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Home My WebLink AboutZ-23301FOKM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~E EXISTING ~3~RTIFICATE OF O~u~ANCY No Z-23301 Date OCTOBER 21, 1994 THIS CERTIFIES that the building Location of Property 2B50, MAIN BAYVIEW ROAD House No. Street County Tax Map No. 1000 Section 75 Block 4 Subdivision Filed Map No. ONE FAMILY DWELLING SOuTuOLDr N.Y. Lot 22.1 Lot NO. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER S-23301 dated OCTOBER 21, 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 DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTAC~m INSPECTION BEPORT. BAYVIEW SOu'rH HARBOR PARTNERSHIP N/A Rev. 1/81 BUILDING DEPARTHENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2850 M~IN hl~I~ RO. SOoT~OLO, ~ YOll~ (number & street) (municipality) SUBDIVISION HAP NO. LOT(s) NAHE OF O~/NER (s) BA~VI~ SO. HARBOH PARTNERSHIP OCCUPANCY A- 1 RES. (type) ADMI'FI-~D BY: MICUAEL CROTEAU KEY AVAILABLE SOUrcE OF PdgquEST: HICHAEL CROTEAU O~ER (owner-tenant) ACCOMPANIE~ BY: { SUFF.CO. TAX HAP NO. 1000-1~-~-zz. i DAT~: OCT. 16, 1994 D~rELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES TYPE HEATER · I~E HEAT ~IlOSENE BEATERS WAP~AIR OTflER: E~C~IC LAUNBRYRO(~, PANTRYO~ KI~N NOOD FRAME ~ STORIES 2 I EXITS 4 BRICK & CEI~NT CELLAR PARTIAL CRAI~L SPACE IST FLR. 4 2ND FLR. 3 3RD FLR. ORE TOILET ROOM (s) UTILITY ROOH W~LP AROu.o (CO. EEl)) DECK, TYPE PASO FIREPLACE 2 ~LOSED UP. GARAGE AIRCONDITIONING HOTT~/ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SI~I24HING POOL O'rur. R: 2 STORY ~0OD STORAGE, TYPE CONST. · GUEST, '£X~'E CONST. NELL HOUSE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE OF INSPECTION TIME START 9:10 OCT. 19, 1994 END 9':40 -r~LDG, DEPT. _~.~!~,..N OF SOUTHOLD 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 inspector with the following: 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. Comz~ercial 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. 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 a 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . ~/./~/.~. ............................... New Construction ........... Old Or Pre-existing Building .... ./. ........... Location of Property..~ ................... .M4~.~./?7.~...~.0~-j~,..?.~J~.~...' House No. Street Hamlet Onwer or Owners of Property.../..~Y~.[~f~/~9.~T~. ~4~,. ~;%4~. ~4-~..~ff~l~. ............ County Tax Map No 1000, Section..f~ ......... Block .... .~. .......... Lot....~.~;.~ ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................ . Health Dept. Approval ........................ . . Underwriters Approval ....................... . . Planning Board Approval .................... .. .. Request for: Temporary Certificate ........... Final Certicate..f ........ Fee Submitted: $ ............................. o233 o I oCT' 17 BLDG. DEPT. TOWN OF SOUTHOLD CONSENT TO INS loEC'FION O~{er(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) tile owner(s) of tile premises in the Town of Southold located at ~q/0 · which is sho~vn and designated on the Suffolk County tax map as District t000, Section ~r~ , Block z~ , Lot That the undersigned (has) (have) filed· or ~aused to be filed· an applica- tion in the Southold Toxvn Building Inspector's Office for the following: Dated: 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 xvith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re&gulations of the Town of Southold. ' / (si=~i'ature) - (print name) (s ignatu re ) (print name) N 79 AREA = 17.5475 ACRES now or formerly Southold Fire District Lot 2 Subdivision "George A. Stepnoski" IRRIGA~ONo ~ ~ WELL F~AM£ SHEDS 173.0( 85.00' 88"26'00" 129.00' 4096 W Lot ~0 now or ge A. formerly Stepnoski Young & Young, Land Surveyors NOTE: 1. · = MONUMENT FOUND 2. 0 = PIPE FOUND 3. SUSJECT PARCEL DESIGNATED AS LOT 1 AS SHOWN ON "SUBDIVISION MAP OF PROPERTY SURVEYED FOR GEORGE a. STEPNOSKI" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG,'5, 1992 AS FILE NO. 9255. SURVEY FOR BAYVlEW SOUTH HARBOR LIMITED PARTNERSHIP At: SOUTHOLD Town of: SOUTHOLD Suffolk County, New York Surf. Co. Tax Mop: , 1000 75 , 4 I 22.1 CERTIFIED TO: BAYVIEW SOUTH HARBOR LIMITED PARTNERSHIP COMMONWEALTH LAND Tt~_E INSURANCE COMPANY DATE :JAN, 20,1994 SCALE :1"= 100' JOB NO, '94- 0016 SHEET NO,:I OF 1