HomeMy WebLinkAboutZ-25713FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25713 Date: 05/08/98
THIS CERTIFIES that the building DWELLING
Location of Property 985 BOISSEAU AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 063 Block 0002 Lot 027
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- 25713 dated MAY 8. 1998
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 ELEANOR S WALDHEIM
(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.
Buildi Inspecto
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 985 BOISSEAU AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): ELEANOR S WALDHEIM
OCCUPANCY: SINGLE FAMILY DWELLING ELEANOR S WALDHEIM
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 63.-2-27
SOURCE OF REQUEST: GARY FLANNER OLSEN. ATTY 4/3/98 DATE: 05/08/97
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3
FOUNDATION: _LOCK CELLAR: 3/4 CRAWL SPACE: 1/4
TOTAL ROOMS: IST FLR.: 8 2ND FLR.: _Q 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): YES
PORCH TYPE: BRICK FRONT DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: STUDIO WITH BATH
DOMESTIC HOTWATER: YES TYPE HEATER: OIL STEAM AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: YES
OTHER: * BP #15560 -Z -CO Z-15777 (ALTER GARAGE TO STUDIO)
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: ** BP #18267-Z - CO Z-18226 (ACCESSORY SHED)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC
i
REMARKS: REINSPECTED MAY 6 1998
INSPECTED BY: DATE ON INSPECTION: 04/29/98
MICHAEL J. ERITY TIME START: 10:35 AM END: 11:20 AM
9
FORM NO. 6
TOWN OF SOUTHOLD
Building Dopartmont
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted w awww� to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25:00 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $50.00
3. Copy of certificate of occupancy $ 5 .0 0 , over 5 years $10.00
4.Vacant Land C.O. $'20.00
5.Updated C.O. $'50.00 Date ..ApCi1.3..199$...........
' - r
NewC ons true t ion , , , , , , Old or Pre-existing Building X........... Vacant Land .. ......... .
Location of Property .... 985. Bo; sseau. Ave: .. Southold .. , ...... , . , . . . ......... . . .
House No. Street Hamlet
Owner or Owners of Property ... �] Pa11pr..Wa7 dhPj in .........................................
27
County Tax Map No. 1000 Section .. 63........... Block ...?........... Lot ................
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No........... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor. Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate ..................... n I Certificate .......................
Fee Submitted $ ..1.0.0.- 0.0 ......................
Construction on above described building and permit a pli and regulations.
Applicant....... .....................
G RY PLANNER OLSEN, ESQ.
Rev. 10-10-7B P.O. BOX 708
CUTCHOGUE, NY 11935
6/4e C� 0 -Z Ys -)),3
CONSENT
TO
INSPECTION
Gary Flanner Olsen as attorney ,for Eleanor Waldheim 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 985 Boisseau Ave., Southold
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 63 Block 2 Lot 27
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'the Southold Town Building lnspecw� orrioo ra. +ha rnllnwinLj:
One story framed house with attached garage
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 subs equenypros eAutions for vio-
lations of the laws, ordinances, rules or regulation s/;fhe/town of Southold.
Dated: 4/3/98
(simf4ture
Gary Flanner Olsen
(print name)
(signature)
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LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSSIjNG ICODE INSPECTION REPORT
(number & street)
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
(type) e
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
. CO_
municipality
NO. LOT (s)
owner -tenant
_ ACCOMPANIED BY:
TAR MAP NO.—
DATE: j
DWELLING:
TYPE OF CONSTRUCTjVN GSC # STORIES # EXITS
FOUNDATION �.� CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FL7
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE fL DECK, TYPE — PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE OZZGt
DOMESTIC HOTWATER
TYPE HEAT r
OTHER: .
TYPE HEATER &c _'_ r AIRCONDITIONIN
WARM AIR HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST. -------
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY: Y •� DATE ON INSPECTION % / f9
TIME START 16-�35_ENDI
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