HomeMy WebLinkAboutZ-23227FORE NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
PRE EXISTING
CERTIFICAT~ OF OCuumANCY
No Z-23227 Date
SEPTEMBER 16, 1994
THIS CERTIFIES that the buildin~
Location of Property. 795 BAY~IEW DR.
House No.
County Tax Map No. 1000 Section 37
Subdivision
ONE FAMILY DWELLING
EAST MARION, N.Y.
Street Hamlet
Block 1 Lot 19
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-23227 dated SEPTEMBER 16, 1994
was issued, and conforms to all of the requirements of the applicable
previsions of the law. The occupancy for which this certificate is
issued is ONE FAMILY D~T~.ING *
The certificate is issued to ESTATE OF C~k%RLES L. NESTENBERG
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
*PLEASE SEE ATTA~ INSPECTION REPORT.
J ~/~u'il~ing Inspector
Rev. 1/81
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPARIMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
795 BAYVIRW DR. EAST MARION, N.Y.
(number & street) (municipality)
HAP NO. LOT(s)
CHARLES L. I~ESTENBERG, DECEASED
OCCUPANCY A-i RES. O~ER
(type) (o~ner-tenant)
ADMITTED BY: SELF ACCOMPANIE~ BY:SELF
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-37-1-19
SOURCE OF REQUEST: JOYCE M. PRAI4BERGER, EXECUTRIX DATE: HARCH 7, 1994
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
BATIIROOM (s) TWO
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER
OIL
TYFE HEAT
OTti~R:
WOOD FRAHE
CEHENT BLOCK
CELLAR FULL
6 2ND FLR. 3 3RD FLR.
TOILET ROOM (s) ONE
DECK, TYPE
~ STORIES I-I/2 # EXITS
CRAWL SPACE
UTILITY ROOM
PATiO
TWO
YES
FIREPLACE TWO
TYPE REARER ELECTRIC
WARM AIR XX
RAISED & COVERED
GARAGE 2 CAR UNDER ROUSE
AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OltmR: SHOWER IN HASI~I~NT
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOR/{ FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP ~9979-Z-C0" Z-9923 - ADDITION
DATE OF INSPECTION [lARCH 30, 1994
TIME START 10:00 END 10:30
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements,
For existing buildings (prior to _Apri~ll 9,_19~57) non-conforming uses, or buildings and
Vpre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed_~plication 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 - ~f~.O0
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date March , 1~94
X
New Construction ........... 01d Or Pre-existing Building ............... ..
Marion
Location of Property,.7~..~YY~.~.P~¥~ .................... .. . .,E~st... ................. . ....
House No. Street Hamlet
Onwer or Owners of P ..... ~,, Estate of Charles Lo Westenberq
County Tax Map No 1000, Section. 037 .Block. 01 Lot. P~ ....
Subdivision.~A~.~Y.~ ........ Filed Map...~3.~ ..... LotP..89,& 90
Permit No Date Of Permit Applicant . .
Health Dept. Approval ................ . .. . . .. ...Underwriters Approval .................. ...... .
Planning Board Approval ................. .. . . . ..
Request for: Temporary Certificate ........... Final Certicate...~ ......
Fee Submitted: $/. ~. ~ :.~.9~....
ESTATE OF CHARLES L. WESTENBERG
...............
, By ~. c~Z~.~.c.-. ~ /~ ,~._~..~.. .......
z~ APPLICANT J?yce M :~ ~imberger, Exe~c,.
U
CONSENT
TO
INSPECTION
ESTATE OF CHARLES L. WESTENBER~
· the undersigned,
Owner(~ Name(~)
do(es) hereby state:
That the undersigned (is) ~ the owner(~) of the premises in the Town
of Southold located at 795 Bayview Drive, East Marion
· which is shown and designated on the Suffolk
County tax map as District 1000. Section 037 , Block 01 , Lot 019
That the undersigned (has) (1~ filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy oF pre-existing building
That the undersigned do(~g) 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(m,,) 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.
ESTATE OF CHARLES L. WESTENBERG
Dated: March 7 , 1994 By ~¢~.~L~L_ )~ /~z~}z~ -
~ ~signature) ~
.Joyce M. Pramberqert Executrix
(print name)
(signature)
(print name)