
The certificate is issued to
of the aforesaid building.
VERONICA TRAMALONI
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
Location
BUI_DI:.G DEP.~RT:.LENT
TO'.'~! OF SOUTHOLD, N. Y.
HOUSIiiG CODE IHSPECTION REPORT
3275 SKIER LANE
CUTCHOGUE, N.Y.
~numoer ~ s~ree~)
Subdivision
Map No.
Lot(s)
Nmme of Owner(s)
VERONICA TRA~ONI
Occupancy ONE FAMILY DWELLING
(type)
Ad,mitred by: ELEANOR TRAMALONI
( own er- ~ enan~)
Accompanied by: SAME
97-9-10.3
Key ~vailabl e
Suffolk Co.
Source of request
VERONICA TRAMALONI '
Tax No.
Date
MAY 22, 1991
D%'UZLL I NG:
Type of construction WOOD FRAME
Foundation BRICK & C~MENT BLOCK Cellar PARTIAL
Total rooms, 1st. F1 4 2nd. F1 3
#stories i-i/2
Crawl space pARTIAL
3rd. F1 --
Bathroom(s) I F~LL BAT~ Toilet room(s) - -
Porch, type FRONT COVE~ED Deck, type Patio,
Breezeway Garage. Utility room
Type Heat OIL 'Warm Air ~ .Hotwater
Fireplace(s) NONE No. W:<its 2 Airconditioning
Domestic hotwater YES .Type heater PROPANE
Other PANTRY OFF KITCqIEN
ACCESSORY STRUCTURES:
Garage, type const. 6 cAR-
#uuu
Swi.~ning pool
Other Fam~ SmAND IN SIDE
Storage, type const.
Guest, type const.
BARN
VIOLATIOMS:
Lncation
.CHAPTER 45--N.¥. STATE UNIFORMFIREPREVENTION & BUILDING CODE
Descriotion Sec.
BARN IN NEED OF REPAIR'
[ 1242.5
Remarks: BP ~19683 - CO Z-19984 ISSUED FOR REPAIR & ALTERATION
Inspected by: ~c~. Da. re of Insp. MAY 30, 1991
GAR{;~L1. FISR Time start end
Form No. 6
..... :::~% TOWN OF SOUTIIOLD
[' -~ ~:.~ ~i~.~: i BUILDING DEPARTMENT 7/~--~
.- ~ -i:,\\~...~.{[~[/[;;i'/~{:/: i [APP~LICATION----- ~- FOR CERTIFICATE OF OCCUPANCY
-~o,:; .2-::-~,:~ ' '
This ap~~ 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.
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.
Certificate of Occupancy on Pre-existinB__Bu~d~ 7_~!0~Q
3. Copy of Certificate of Occdpancy - $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
'Iew Construction ........... Old Or Pre-existing Building...~ ...........
Location of Property..~..~?f~.?..~.~?. ..... K~.~.~.~. .............................
House No. Street Hamlet
)nwer or Owners of Property. ~t~ ~-~o~]
~ounty Tax Map No 1000, Section...9.?.~. ...... Block ..... ~ ......... Lot /O..3
;ubdivision .................................... Filed Map ............ Lot ......................
'ermit No ................ Date Of Permit ................ Applicant .............................
Iealth Dept. Approval .......................... Underwriters Approval .........................
'lanning Board Approval ........................
'~equest for: Temporary Certificate ........... Final Certicate ...........
r
'ee Submitted: $ ..........................
0 . x. ......
C 0 ~ ~ 0 0 ~ APPLICANT
Owner(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
Name(s)
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~7~ ~F~M~ ~A~O~ / C/.~7~/-/'0~0 ~
, which is sho~ and designated on the Suffolk
County tax map as District 1000, Section 0~ , Block ~ , Lot
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the folloxv~g: __
That ~he unders~ned do(es) hereby give consent to the Bulldog Inspectors
:he Town of Southold to enter upon the above described property, ~nclud~ng
any and all buildings located thereon, to conduct such inspections as they may
deem necessary w~th respect to the aforesaid application, ~clud~g inspections
to determine that said premises comply w~th all of ~he laws; ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such ~spections, do(es) so ~th the
knowledge and understanding that any ~formation obtained [n the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lations of the laws, ordinances, rules or re~lations of the Town of Southold.
Dated: ~- ~- ~/ ~ ~
(signature)
~p~n~ nam~
(signature)
(print name)