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Home My WebLink AboutZ-32634 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- 32634 Date: 09/27/07 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property HUNTINGTON BLVD (STREET) Block 0004 PECONIC (HAMLET) Lot 012 20 (HOUSE NO.) County Tax Map No. 473 889 Section 067 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 OCCUPAliICY NllMBER Z- 32634 dated SEPTEMBER 27, 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 SEASONAL ONE FAMILY DWELLING WITH SCREENED PORCH AND ACCESSORY SHED.* The certificate is issued to HELEN E BOOTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'nmIIT OF HEALTH APPROVAL N/A N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~.:1:!!:- Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT :Ll:XATIOR : 20 HUNTINGTON BLVD PECONIC SUBDIVISION : MAP RO.: LOT (S) RAIlE OF 01INXR (S): HELEN E BOOTH OCCDPAIICY: SEASONAL ONE FAMILY HELEN E BOOTH .AIMITTED BY: HELEN E BOOTH ACCmIPARIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP HO.: 67.-4-12 SOORCE OP RBQOBST: HELEN E BOOTH DATE, 09/27/07 DWELLING: TYPB OP COHSTRUCTIOIiI: WOOD FRAME , STORIBS: --1....:....Q , EXITS: 2 POOJIDATIOIiI: CEMENT BLOCK CKLLAR, CRAJIL SPACK: 'l'O'l"AL ROC:RS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATIIIIOOM (S) , 1. 0 TOILKT ROOM(S) , 0.0 IITILITY ROOM(S) , PORCH TYPE: SCREENED DECK. TYPE: PATIO TYPE: BIlEIlZKIIAY , FIREPLACE: 1 GAIll\GE, IXMBSTIC IIO'l'NATBR: TYPE BEATER.: AIRCOHDITIOIiIDIG : TYPE HEAT: 1IARM AIR: IIOTIIATER: YES OTIII<R , ACCESSORY STRUCTURES: GARAGB. TYPE OF COIfST.: STORAGE. TYPE CORST.: 8 X 12 SHED li:iW.LIWI..UIA:i POOL: GOBS'l'. TYPE CORST.: OTIII<R , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP 33430 ALTER COZ32633 ~ ~ DATE ON IHSPBCTION, 09/20/07 INSPECTED BY: GBOIlGB GILLEN TIMR START: "'"" \ He\ q I ~ ILeS- ~ Cj n Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ,.-..----_ TOWN HALL C-i ~ fr,i fP ~7 [~ 765-1802 II r:l! .-- - --ll '. APPLICATION FOR CERTIFICATE OF OCCUP~jy , ! I 2 d.:J1 L__.. j I This applICatIOn must be filledll1 by typewnter or mk and submitted to the Building D~P!~W"lJ~I~\tlJ;Uq6\0..fmg , A. For new bnilding or new nse: 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 2/1 0 of I % 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 bnildings (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 I. 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 - $.25 4. Updated Celiificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of Property M NUJlJfll//q-tO;V 8LUd House-N';-.--- 0 Street Date. V./ 9 - I;}. . 0"1 ( check one) PC-CON IC- Hamlet Owner or Owners of Property: _j1 ELf: (I) Suffolk County Tax Map No 1000, Section 13 130 c:JTH ,f, '7 Block t-f Lot /2-. Subdivision Filed Map. Applicant:~__ Lot: Pennit No. Date of Permit. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted $ C;U ::26&V~~ eeG I~t '+1 :#~/(, c?~ Applicant Signature . -67- OWNER 1-1 eier; E. 150() FORMER OWNER RES. SEAS. .2. b 0 IMP. LAND .A C 0 ,:l.1' ., J , [) ""JO floC) tnJ J..... AGE NEW /;J..DiJ NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total TOWN OF SOUTHOLD' ptOPERTY RECORD CARD . /7-3 DISTRICT SUB. .jj ~. .lIe, TYPE OF BUILDING 7 / N ACREAGE S W /' .~ , r'{, ".4;',-- ~ VL. COMM. I IND. L/ 7," d. I CB. I MISe. ,) (,I ,:-;."/_ A . .71-:: /)".,v .......