HomeMy WebLinkAboutZ-23167FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23167
Date AUGUST 17, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 8740 GT. PECONI~AY BLVD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 5 Lot 2
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-23167 dated AUGUST 17, 1994
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 DW~T~ING WITH ACCESSORY ~A~AGE *
The certificate is issued to J. N~GUONE ABBOTT
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PT.~E SEE ATTAuhU~D INSPECTION REPORT.
Rev. 1/81
BUILDING DEPARTHENT
TOI~N OF SOUTHOLD
tiOUSING CODE INSPECTION REPORT
LOCATION: 8740 GREAT PECONIC BAY BLVD.
(number & street)
SUBDIVISION NAP NO.
NAHE OF ONNER (s) J.McGUORE ABBOTT
LAUREL, N.Y.
(muuiclpality)
LOT(s)
OCCUPANCY ONE FAMILY O~iNER
(type) (owner-tenant)
ADMITTED BY: CATfl¥ NESIANO ACCOHPANIE~ BY: St14~
KEY AVAILABLE SUPF.CO. TAXMAP NO. 1000-126-5-2
SOURCE OF REQUEST: CA'I'HIKRIRE A. NESIANO DATE: AUG.
II, 1994
DNELLING:
TYPE OF CONSTRUCTION FRAME
FOUNDATION TERRACATTA & CEmeNT BLOCK CELLAR
TOTAL ROOMS:
BATHROOM (s)
PORCH T¥YE
BREEZEWAY
DOMESTIC NOT~ATER
TYYE HEAT GAS
IST FLR. 5 2ND FLR. I
I TOILET ROOM (s)
CONCRETE (OPEN)
FIREPLACE
TYPE HEATER GAS
WAPd4AIR
~ STORIES I-l/2 ~ EXITS
60I CRANL SPACE 40I
3RD FLR.
UTILITY ROOM
BECK, TYPE WOOD-HANDICAP RAMP
GARAGE
AIRCONDITIONING
HOTWATER XX
2
OTHIiR:
ACCESSORY STRUCTURES:
GARAGE, TYFE OF CONST. FRAME STORAGE, ~I~E CONST.
SI/II~4ING POOL , ~O~ST, T¥~E CONST.
O~ul~R: WOOD PLATFORHROOFED OVER)B~ADED PROPERTY
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOR14 FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DATE OF INSPECTION AUGUST 16, 1994
TIHE START 10:05 END 10:15
Form No. $
~ TO~' OF $OU~HOLD
765-1802
/~LICATZON FOR.¢EI~TZFICA~E OF
~. . .~ =~e~n= ~r~ p~oer certi~y~g that ~he ~Zd~r ~ed ~ ~tm contain
·es$ t~ 2/10 of .IX l~d.
~G ~t~o~, ,& ~r~c~te o~ Code C~tance
zesp~slb~ for the ~1~. --
6. 5u~ Vl~g Board ~pr~al 'of c~l~te~ s~te pl~ requirmn~.
a. For exist~ ~fld~s (prior to ~ril 9, 1937) uon-co~fo~ uses, or ~ild~s and
1. Accur~tt su~y of proptrcy'sho~ ail pr~erty ~ines~ streets, ~tLd~ and
~ueu~ ~ur~ o~ ~opo~rap~c f~tures.
2. A pr~trly c~le~ed application ~d a consenc to iuspec~ ~ed ~ ~he applicant.
l~ a Ctr~i~ica~e of Occup~cy is denied, ~he Buildi~
C. Fees
~erati~s to d~& $25.00, ~i~ pool $2~.00, ~c~sso~ buila~ $25.00,
Additi~s ~o acceo~U ~ildin~ $25.~. Bus.asses $I0.00.
3. Copy o~ Cert~te si Occupancy -
~. Updated Ce~f~c~e o~ Occupancy -
5. T~por~ Cert2f[~to of Occupancy - Raeide~t~l $15.~, C~rc~l $15.00
;ubd[v~s~ ...... ; .................. . ........... FLled ~p ............ Lot ......................
