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Home My WebLink AboutZ-34206FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34206 Date: 02/24/10 THIS CERTIFIES that the building DWELLING & ACCESSORIES Location of Property 8645 MAIN BAYVIEW RD (HOUSE NO.) Co~ty Tax ~ap No. 473889 Section 078 subdivision SOUTHOLD (STREET) (HAMLET) Block 0009 Lot 061 Filed Map No. __ Lot NO. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which C~KTIFICATE OF (~A~C~f ~4B~ Z- 34206 dated FEBRUD~RY 24, 2010 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 FA~4ILY DWELLING WITH ACCESSORY 1 1/2 CA/~ GA~3~GE, SHED AND The certificate is issued to CHARLES W COLOMBO (OWNER) of the aforesaid building. NI~ N/A N/A orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ROUSING CODE INSPECTION REPORT MAP NO.: LOT (S) CHILES W COLOMBO ~ STORIES: 2.0 # EXITS: 3 3RD FLR.: 0 WOOD FRAME PATIO ACCESSORY STRUCTLrRES: C~, ~ OF C~.: 1 1/2 CAR STYE, ~%rPE CON~T.: SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ROOF IN NEED OF REPAIR F~: 1ST INSP BY GARY FISH 2/10/10 I~ATE ON INSPECTION: 02/23/10 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU This application must be filled in by typewriter or ink and submitted to the Building Department with the following: - 3 2,Y~0 BLDG. OEP?. 'ANCY TOWN Of SOUTHOLO I A. For new building or new use: 1. Final survey of property with accurate location o f ail 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 sysmm contains less than 2/10 of 1% lead. 5. Commercial building, ind~trial 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 requiremems. (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, _.~e '~emm,_'sglaa~l *25.00, Accessory buildingJi25_00, a,tditio~o accessory building *25.00, Businesses *50.00. ificate of Occupan~istin~Building - $100.00 ) 3. of Occupancy - $.25 -- --- '-~ 4. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New ConstrUction: Location of Property: HOuse No. Street Owner Or Owners of Property: ~14 a, O_L.~ Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: (check one) Block Filed Map. Hamlet Lot ~>/ Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION ('D¢t_~0..t_~ ~. C~oC~ A.<_~ o , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at ¢:¢F~-~-(~-- ./M~i~ i:5~y~¢*O ¢oc4~ ~o~xln~>~ which is shown and designated~n the Suffolk County Tax Map es District 1000, Section '78 , Block ~ , Lot ~o ! That the undersigned (has) (have) filed, or canse to be filed, an application in the Southold Town Building 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 ail 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 ail of the laws, ordinances, roles 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: c~/~/I 0 (Prim Name) (Signature) (Print Name) /~1~__ ?? ~.~//TOW.N. OF SOUTHOLD PROPERTY R~ORD CARD ':OWNE~ ' - I~e~r ,'Y'~ ~5 Vl~.U, GE SU~. ~ ~/~, s~,s. VL. LAND IMP. FARM ] COA/tAA. I TOTAL -- DATE J REMARKS ~.C~,~ ACR. TYPE OF BUILDING / // CB. MICS. Mkt. Value' LOT .AGE J BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM i Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowkmd DEPTH Value Per Value Acre House Plot BULKHEAD Total ~"' ~ DOCK M. Bldg~ Extension Extension Extension COLOR c~- ~ r T"~ TR[/vt ~.~ ~-~, .-?-_~ r~' Porch Breezeway Garage Patio Totcl Foundation Basement !Ext. Walls Fire Place Type Roof Recreation Raom Both Room Interior Finish Heat Rooms I st Floor Rooms 2nd Floor !Driveway Dinette [F~N. B Wood Destroying Insect Inspection Report Notice: Pleaes rsad important consumer infon'nation on page 2. Section I. General Information Company's Business Lic, No. Date of Inspection Inspection Company, Address & Phone 16000006010 02/12/2010 W.I.N., P.O. Box 1019, Kings Park, N.Y., 11754 Addreesof Propartylnspacted 8645 Main Bayview Rd, Southold, N.Y., 11971 Charles Columbo Inspector's Name, Signature & CertificatijOr ,.