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Home My WebLink AboutZ-33098FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33098 Date: 06/16/08 THIS CERTIFIES that the building DWELLING Location of Property 7025 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0010 Lot 015 Subdivision Filed Map No conforms substantially to the Requirements for a built prior to APRIL 9, 1957 pursuant to which Lot No. FAMILY DWELLING OF OCCUPANCY NUMBER Z- 33098 dated JUNE 16, 2008 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 CEMENT PATIO.* The certificate is issued to CATHERINE SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL No. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Aukhorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 7025 GREAT PECONIC BAY BLVD LAUREL SUBDIVISION• MAP NO.• LOT (S) NAME OF OWNER (S): CATHERINE SMITH OCCUPANCY• -ONE FAMILY CATHERINE SMITH ADMITTED BY: MICHAEL SMITH ACCOMPANIED BY• KEY AVAILABLE: RUFF. CO. TAX MAP NO.: 126.-10-15 SOURCE OF REQUEST: MICHAEL SMITH DATE• 06/16/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # ffiTS• 2 FOUNDATION- CEMENT CBI.LAR• YES CRAML SPACE: TOTAL ROOKS: IST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE- DECK TYPE• PATIO TYPE: BREEZEMAY" PIREPI.ACS: 1 GARAGE• DOMESTIC WrWULTER: YES TYPE BEATER: OIL AIRCONDITIONING: TYPE BEAT: MMEN AIR: YES HOI9WTER: YES OTHER: HEATED PORCH INCLUDED IN IST FLOOR ROOM COUNT ACCESSORY STRUCTURES: GARAGE. TYPE OF CONST_: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP853 ADD COZ419.BP19926 REPAIR COZ21023 INSPECTED BY: �. DATE Qi INSPECTION• 06/12/0 U GEORGE GILLEN TIME START: END: Form No. 6 TOWN OF SOUTHOLD -- BUILDING DEPARTMENT r' ) TOWN HALL 765-1802 9 APPLICATION FOR CERTIFICATE OF OCCUPANCY g This application must be filled in by typewriter or ink and submitted to the Building Department with the fo ow -int, A. 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. 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, 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 Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: 1_4A Old or Pre-existing Building: Location ofProperty: 7a,Z'5 C<,eE4?—)134Y /3L ✓ll'> House No. Owner E -rs of Property CA7;L4 ,Q/n/E Suffolk County Tax Map No 1000, Section /4216 Permit No. ^/1- — Health Dept. Approval: Planning Board Approval: (check one) Z_A,-1QEL nfY //9-{Y Street Hamlet Block a/ o Lot <D/ 5 l f Date of Permit. �—Applicant: L'a �� eu el r EF41.6 e G F „ Z s,y Underwriters Approval: Request for: Temporary Certificate Final Certificate Fee Submitted: $ (tv� 33011 '6 '14 92c) (check one) W'C�116lf� 1-41; Applicant Signature TOWN OF SOUTHOLD PROPERTY RECORD * CARD OWNER STREET VILLAGE DISTRICT SUB LOT RMER WNER N r E ACREAGE TYPE OF BUILDING14 RES. �; SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS Nrm 7BUILDINGN NORMAABOVE �Acre Value (� Tillable 3 Ncadland - swampland Brushlar,giLfqfto House Plot �N p b /s � '�;, sr ., &I ,am.: � 1 yy�11 ` N _ r ,am.: 4 \ :PaRK .'• \ ¥ o . «- � TOWN OF SOUTHOLD ROPERTY RECORD CARD OWNER STREET " 25 VILLAGE DISTRICT SUB. LOT vFO�MER O\NNER �uwa R _1 9v+ Q, /y. Vie. VD, N L E , ACREAGE e•c�'� /Jrt.tc7� t.G � ✓ S W� TYPE OF BUILDING RES. o2 U SEAS. ` VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKSo� ry h � � odd tee BOO d 16111111 1 zrl �� Dd ooG jc,� z% � G5 �/- P'y179� / Qd 366 a a J r �o ci a� ou-Z�a "a - #ono. -7b , 16 �O 3106 `Y )00 I DINGC D S2DO / __ABOVE , � / /ZOO 7`Iy fLoo 3 ab 70C� Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushlando— , House Plot Total CONSENT TO INSPECTION Town of Southold Michael P. Smith II and Francis J. "Frank" Smith, the undersigned, do hereby state: That the undersigned are the Co -Executors of the Estate of Catherine E. Smith. That Catherine E. Smith, who died on 20 February 2006, is the listed sole owner of the premises in the Town of