'em~ No ................ Da~e Of Pe~ ................ Applican~
CONSENT
TO
II~SPKCTION
Owner(b~ Name(s)
do(es) hereby stye:
,, , the undersigned,
That the undere~ned (is) (Mse~ the owner(~) or the premises'in the Town
. . , which is shown and designated on the Suffolk
Couuty tax map aS District 1000, Section~, Bleck.~.~, Lot ~_ .
That ~e u~n~ (hzS) (htr) flle~ '*o~ caused to Be filed. au applica-
~on ~ the ~old To~ Buildi~ ~spector;s Office for *~e follow~g~ ..
That the ~ders~n~ do(es) he~by'gl~' consent ~ ~e Bu~ In~ector~
of ~e T~n or s0uthold to enter upon t~ ~ described pro~rty, includ~g
any and ~1 bUfldi~a 1o~ ~ereo~' ~ con~ct such ~specti~s u they ~y
deem necessary with respect to the ~esaid a~licatiom ~clud~g in~e~ions
to ~termine ~t sa~ ~ses comply with alBof the lawS, ordin~ces, ~les'
~d re~lations of the Town of S~thol~
The undersigned, in consentin~ to such inspections, do(es) so with the
iaJowled~e and understandir~ that any ~uf°rmati~ obtained in the conduct of
such b~spectlon~ may be u~ed as evidence in subsequent prosecutions for vio-
lations of the laws, ordiuances, rules or re~ttlations of the Town or Southold.
(pri~name)
.................... {s~nuture-} ..........
M. Bldg.
Extension
Extension
Extension
Porch
,Porch
Breezeway
Garage
Patio
Total
COLOR
Foundation
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Bath
Floors
Interior Finish
Heat H.~/.
Rooms 1st Floor
Rooms 2nd Flora
Dinette
LR.
DR.
BR.
FIN. B.
TOWN OF SOUTHOLD PROPERTY RECORD CARD 'tl ,
OWNER STREET ~' 7' ~ 0 VILLAGE DIST, SUB.
FORMER OWNER N E ACR. I
,
RES. ~ ~ S~S. VL. FARM COMM. CB. MISC. Mkt. V~lu~
~ND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
N~ NOR~L BELOW ABOVE
FARM Acre V¢lue Per V~lue ,
Acre
Tilloble 1
Tilloble 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER /¢ O ~ ~/ o 0
Brus~lond FRONTAGE ON ROAD
House Plot DEPTH
Tot~ DOCK .
LOCATION:
SUBDIVISION
NAI~ OF OITNER (s)
OCCUPANCY
ADHI'I-I'~D BY:
KEY AVAILABLE
BUILDING DEPAR~NT
TO~i OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
(number & street) (~unicipality)~
~ NO. LOT(s)
SOURCE OF REQUEST:
D~ELLING:
(o~ner-tenant)
ACCO~PANIE~ EY:~
SUPF.CO. TAR NAP NO.
/Z# EX~TS ~
CONSTRUCTION ~ STORIES
TYPE OF ~ 3~~F~.
FOUNDATION ~ CRAI~L SPAC~
TOTAL ROOHS: 2N1) FLR. /
HATNEOOH (s) / TOILET ROOH (s) ~ UTILII~Y ~
PuRCN HE .
DOI~STIC IIOT~AT~R f 'rYPg HEATER
HEAT ~ WARM AIR
OTlillR:
AIRCONI) ITIONING
HOT~ATgR /
ACCESSORY STRUCTURES: ~"
GARAGE, TYPE OF CONST. ~ STORAGE, TYPE CONST.
SI/IHHING POOL ~/ , GUEST, TYPE CONST.
VIOLATIONS: CNAPTER 45 N.Y. STATE UHIFOP~ FIRE PHEVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSPECTED BY
DATE OF INSPECTION