HomeMy WebLinkAboutZ-33911FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33911 Date: 08/21/09
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 1130 MINNEHAHA BLVD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 087 Block 0002 Lot 009
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- 33911 dated AUGUST 21, 2009
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 AND ACCESSORY SHED.*
The certificate is issued to PAUL & LISA HOLOBIGIAN
(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.
/ t
/Auth&rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1130 MINNEHAHA BLVD SOUTHOLD
SUBDIVISION- MAP NO. LOT (S)
NAME OF OWNER (S): PAUL & LISA HOLOBIGIAN
OCCUPANCY: ONE FAMILY DWELLING PAUL & LISA HOLOBIGIAN
ADMITTED BY: LISA HOLOBIGIAN ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 87.-2-9
SOURCE OF REQUEST: PAUL HOLOBIGIAN DATE: 08/21/09
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME
FOUKDATION-
# STORIES: 1.0 # R=S: 2
CELLAR- SMALL CRANL SPACE:
TOTAL ROOMS:
LET FLR.: 5
2ND FLR.: 0
3RD FLR.: 0
BATHROOM (S)
1.0
TOILET ROOK(S): 0.0
UTILITY ROOM(S):
PORCH TYPE:
DECK TYPE-
PATIO TYPE:
HRSEZBHAY: FIREPLACE: NONE
DON]W 'IC HOTKNTER• YES
TYPE BEAT- OIL HARM AIR:
OTffit:
ACCESSORY STRUCTURES:
TYPE OF CONST..
SWIMMINGPOOL-
OTMER:
TYPE HEATER- OFF BOILER
HOTWATER: X
STORAGE, TYPE CONST'.: SMALL WOOD FRAME SHED
GUEST, TYPE C)NST.-
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
• f deck.anc_ _ pores _ _ _ _ Alts COZ3345A
INSPECTED BY: DATE ON INSPECTION: 08/13/0
GARY J F H TIME START: ED:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 Pnn?
p"r 7"'m9l
D
APPLICATION FOR CERTIFICATE OF
BLDG.
This application must be filled in by typewriter or ink and submitted to the Building
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 Dcpl. of water supply and scwcragc-disposal (S-9 roar ).
3. Approval of electrical installation from Board of Fire Undcrwritcrs.
4. Sworn statement frorn plurnber 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 Tnspector 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 - S50.00
5. Temporary Certificate of Occupancy - Residential $15,00, Conuttcrcial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
1130 /YIi-✓NEN*t*+ SLYA.
House No- Street
Owner or Owners of Property:
ate.
(check one)
So4TNo�-�
Hamlet
A qui. 0 *446 clout 0- us�t 8404& 4C/A*
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
097.00 Block 02.0 Lot 00 -000
Filed Map- Lot:
Date of Permit. _ Applicant:
Request for: Temporary Certificate
Fee Submitted: $ 1pD • �(�
C, �33L
Ilse c I b Sb-�,
Underwriters Approval:
Final Certificate: (check one)
RONMAD JkgP tLIO, . 1 Caitla
1461 FRANKLIN AVENUE
GARDEN CITY, NY 1153C
8b£Z8tZ96S16 � b0�b6�60-91.-LO
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS 'ATION
[ ]
FRAMING/ STRAPPING [ FINAL Ax- Co
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
.�
DATE ��-3 �% INSPECTOR
Condon Engineeri
r York State Licensed Profess
1755 Sigsbee Road
Mattituck, New York 11952
August 20, 2009
Mr. Gary Fish
Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: 1130 Minnehaha Blvd- Southold, New York
Dear Mr. Fish:
P.C.
�01�'2-q
631-298-1986
Fax 631-296-2651
I inspected the foundation supporting the building at 1130 Minnehaha Blvd in Southold.
I found the foundation to be adequate for support of the building and, to the best of my
knowledge, the foundation is installed in conformance with the Residential Code of the State of
New York.
If you have any questions please call me at 298-1986.
Yours truly,
..P. Holob"igian
p C�IIWI
AUG 2 0 2009 D
BLDG. DEPT.
TOWN OF SOUTHOLD
CONSENT TO INSPECTION
O�Owner(s)
the undersigned, do(es) hereby state:
1 ame(s)
That the undersigned (is) (are) the owner s) of _th�e premises in the Town of
Southold, located at //30 .IiliH/A/ i //�- BW, ,iUerAb[D, IKP.
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 6X-7.00 Block 02.00 , Lot 00 .00 .
--- -'
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building 1nspcgor's Offi %fo&die following:
That the undersigned, do(es) hereby give consent to die Building Inspectors of die
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:6 •drat
(Signature)
RONAL&A?`1POWO, ESI .
1461 FRONKI IN AVENUE
GARENVW), NY 1153C
As e -07si Name)A- *A*iker
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER
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VILLAGE
DISTRICT
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TYPE OF BUILDING
RES.
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MISC.
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
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FRONTAGE ON WATER
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Farm
Acre
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Value
FRONTAGE ON ROAD
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Tillable I
BULKHEAD
Tillable 2
DOCK
Tillable 3
8
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$
Woodland
Swampland
Brushland
House Plulr ,
Total
M. Bid ��
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Foundation
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Both
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Basement
Floors
Extension
Ext. Walls
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Interior Finish
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Porch
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Rooms 1st Floor
j
IV
Breezeway
Patio
Rooms 2nd Floor
Garage
Driveway
Dormer
O. B.
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D
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ANGLE
MONUMENT
MAP OF PROPERTY
SITUATED AT
LAUGHING WATER, NEAR SOUTHOLD, SOUTHOLD TOWN
SUFFOLK COUNTY, NEW YOR';
CERTIFIED TO
TI'Oi'AS WINGENF-ELD
KATHRYN WINGENFELD
KTG ABSTRACT CORP.
AMERICAN TITLE INSURANCE CO.
TITLE NO. KTG-2803-S.
TA MAP DESIGNATION 1000--087-0C%2-09
BERNHP%HD H . HENN L . S .
121 EDDY DRIVE
DIX HILLS,NEW YORK
N.Y,S. LIC. NO. 49175
DATE 4/25/91
(C) CUPYRIGHT
B.H. REF. N0.3680
'iFRn
LOCATION:
(number & street) (municipality)
SUBDIVISION: a,_ MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type)
(owner -tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: # EXITS:
FOUNDATION: CELLAR:QMJ Z t. CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): CNLg, OILET RO UTILITY ROOM: ---
PORCH TYPE: DECK, TYP PATIO, TYPE:
BREEZEWAY: FIREPLA _ GARAGE: --
DOMESTIC HOTW TER: y<,J' TYPE ATER: AIRCONDITIONING:
TYPE HEAT: WARM HOTWATER: f
OTHER: --'�
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
8f -; q D 9t/
STORAGE, TYPE CONST.: 0Cv'.W
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
irk
REMARKS:
INSPECTED BY: z_&___=n �'. DATE OF INSPECTION: P113 /0
TIME START: Id: IJ"— ' END: