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HomeMy WebLinkAboutZ-22104No Z-22104 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date JANUARY 13, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2215 MINNEHAHA BLVD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 3 Lot 56 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-22104 dated JANUARY 13, 1993 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 The certificate is issued to WILLARD K. VANDERBECK, JR. (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. -.0 9�1 /�'� /,,�builaing Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION- 2215 MINNEHAHA BLVD. SOUTHOLD, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) WILLARD K. VANDERBECK, JR. OCCUPANCY A-1 RES. (type) OWNER tenant. ADMITTED BY: FELICE VANDERBECK ArrnMPANTRn RV- SAME KEY AVAILABLE SOURCE OF REQUEST: SUFF. CO. TAX MAP NO. 87-3-56 RENSSELEAR G. TERRY, ATTY DATE: JAN DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE FOUNDATION CEMENT BLOCK CELLAR NONE TOTAL ROOMS: IST FLR. 6 2ND FLR. - - 3RD FLR. BATHROOM (s) 2 FULL BATHS TOILET ROOM (s) PORCH TYPE DECK, TYPE BREEZEWAY FIREPLACE NONE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: NONE 7, 1993 # E%ITS 3 CRAWL SPACE UTILITY ROOM ATTACHED TO REAR OF HOUSE PATIO, TYPE GARAGE 1 CAR AIRCONDITIONING STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: BP #35062 -CO Z-2895 ADD, BP #4190Z -CO Z-5542 ADD. INSPECTED BY: l`" ;.� _ DATE ON INSPECTION JAN. 12, 1993 GARYJ,�'/FISfi TIME START 10:25 END 10:45 Form No. 6 TOWN OF SOUTHOLD 4r BUILDING DEPARTMENT TOWN HALL JM- 7 765-1802 t APPLICATION FOR CERTIFICATE 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 17 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. 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 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-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, Commercial $15.00 Date ....J? .nary. 7 s . 19.9.3 ................... New Construction........... Old Or Pre-existing Building.........? ...... Location of Property. NQi;ph side of Minnehaha,Blvd,.Southold,.N. Y. 11971 . House No. Street Hamlet Onwer or Owners of Property .... W ILLARD, K;,VANDERBE CK, JR :. ..... ............. ...... County Tax Map No 1000, Section....... Qg?...Block.....03 ........Lot...056 ............... Subdivision.... .................. .Filed Map ............ Lot .... ....... ........... No. 3506 6/6/67 Permit No..LJQ:..419A ....Date Of Permit. 2/?4/69, , , , , ,Applicant WILLARD.K. VANDERBECK ... Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate..X .^...... Fee Submitted: $.IOD...QQ....................Pi,�,�y C y s_5 orb a'„i .....� .Y,;. APPLICANT e3� c.c x� 16 �( H� r ti 4 cpm a1 C� t*1 r f.C'. 76 SO -h:sli not Ea c.+,�.< .•_.. fW` i 1 •.r&lid tsuo [xp;. t evpe% ::; asrsan for wh;3. and an h s + i _ .-:'.•^.nY. HQv^rnmsnt2! ..,. 4 :i 1 .wC> fjt( jr, OC 9tiv3y'3,:.,.1i µ•Jt: t..i v. f _ _ MJF N V. SO U 7'-40L ,scale. e3�er I.i i I �u,?,C fO . C4. 7aX ��r`ce is Guarurr 'eeci Sv f f al, r'e�� rstr� �,tc�f,��r�al �►J 1 Q 4 4 _ g ? - 3 � � o Sdrl1G d' ,rtc� f'o ,S �C u,^•� �'r� T`r tle � c+'uCprc�l:f fr� I D .: MCS rtutr�L'.rt l4'Q D d t I aid �' v 7"49YLt P. . e t� rtG,�; NJt� oT �:,1J1l� i?f�i trYuy t�: L�Gert_.5� Lorfc ,S c1 V0.e,5 i7e hl40. .-1.. ; y f� r 2 CUNSrNT t TO I\i-3CC"i ION ) ` Terry, Jr•, as Attorney for y�`y Rensselaer RG.K VP;NDERBECK, JR. WILLA , thr unc2crsir,n0d. uwnerts) Namctc;) do(es) hereby state: That the undersigned (is) (xic0the owner(::) of the premise:; in the Tovrn of Southold located at 'Laughing Water, Southold xhich is :.;hown and dcsirn,ated on the Suf;'o1 County tax map as District 1000, Section 87 Block 3 Lot 56 That the undersigned (has) kbomi filed, or caused to be filed. an applica- tion is the Southold Totcn L'uilding Inspector's Office for the follo:c-is:c: Certificate of occupancy (Pre-existing dwelli 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, inc'.::diny insp^_ctiors to determine that said premises comely With all of the laws, or din:^ccs, ..-ales and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the kno-. ledge 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 laves, ordinances, rules or regulations of the Town of Southold, Dated: January 7, 1993 lsignatu �,s-J� K• d' Rensselaer G. Terry, Jr. as Attor�ieyltf rIIWILLARD K. VANDERBECK, JR. signature:) (print narnc)