-,. "e'V'ya-., " f I Est. Mkt. Value FARM TOTAL REMARKS DATE /',00 I~ /.r'" OV BUILDING CONDITION BELOW ABOVE FRONTAGE ON WATER FRONTAGE ON ROAD rT !../~ ." Value Per Acre Value (\ .., dI-. BULKIIEJ!\D "' DOCK ,\ 1 I I , , I , 1 ~~ I ! I i I , -' i , I , I , I , I I I I , I I I I I i , i I i I , !/ I I I : , /17 .' ,"" )\" ! , I I , i I ~" i I i I I I i I I j' i i I I i ! ''I', I I , I 1 I I i , , 1 I I , I I I I ! , , I I ! I I , I I I I r-"I +t-t+=t-,-r--r-+-HI i ,iI'"l-tT, I i I I I ~' ! I I I t--t I I 1, " ;--~.r 73 )-,p t-U N M. Bldg. 1..2 ). ;Cl- () ",,-/'10 7Y/i 9 y(i Foundation c..L~n, ," ' Bath I {L.L-r(4 . , Extension 1 - Basement h-o Floors ( I ..,/ Extension I 7l-J.\-t }f17:~ In~ I , Ext. Walls 'CI"II~{,( "" ,ei "IS" '-........ I -~ I Extension I Fi re Place I (j / Heat fW ') ~ -- '/0 X :?-t) ;:Lpc> ,,~~ 7-trO ~/V~~ Porch Koot Iype /.e:-" ! f ../ ,,"L'/""{( , Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Go rage Driveway Dormer O. B. I I /lift> 1/ . . . CONSENT TO INSPECTION ftrt..l?N . F 30{)TH Owner(s) Name(s) , the undersigned, doe es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District 1000, Section to 1 ,Block If- , Lot I Z- That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Vd"j<-,.../...J--- i tfi'CUfiJ'1"I"( d'/J&JJ({'~"'1 . . That the undersigned doe 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: J rJ II - .:<001 71--L~ cr. ~. (Signature) /lE"Lt:/Il C ~Oc;:.)TH (Print Name) (Signature) (Print Name) .~ J.o t/vE 4 \ 7~1C- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONS'IRUCTION REMARKS: ;../0 4-'- u S'r [ ] ROUGH PLBG. [ ] INSULATION [~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION /~~J~ (AIr M ?_d;~~v~ DATE 9 /r~/o 7 , / INSPECTOR ~ I JOB No. 02-45 i @ D.GRAF ALL RIGHTS RESERVED TAX 1.0. No. 1000-67-04-02 :r. c: ~ Z ~ o z cP ~ o O"e. 100.51' N 54032"3 ,Sl<:JCKAOEl'ENCE FE COR OL NIS 1.0' W CONe MON FND 0.1' S 0.5' E '6.4' z. \\\\ '" j; '" .. 0 WOOD Etrr RJO r:::. w 1')(.4.3' q :E \ ... \ '" "0 \ q 12.1' ,s,. FEO,"N '/0 '\.4 e 122 WOOD SHED ....... U) ~ ...... FENCE 4'Sl"OCl<}l.oE. 2M 20.4 '\ ot, '\ \~v '\ ?" '\ (fJ N <D o '" 0:> .. ell ni '" 00 i-.> q FRAME j; .. DWELL-ING '\ -;::: ~ =:...--== WOODEN"! 3')(.1' CONe MOO FND S 62017' 55" W 95.83' '\ '\ '- -- '\ -~ '\ FASBENDER AVE. [50'] '\ DIRT I STONE ROAD --~ ----- --- -- -- -- '\ \r--.- POlE FILE MAP No. 654 09/15/30 Unauthorized alteration or addition to this document is a violation Of Section 7209 of the New Yor1l State Education law. Certifications indicated hereon shall run only 10 the person for whom Ills prepared and on his behalf to the Title Company, Govemmental Agency and lending Institution listed hereon. Copies of this document nOI bearing the professional's inked seal or embossed seal shall nol be considered a valid true copy TI'\e offsets I or dimensions] shown hereon from structures 10 ltIe property Hnes are for a specific purpose and use and therefore are nol intended 10 guide the erection of fences, retaining walls, pools, planting areas, addition to buildlJ'lgs Of any other construction Tne existence ~ right of ways and/or easements of record, if any, not shown are nOlguaranleed SURVEY OF: LOT 94 MAP NO.2 OF PECONIC SHORES PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 10/08/02 SCALE: 1 "=20' I CERTIFIED ONLY TO: I HELEN E. BOOTH DESTIN G.GRAF LAND SURVEYOR By DESOIN G. GRAF N.Y.S. Lie No. 500 P.O. BOX 704 Rocky Point, N.Y. 11778 631-821-3442 .,