~O~victor Cornelius C#1860873.['" HouseStrunture(s) Inspected Section II. Inspection Findings This report is indicetive of the condition of the above iden~ed structure(s) on the date of inspaction and is not to be construed as a guarentes or warranty against latent, concealed, or future infestations or defects. Based os a careful visual inspection of the readily accessible areas of the sl~uclum(s) inspes~d: [] A. No visible evidence of wood destreying inescts was observed. [] e. Visible evidence of wood destroying insects was observed as follows: [] 1. Live insects (description and location): [] 2. Dead insects, insect parts, fress, shelter tubes, exit holes, or staining (description and location): exit holes in floor joists, sub floor, sill plates, and the rim joists around the basement. [] 3. Visible damage from wood destroying insects was noted as follows (description and location): sub floor, sill plates, floor joists, and rim joists in the basement. N~TE: This is n~t ~ sbuctura~ d~m~e re~r~ ~f b~x B ab~ve is c hecked~ it sh~u~d be underst~d that s~r~e degree ~f damage~ inct ud~ h~ ~ my ~ present. If any questions a~se regarding damage indicated by this repeal, it is recommended that the buyer or any interested parties contact a qualified structural professional lo determine the extent of damage and the need for repairs. Yes [] No[] It appears that the structure(s) or a portion thereof may have been previously treated. Visible evidence of possible previous trealment: TIhe inspecting company can give no assurances with regard to work done by other companies, The company that par[ormed lhe trestment should be co~ac~d for i~ on lreatment and any warranty or service agreement which may be in place. Sectior~ III. Recommendations [] No treatment recommended: (Explain if Box B in Section II is checked) [] Recommendtrsatmentforthecontrolof: wood destroying insects. Section IV. Obatt'uctions and Inaccessible Areas The following areas of the structure(s) inspected were obstructed or inaccessible: or u~e the following optfo~al [] Besanent 6.7.9.11.13.24 1.F-m~dcaTa~g 13. Only visual access 2. Suspended ceiling 14.(~uttered condition [] Crawlspace 7,13,24 3. F-~xedwalcove~ng t$.~waer [] Main Level 1,3,4,6,7,8,9,11,13,24 4. Floor cove~ing 16. Dense vegetation [] Attic 10 5.1nsubti:~ 17. Exledorsiding 6. Cabinets or shelving 18. v~rmdowwsllcovers [] Ga~ 7. Stored items 19. VIAx~ pile [] Exterior 17,20 e. Fu~ish~s [] Porch 9.Apple~ees 21.Unsafe o3ocm0ns 10. No access a' ~ 22. Rigid foam board [] Addition 11. Limited access 23. Synthetic stucco [] Other 12.Noecce~sbeme~ 24. Duct work, plumbing, and/or winng Section V. Additional Comments and Attachments (these are an integral part of the report) Recommend the services of a licensed exterminator and repair as needed. Atlachments Signature of Seller(s) or Owner(s) if refinancing. Seller acknowledges that Signature of Buyer. The undersigned haraby acknowledges receipt of a ail information regarding W.D.I. infestation, damage, repair, and treatment espy of both page I and page 2 of this report and understands the information history has been discE~sed to the buyer, repoded. X X FormNPCA-1isobso~eteaftsr12/31/~4 Page 1 of 2 c. lRVE-r' OF: PROF't:::RT'( 51tUATI~.- BATVli=I~I I~=AR ~:X/THO~ EIJI=t=OLK ~'T~, N'f' .501~.VE'f'EI~ JANUAR'f' 2~, 2OIO SUFFOLK C, OONT'r' TAX # IOOO - -/6 - q - 61 Cl]~'rlJHkl~.J~ TO: Chadca ?. Colombo / / / / ? / / / / / ,.. / --- 4'-. ~?d / ®P-.APHIC, c-JC. ALE I"= 50' NOTES: Area = 5q,~,~ 5. F. Area = I.~3'1OI Acre~ PAlP. GEL LI~-~ tENTIREL'K IN FLOOD ZONE X A~, F:~ FI~M MAP No. ~10~...0t66 0 PATteD MA'T' .4, Iqq.~ 6 EAST MAIN STREET N.Y.S. 1.1('. NO. 50-0. RIVERHEAD, N.Y. 11901 369 8288 Fax 369-8287 REF.C:~Documents and Sett ngs\Owner\My D )ct ments~'ly Dropbox\l(}\lO-lI)3.pm