Southold, located at 7025 (Great) Peconic Bay Boulevard, which is shown and designated on the Suffolk County Tax Map as District 1000, Section 126, Block 010, Lot 015. That the undersigned, in the performance of their fiduciary duties, have conducted a search of Southold Town Department of Buildings records and found the following Certificate of Occupancy Records for 7025 (Great) Peconic Bay Boulevard issued AFTER 9 April 1957 as follows: 1) Certificate of Occupancy No. Z204 Issued 15 October 1958 Permit No. Z474 Convert an Existing Building to Dwelling Note: This dwelling is indicated on survey document as "1 Story Frame Bungalow". 2) Certificate of Occupancy No. Z419 Issued 13 October 1959 Permit No. Z853 Build addition onto Existing Private One Family Dwelling Note: This dwelling is indicated on survey document as "I Story Frame House". 3) Certificate of Occupancy No. Z21023 Issued 15 September 1993 Permit No. Z 19 9 a � Replace Porch Posts, Kneewall & Windows as Applied for Note: This dwelling is indicated on survey document as "1 Story Frame House". That the undersigned have filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for a Certificate of Occupancy for Pre - Existing Buildings (prior to 9 April 1957) for the Existing Private One Family Dwelling (a/k/a 1 Story Frame House) indicated above and on the attached survey document. That the undersigned do hereby give consent to the Building Inspector(s) of the Town of Southold to enter, ONLY in the company/presence of one or both of the undersigned Co -Executors, the 1 Story Frame House to conduct an inspection on the I Page 1 of 2 CONSENT TO INSPECTION Town of Southold Story Frame House as they may deem necessary with respect to the aforesaid application (i.e., Certificate of Occupancy for Pre -Existing Buildings (prior to 9 April 1957)), including inspections to determine that said buildings comply with all of the laws, ordinances, rules and regulations of the Town of Southold that were in effect PRIOR to 9 April 1957. Submitted to: (Southold Building Dept. Representative) (Date) /, `, , 7 � 61107 (Signature) Michael P. Smith II (Date) Co -Executor, Estate of Catherine E. Smith c/o 12 Linmouth Road Malverne, NY 11565 (516)593-6814 (Signature) (Date) Francis J. "Frank" Smith Co -Executor, Estate of Catherine E. Smith C/o 10200 Everest Drive, SE Huntsville, AL 35803 (256)883-5858 Attachment: 1) Copy of Survey for Andrew L. Riley dated 1 December 1969 showing 7025 (Great) Peconic Bay Boulevard (Suffolk County Tax Map District 1000,Sec 126, Blk 010, Lot 015) and Right -of -Way (to Beach) (Suffolk County Tax Map District 1000,Sec 126, Blk 011, Lot P/O 9.1) Page 2 of 2 0 3 1°roe' 1 'fr.n IaW lb m m 7 ✓d aayfr,� oG ANDREW L. RE/LLY LAUREL TOWN OF SOU THOLD ki —i ..Y N O fn 0 N b ` n ✓d aayfr,� oG SURVEY FOR ANDREW L. RE/LLY LAUREL TOWN OF SOU THOLD —i N VV1 O fn DEC. 1, /969 *GE:L 3 Oie O y.. f LAND SURVEYOR, N.Y.S. LIF N0. /2845 / RIVERHEAD, N. Y. O � T Ary m v, �o / m o � � 3 o 3 1 N w Z 0 cb � 1 1 r3 �o`Z t 1 h SURVEY FOR ANDREW L. RE/LLY LAUREL TOWN OF SOU THOLD SUFF. CO., N Y. GUARANTEED TO SCALE.-/ = 50 NOME T/TLE DIVISION OF CHICAGO T/TLE INSURANCE CO. DEC. 1, /969 *GE:L AND LAND SURVEYOR, N.Y.S. LIF N0. /2845 RIVERHEAD, N. Y. NOTE, = MONUMENT 0 1 0 (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: / )=. (type) (municipality) MAP NO.: '—`„ LOT(S): 1, 1 (owner-tenant) ADMITTED BY: ACCOMPANIED BY: — KEY AVAILABLE: 8,UFF. CO. TAX MAP NO 1000- JoZ —/ O — /S SOURCE OF REQUEST: DATE: 4-1-07 DWELLING: TYPE OF CONSTRUCTION: u/m2 # STORIES: # EXITS: o�- FOUNDATION: CELLAR:L CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: •-- BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: C BREEZEWAY: FIREPLACE: D GARAGE: o DOMESTIC HOTWA CER:" TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Wr z4-1 REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: