HomeMy WebLinkAboutZ-29810 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29810 Date: 10/31/03
THIS CERTIFIES that the building DWELLING
Location of Property 2360 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473689 Section 128 Block 0006 Lot 016
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- 29810 dated OCTOBER 31, 2003
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 ATTACHED 2 CAR WOOD FRAME GARAGE
The certificate is issued to ESTATE OF GEORGE KENDALL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAI, N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATBD N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
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ho zed ignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
Lq(ATIOH: 2360 GREAT PECONIC HAY BLVD LAUREL
SUHDIVISIOH: MAP NO.: LOT (S)
HAMH OP OHNBR (S): ESTATE OF GEORGE KENDALL
OCCUPANCY: SINGLE FAMILY DWELLING ESTATE OF GEORGE KENDALL
ADHITTBD BY: RONALD MCCAS KIE ACCOMPAHIHD HY: SAME
RHY AVAILABLE: SUFF. CO. TA% MAP MO.: 128.-6-16
SOURCE OP RBQUEST: CARD INALE & CARDINALE, ATTYS 10/16/ DATE: 10 31 03
DWELLING:
TYPE OP COMSTRUCTIOM: WOOD FRAME $ STORMS: 1.0 A EMITS: 3
POONDATIOH: CEMENT BLOCK CHLLAR: CRAML SPACE: XX
TOTAL ROOMS: 1ST FLR.: 5 2HD PLR.: 0 3RD FLR.: 0
HATFII200M(S): 2.0 TOILSP ROOM(S): 0.0 DTILITY ROOM(S):
PORCH TYPH: ENCLOSED & HEATED DHCR TYPH: PATIO TYPH:
HREEZH4NIY: FIREPLACE: GARAGH:
DOMESTIC HOTiATBR: YES TYPH HHAT®t: KEYS PAN AIRCONDITIOHMG:
TYPH HEAT: GAS HARM AIR: HOTWAT®t: XX
OTHHR: **UTILITY ROOM ATTACHED TO DWELLING.
ACCESSORY STRUCTURES:
GARAGE, TYPH OP COMET.: 2 CAR WOOD FRAME S1Y)RAGB, TYPH COHST.:
SMIlpIHG POOL: GUEST, TYPH COHST.:
OTHBR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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RHMARRS: BP #21822-COZ-1784 (ADDITION)
MSPSCTHD BY: DATH OH MSPECTIOH: 10 22 03
GARY F SH TI?Q; START: 10:15 AM BBD: 10:95 AM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY..'! ~ 6 ~~~,3
A. This application must be filled in by typewriter OR ink and submitted to the bu
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-4
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system cont.
less than 2/10 of L2 lead.
5. Commercial building, industrial building, multiple residences and similar b,
and installations, a certificate of Code Compliance from architect or engine
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
r'`,u' ,
B. For existine l:ui.ld~ngs (prior ro gpril o, 19871 _..,__corf^_ Wing .,r ~~di;
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building az
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the app]
If a Certificate of Occupancy is denied, the Building Inspector shall state
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.OC
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2`
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~B ` /y- ° 3
New Construction........... Old Or Pre-existing Building...Y
Location of Property... ~.6 ~ I~e-:.on ~ G ,r~,?:"7 . 31 ? ~ .
House No. Street Hamlet
Onwer or Owners of Property.... ~ : n.°t ~Y... !,f~!'
County Tax Map No 1000, //Section...j~: 5. ......Block..? ............Lot...
Subdivision.............r~~ !
....................Filed Map............Loft./. .n...........
Permit No............!V/ate Of Permit.... /Y~ iC"......APPlicant...../YJ .f~:..........
Health Dept. Approval.......~n~./~//.~~.............Underwriters Approval
Planning Board Approval.......N.~ !
Request for: Temporary Certificate........... Final 7Certicate...
Fee Submitted: $....F.~ 4~4~„~~~
APPLICANT
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LOT NUMBERS ARE REFERENCED TO "MAP OF'
EDGEMERE PARK' FILED IN THE OFFICE OF .SURVEY OF PROPERTY
AS MAPFNOL 7 ZUNTY CLERK JULY 2, l93/ AT LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y
rooo - r2s - os - rs
Sca/e: 1' - 20'
Sept 23, ?003
AREA = 10,500 sq. ft.
CERTIFIED TOE
RONALD McCASKIE
TERESA McCASK1E
LAWYERS TITLE /NSURANCE CORP.
NORTH FORK BANK '
gZ ~iE OF
d/0Y gLTERAT/ON OR ADO/T/ON TO THIS SURVEY /S A V/OLAT/ON ~oxN 'fF
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209 - SCIBDIVISION 2. ALL CERT/F/CA7/ONS ~ MFG ~
HEREON ARE VALD FOR THLS MAP AND COPES THEREOF ONLY /F r "aN. !C. NO. 496!8
SAID MAP OR COPIES BEAR THE dxPRES5ED SEAL OF THE SURVEYOR T i
WHOSE S/GNA TIRE APPEARS HEREON. EC S ORS, P. C.
4001TDNALLY TO COMPLY W/TH SAD LAW TERM "AL TEREO BY " (63N ; Sd~O~FAX f~3 / 765 - 7797
MUST BE USED BY ANY AND ALL SURVEYORS UTIL/IplG A COPY P 0 ~9Q Y
OF ANOTHER SURVEYORS MAP. TERMS SUCH " INSPECTfO " ANO /230 E1~7 E T
BROUGHT - TO - OATE ' 4RE NOT M COMPL/ANCE WITN THE LAW. SOUTH (~~~.VT
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