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Home My WebLink AboutZ-19510FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19510 Date NOVEMBER 14, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 280 PRIVATE ROAD #5 PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 68 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which Certificate of Occ. #Z-19510 dated NOVEMBER 14, 1990 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 1 CAR GARAGE UNDER HOUSE * The certificate is issued to ESTATE OF ISABELLE VERRO (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. Building Inspector Rev. 1/81 BUILDIP:G DEPART:IE iT TO`111 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 280 PRIVATE ROAD #5 PECONIC, N.Y. knt:moer 6c street) Plunicipaiity) Subdivision 21av No. Lot(s) Name of owner(s) ESTATE OF ISABELLE VERRO Occupancy A -I (type) owner-zenanz) Admitted by: BILL COOPER Accompanied by: SAME Key available Suffolk Co. Tax No.68-1-4 Source of request FRANCIS P. MEAY, Date EXECUTOR OF THE ESTATE OF ISABELLE C. DWELLI.IG : OCT. 25, 1990 VERRO Type of construction WOOD FRAME #stories I STORY Foundation CEMENT BLOCK Cellar 1/2 Crawl space 1/2 Total rooms, 1st. F1 6 2nd. F1 -- 3rd. F1 -- Bathroom(s) I FULL BATH Toilet room(s) - Porch, type FRONT ENCLOSElbeck, type WOOD ATTACHED Patio, type_ - - Breezeway Garage i CAR UNDER Utility room Type Heat ELECTRIC Warm Air Hotwater Fireplace(s) ONE No. Exits 2 Airconditioning Domestic hotwater ELECTRIC Type heater Other ACCESSORY STRUCTURES: Garage, type const.— Swimming pool Other NONE Storage, type const. Guest, type const._ VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Remarks: B_P_ 1878,4 - CO Z-74-78 ADDITION Inspected by J. FISH Date of Insp. NOV_ 13, 1990 Time start end VIOLATIONS: n= F D �•� I NT ERS _a,_. WED 1 _ i-• 1 T CHARL �-+ r. ,_ t — 1 Form No. fi 7�5 . A �0 COLD TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 U{MOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filler, 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 Heal. ch bept. 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 buildin�. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior t6 April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all. property lines, streets, building arid unusual natural or topographic features. 2. A properly completed application acid 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 - N`ew 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. B,lsinesses $50-00- 2. Certificate of Occupancy on �re-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 10/25/90 s Date .................................... .... X New Construction........... Old Or. Pr existing Building ..... ........... Private Road, Larsen Lane: Peconic,.,New,York................... Location of Property ................. ... House No, Street Hamlet Estate of Isabelle C. Verro . I ......................... onwer or Owners of Property ..••• . " " 068 Block. 1 Lot., 4 ................... County Tax Map No 1000, section .... 0. • ......•••"• Map of Acres of Diampnds, P #1128 Subdivision .......... L4L .............i.........Fileil Ma .....Lot...................... Permit No............... .Date Of Perm t ................ Appl.i,.ant ..................... ........ . Underwriters Approval..,.-, ................. Health Dept. Approval• ••.••. Planning Board Approval ..............4......... Request for: Temporary ........ Final Certl ate........... Fee Submitted: ....................1 &,ACo y0 93,5 ' ......... ..' APPLICANT PPLIC NT . .................. Co 4- 19S1O APPLICANT IJ U I - 1 i- 7 .ii LV t L 1 `i 1 -� .�. �- 1 _ � r� rte. L n w a�� •+ _ f f i CONSENT TO INSPECTION Francis P Melly, Executor of Isabelle C Verro Owner(s) Name(s) do(es) hereby state; the Estate of the undersigncd, I That the undersigned (ii) (are) the owner(s) of the pret:tises in the Town of Southold located at Private Road, Larsen Lane, Peconic, New York , which is sho"m and designated on the Suffnlf; County tax map as District f 000, Section 068 Block 1 - Lot 4 v, That the undersigned (hias) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building inspector's Office for the following; Certificate of Occupancy pre-existing building z That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to e} ter upon the above described property, including any and all buildings located thereon, to conduct such inspections a4 they may deem necessary with respecit 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 in3p..ctions, do(es) ,o 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 regi -dation f the Town of Southold. Dated. 10/25/90 (signature), I (print name) i µ « (signature) y (print name) i W s a MON. N 6r'Afr a 5 5 / doh B • � 3r � � 2'� • 52 ' ( I_ST.yJ - Pip ti 2W O G ,ti 4 2S 0 S7 3.7 ♦ S'a " t- NIP°r/ CcupFD� , X17 s._ �vl'4"J C144.4- 15.57.37.50.• w 8113/9" ICOTigGa b-.28_ q7 MARY 6UREK SOUND V I E W A V E. Pio PTFE ui W l7 MAP OF PLOT A PART OF "ACRES 3F DIAMONDS, INC. SUFFOLK COUNTY FILE NO. 1128 SITUATE AT PECONIC --� NEW YORK SCALE 40'= I" GUARANTEED TO TITLE GUARANTEE TRUST CC., AND SOUTHOLD SAVIv(- BANK AS SURVEYED FEB. 1. 195 OTTO W . VAN TUYL $ SON LICENSED LAND SURVEYORS GREENPORT, N.Y. TITLE NJ '?15544 BU1'DI:� i:i�:iT TO,•r•1 Or SOUT.'-:OLD, N. Y. HOUSI17 CC B I iS?FCTIO REPORT Location '10�76 'f, k:."Moer « s tree z ) Subdivision "1, 'Na1me of Owner(s) Occupancy • - Ael� Oqunlcipa i i -y) No. Lots) l type) o,:iner-z-nan-) Ad: J.'ted by-: _ -Ac•.cdmpanie-d by: Key available Suffolk Co. Tax No, (� A Source of request Date li T, c_ vt,o, DWELLING: Type of construction Foundation --15-tOrieS C . . Total rooms, 1st. FlZ�2nd. F1 Crawl space F1 3rd. F1 Bathroom(s) Toilet room(s) _ Porch, type Deck, Ze LO Patio Breezeway type Garag= w �jtility room Type Heat ,alarm Air Ho twa t er Fireplace (s) No. E:ci L'sAircor_di tion,�,_�_� Domestic hotwater � — ��— • Type heater —� Other ACCESSORY STRUCTURE'S• Garage,- No type const. . Storage, type const. Swimming pool Guest type ype const. VIOLATIONS- CHAPTER. 4.5--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location r a Des Art.� Sec. Remarks,. 4Q* F?JP3 - i,-,1-tt-7c/�.P Inspected by: Date of Insp. // /3 %D • Time start end