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HomeMy WebLinkAboutZ-28496FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28496 Date: 06/10/02 THIS CERTIFIES t~t the building DWELLING & ACCESSORIES CUTCHOGUE Location of Property 32852 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 097 (STREET) (HAMLET) Block 0006 Lot 007 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 c~RTIFICAT~ OF OCCUPANCY N-t~WBER Z- 28496 dated JUNE 10, 2002 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 ENCLOSED PORCH, SMALL ACCESSORY BARN, AND ACCESSORY TWO CAR GARAGE WITH SAMLL BARN.* ·"ne certificate is issued to WILLIAM LEE TUTHILL TRUSTEE (OWNER) of the aforesaid building. SUFFOLK CO%5~=~Y DEPARTMENT OF }~%LTH APPROVAL ELEC~£KICAL CERTIFICA~]~ NO. PLUMBERS CERTIFICATION DA£~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A '~//~ S i gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 32852 MAIN RD CUTCHOGUE SUBDIVISION: ~ NO.: LOT (S) NAME OF OWN]~R (S}: WILLIAM LEE TUTHILL TRUSTEE OCCUPANCY: SINGLE FAMILY WILLIAM LEE TUTHILL TRUSTEE ADMI'I-£~U BY: MARY H TUTNILL ACCOMPANIED BY: SAME DWELLING: TY~E OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FIAt.: 4 2ND FLR.: 4 ~ATH~OO~ (S): 3.0 TOII~T ROOM (S): 1.0 PORCH TYPE: ENCLOSED DECK TYPE: DOMESTIC EOTWA'£KK: YES TYPE HE~r~U(: OFF BOILER # STORIES: 2.0 # EXITS: 4 CELLAR: FULL C~A~ SPACE: 3P.D FLR.: 0 DTILITY ROO~(S): * PATIO~"~PE: GARAGE: AIRCONDITIONING: ~T: OIL W~MA~R: X HOT~A~R: X *WASHER & SINK; CHINA PANTRY OFF DINING ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FP~AME W/BARN STORAGE, TYPE CONST.: WOOD FRAME SMALL BARN SWIPING POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~a~KS: BP#1818 ADD CO# Z1432 DATE ON INSPECTION: 06/05/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY~---~?~!~:']' A. 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 Comp!lance from architect or engineer responsible for the building. 6. Submit Planning Board ApprOval of completed site plan requirements. B. For ex~sting 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 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 Buildin~ - $100.00 3, Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date A?ril 29, 2g02 New Construction ........... Old Or Pre-existing Building...~.~ two s~ory frame dwelling, ~ '~ ~Z~s) Location of Property. 32~2 Main Road ~ Cutchogue ........... House No. Street Hamlet Onwer or Owners of Property.~2~. ~.'. F~Y~J~.~P~.~.~?~.T~%% .......................... county Tax Map No 1000, Section. P] ........... Block...9 ............ Lot .... ~ ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... X. ...... Fee Submit ted t $ .1.0.0...0.0. ...................... ////.~ /~.//~///.~//f/.'~/~f/J~''/ ~ ~ bt g ]~ ' igaii ~~~;,' X~;~ ......... CONSENT TO INSPECTION Mary H. Tuthill and William Lee T~thill · 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 32852 Main Road, Cutchogue, New York 11935 · which is shown and designated ou the Suffolk County tax map as District 1000, Section 97 , Block 6 , Lot 7 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: a Pre-Existing Use Certificate of Occupancy for two story frame dwelling, and two barns, 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. Dated: April 29, 2002 J~/' jf~~~/~___. , ~/~ (Signature) l~bigail A. Wickham, Agent (print name) lV~Ai N f~OAD , / t i