HomeMy WebLinkAboutZ-37722 „.,6---,7=-,-, Town of Southold 8/14/2015
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Southold, New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37722 Date: 8/14/2015
THIS CERTIFIES that the structure(s)located at: 700 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 145.-2-6
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- 37722
dated 8/14/2015 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 enclosed porch and accessory wood frame garage.*
NOTE: BP 22367 additions and alterations, incuding attached garage and deck COZ-23820.
The certificate is issued to Lauinger K B Tstmntry Trst
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut - ' e igniure
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 700 Great Peconic Bay Blvd,Laurel
SUFF.CO.TAX MAP NO.: 145.-2-6 SUBDIVISION:
NAME OF OWNER(S): Lauinger K B Tstmntry Trst
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Lauinger K B Tstmntry Trst DATE: 8/14/2015
DWELLING:
#STORIES: 1.5 #EXITS: 4
FOUNDATION: Cement Block CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 2 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: Enclosed DECK TYPE: PATIO TYPE: Brick
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: National Grid Gas AIR CONDITIONING: Yes
TYPE HEAT: Oil WARM AIR: X HOT WATER:
#BEDROOMS: 5 #KITCHENS: 1 BASEMENT TYPE: Unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: 1 1/2 Wood Frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 8/11/2015
;- 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 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. 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 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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 70-E1 o e-Gt j/ ..2-4,, Ay o .4uz L
House No. Street Hamlet
Owner or Owners of Property: " rf/JiN - / 7i y __
Suffolk County Tax Map No 1000, Section 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 Certificate:
Fee Submitted: $ A�` '71//
Applicant Signature
CONSENT TO INSPECTION
LO LA/niter K . B . Ts-E )n4-ni I-, 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 700 Pe conic. 'P,a ���� Laure.( N-Y•
which is shown and designated on the Suf County Tax Map as District 1000,
Section 145 , Block 'a , Lot Co
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: pry- CO
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.
i
Dated: Alas 11 20 �5 1
(Signature)
Chrrs+op\ner NAavkcert
(Print Name)
(Signature)
(Print Name)
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] IN LA ION
[ ] FRAMING /STRAPPING [ ° FINAL ,Qf Co
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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LAUREL
TOWN OF SOUTHOLD jr /C'b
SUFF. CO., N.Y. GUARANTE • of
INTER•C 1 .,TY TITLE GUARANTY; NOTE :
SCALE ; Ins 40MORTGA Iii , , • SUBDIVISION MAP FILED IN THE OFFICE OF
. ' THE CLERK OF SUFF. CO,ON SEPT.17, 1928
APR. 26, 196g � ';,'. • ,v AS MAP NO. PI2.
��1�! • 4 MONUMENT
�r°1-:•, pR��C id n STAKE PLACED
PROFES EN EER AND
LAND SURV YOR N. .S,LIC. NO. 12848
RIVERHEAD, N.Y
LOCATION:
(number & street) (municipality)
SUBDIVISION: 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: 7. i� #EXITS:
FOUNDATION: # J ! BASEMENT: � CRAWL SPACE: /
# OF BEDROOMS: 1ST FLR: C 2ND FLR: y 3RD FLR:
BATHROOM(S): TOILET ROOM(S): a� UTILITY ROOM:aut-7
PORCH>TYPE: e,_ DECK, TYPE: , . - +' . PATIO,TYPE: hilt- c
BREEZEWAY:' . FIREPLACE: GARAGE: l 4C 310`?
DOMESTIC HOTWATER: yd TYPE HEATER: 1IRCONDITIONING: yier
TYPE HEAT: 1 ` .. , WARM AIR: . HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER: � 12 r°
ACCESSORY STRUCTURES
tit/w-e-ge
GARAGE, TYPE OF CONST.: 14 STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
re
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION: P
TIME START: END: