HomeMy WebLinkAboutZ-36588
ypFF64 Town of Southold Annex 10/29/2013
g 54375 Main Road
F Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36588 Date: 10/29/2013
THIS CERTIFIES that the structure(s) located at: 8385 Great Peconic Bay Blvd, Laurel
SCTM 473889 Sec/Block/Lot: 126.-9-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36588
dated 10/29/2013 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with front unheated sunroom.*
BP 4060 addition, including one car garage COZ3418
The certificate is issued to Steffen, Marna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ti
AAut Si ture
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 8385 Great Peconic Bay Blvd, Laurel
SUFF. CO. TAX MAP NO.: 126.-9-25 SUBDIVISION:
NAME OF OWNER(S): Steffen, Marna
OCCUPANCY:
ADMITTED BY: Beth Pike
SOURCE OF REQUEST: Steffen, Mama DATE: 10/29/2013
DWELLING:
# STORIES: 1 # EXITS: 2
FOUNDATION: cement block CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: sunroom DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: one car attached
DOMESTIC HOTWATER: yes TYPE HEATER: National Grid Gas AIR CONDITIONING:
TYPE HEAT: Gas WARM AIR: HOT WATER: X
# BEDROOMS: 3 # KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 9/19/2013
TIME START: END:
Form No.6
TOWN OF SOUTHOLD
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 user
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 Gom 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 io April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey ofproperty 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00 2
Date. C?
I 2, l J
New Construction: Old or Pre existinn Building: eck one
Location of Property 3V l fj~~ yQZK fr
House No. Street Hamlet
Owner or Owners of Property: S
Suffolk County Tax Map No 1000, Section 'Q4 Block Lot C~S
Subdivision ;Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board -Xpproval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
Applicant Signature
I
CONSENT TO INSPECTION
J~ the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersign(' are) owner(s) the premises the of
Southold, located at CL fI
which is shfo and designat n the Su o--l~k CCounty tax p as District 1000,
Section -1-~~ Block Lot C; .5
That the undersigned (has) (have) filed, or cause to be fil , an ap lica4on in the
Southold lq d Tgwn Buiilding Inspector's Office for the following: st,
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:
~j G~
(Si a
(Print Name) c
(Signature)
(Print Name)
_ _ zs TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET - 5 VILLAGE DIST. SUB. LOT
FORMER OWNER N E ACR.
n q vYO~ O O S W TYPE OF BUILDING I ~
G ri
61
RES. v? SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
z. ~irc-y.t 366-c q! 7
0 231 26U0
~o w a s-t_rr l 73 - AI~t0 O er - /v
7 00 R V 00 3 / / y i oo / ~f fi'U Q !r' S I( PS e
3'~l$ CSC I~ 6'2t C~7~a d fib' ~a2S'oc
AGE BUILDING CONDITION 2 zS
Z~-
NEW NORMAL BELOW ABOVE z_ May-iIC4 Lon., r?
(Jr
FARM l Acre Value Per Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD 6 7 7J
House Plot. DEPTH /S'
BULKHEAD
Total DOCK
ANN ULMET
B KIN
OLMET
Y 5'
OR fOR05RLY BRAD .1 V.
RY ERAM
NOW, 1 , GONGN VT
50
LLI Y1 OR EORMERLY RE~IRAO O
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REE TREE
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8255
/ TAX_ LOT 25
z TAX LOT T 24.1 0
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3 0 I I MONUMENT
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IS
AOC
SURVEY TO SHOW LOCATION OF TREES At TREE STUMP TO PROPERTY LINE
BETWEEN TAX LOT 24.1 (No. 8175) s TAX LOT 25 (No. 8255)
DATE OF SURVEY: SEPTEMBER , 2012
CEri1IFIED TO:-
1. THOMAS RINALOI
TAX DESIGNATION PROPERTY SITUATED AT e.
SECTION: 726.00 8175 n 8255 GREAT PECONIC BOULEVARD
LAUREL Ramzan Alli License Ns.e50957
BLOCK: 09.00 TOWN OF SOUTHOLD -
LOT: 025.000 COUNTY OF SUFFOLK NY Lend Surveyor P.C.
STATE OF NEW YORK .7-15 164111 Street, Fresh Meadem, NY 11366
- 1. 17181591-8888 Fax(718) 591-7859
_ Fax (631) 930-3M 11 -ANLL, IT L IL 11 „ , ,w~f nylandsurveyor@gmail.com
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
IO
1 NSPEC7U
[ ] FOUNDATION 1 ST [ G PLEIG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
r 10
~r..~
A- I
DATE INSPECTOR
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type,) (owner-tenant)
ADMITTED BY: tr /lC~ ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING n
TYPE OF CONSTRUCTION: C~3 Vim{ # STOR//IES:~ k # EXITS 2---
FOUNDATION:` e /6 BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: ~3RD FLR:
BATHROOM(S)-.\ TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: JZW/ CK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
J'
DOMESTIC HOTWQ,TER: TYPE HEATER AIRCONDITIONING:
TYPE HEAT:N~/'//C (;i,S WARM AIR: HOTWATER:
# OF KITCHENS: 0_ -
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTU
GARAGE, TYPE OF CONS ORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START.