The URL can be used to link to this page

Home My WebLink AboutZ-32335FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32335 Date: 05/03/07 THIS CERTIFIES that the building DWELLING Location of Property 3270 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 0006 Lot 008 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- 32335 dated MAY 3, 2007 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 & ACCESSORY GARAGE WITH SLEEPING QUARTERS* The certificate is issued to SUSAN SOUDER & ORS. (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. Auth rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3270 GREAT PECONIC BAY BLVD LAUREL SUBDMSION: NAP NO.: _ LOT (S) BANE OF OWNER (S): SUSAN SOUDER & ORS. OCCUPANCY: SINGLE FAMILY DWELLING SUSAN SOUDER & ORS. ADMITTED BY: KATHLEEN GOGGINS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 128.-6-8 SOURCE OF REQUEST: KATHLEEN GOGGINS, 4/2/07 DATE: OS/03/07 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME C STORIES: 1.0 S EXITS: 2 FOUNDATION: POSTS & CEMENT BLOCK CELLAR: CRAWL SPACE: TOTAL ROOKS: IST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOK(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: NONE AIRCONDITIONING: TYPE BEAT: NONE WARM AIR: NO HOTHATER: YES OTHER: EXTERIOR SHOWER, HOT WATER HEATER SEPARATE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 2 STORY STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: *GARAGE HAS 2 SLEEPING ROOMS & 1/2 BATH. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY; DATE ON INSPECTION: 04/06/07 GEORGE GILLEN TIME START: END: Form No. 6 _ TOWN OF SOUTHOLD .� 20,1- 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 Department with the following: A. For new building or new use: I. 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. 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 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, wimming 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. New Construction: Location of Property: �` a House No. Old or Pre-existing Building: / (check one) Hamlet Owner or Owners of Property: S i t SA ✓t -SO u hr t— Suffolk County Tax Map No 1000, Section / a—V Block Subdivision Filed Map Permit No. Health Dept, Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ _[(J 6-V c )�If's (-?A Co%3� 33-S Lot Lot: Applicant:__ Underwriters ApprovaI: Final Certificate (check one) ;1/Arri .tea, / CONSENT TO INSPECTION 6Y S'i ✓1 Ors, the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the To of Southold, located at 3 ,, -70 lokort �- & )36:n a lyd,� 1 which is shown and designated on the Suffollk�° Tax Map as District 1000, Section / n , Block /, Lot it . That the undersigned (has) (have) filed, or cause to be filed, an application in the Sou%lld Tow Buijliing Inspector's Office for the following: 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 41a/U '-7 / `ICO 04 IW (Signature) (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 3 a7 U VILLAGE DIST. SUB. LOT n Drs 6 �s �e FORMER OWNER Nl; r 'i x,r? E A 05414lPa- ACR. W ?yJa L TY OF BUILDING IES. �r �,Q SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS u apt - a l a ►_ or wr ce p vis �� 6a ✓ ,�a rc v."s zt-j`a/m-LlD DD Q Ick - 4r,i4n r'sSort%- It rs. /+!s S I °I1-LIi 3 l7 ?r firs. /0 ZDU4gr Drs. Nfc, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 rkable 3 N land swampland FRONTAGE ON WATERT 3 �/ 3rushland FRONTAGE ON ROAD -Iouse Pja DEPTH BULKHEAD "otal 4 _ DOCK A'k :." "+^. ^. �: '. A i A � q 1 ] I � r I a I \ !° I 6 I I I � I 5 I r i I I j 1 I I a. I d I I I OF PROPERTY Sd UATED AT AUREL y' DF SOUTHOLD )UNTY, NEW YORK I - . 1000-129-09-08 pps E I - ALE 1"=20' Y I )BER 7, 1998 a iia dl •U C gM1q[ F - 'x ali �d i sd 11111 ' 1:9 11111 �' � uui iPAYLi1 .Y ~^di m ✓ ✓B ,'"2s P i I.Yj LOCATION.: 3�L2iq pdo, (number & street) SUBDIVISION: '-- NAME OF OWNER(S):. OCCUPANCY: / (type) i (municipality) LOT(S): (owner -tenant) ADMITTED BY ACCOMPANIED BY: — KEY AVAILABLE: SUFF, CO. TAX MAP NO. 1000- SOURCE OF REQUEST: U DATE: DWELLING: TYPE OF CONSTRUCTION: #STORIES: #EXITS: _ FOUNDATION: ,-�kCELLAR: CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR BATHROOM(S): TOILET ROOM (S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: V?TYPE HEATER: AIRCONDITIONING: _ TYPE HEAT: dNAE- WARM AIR: ,v e HOW TER: OTHER: 4=-10ftru. - aA-� ACCESSORY STRUCTURES: "i'�° r GARAGE, TYPE OF CONST.: o'er STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: 01 OTHER: �Ji �;Q�„ h,.,._� nL 01— VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 017 ra,---D - C 4 -0- REMARKS: - INSPECTED REMARKS:' INSPECTED BY: DATE OF INSPECTION: �'— TIME START: END: