HomeMy WebLinkAboutZ-23199FOI~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PI~ ~XISTIl~
~TIFICAT~ OF OOJumANCY
No Z-23199 Date SEPTEMBER 7, 1994
THIS CERTIFIES that the buildin~
Location of Property 350 ~ltOVE DRIVE House No.
County Tax Map No. 1000 Section 80 Block 4 Lot 21
Subdivision Filed Map No. Lot No.
O~E F~MILY
SOuT~OLD ~ N. Y.
Street Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to= APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23199 dated SEPT~B~ 7~ 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 ON~ FAMILY Dg~-?-ING *
The certificate is issued to PETER M. BO~A~DI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAu-Kf] INSPECTI~REPORT.
N/A
Rev. 1/81
LOCATION:
350 ~ROVE DR.
BUILDING DEPARTHEHT
TO~N OF SOUI'HOLD
HOUSING CODE INSPECTION REPORT
(number & street)
SUBDIVISION
NAM~ OF O~R (s) PETER M. ~ONA~I
SO~'r~OLD, N.Y.
(municlpali~y)
HA~ NO. LDT(s)
OCCUPANCY SINGLE FAMILY
(type) (owner-tenan£)
ADMi'r'rAO BY: DAN SHITH ACCOHPANIE~ BY: DAN SMITH
KEY AVAILABLE SUFF.CO. TAX HAP NO.
SOURCE OF RE(~EST: PAUL GASTW[RTH, BY~u'I~R DATE: AUG. 25, 1994
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION C~]FF BLOCK
TOTAL ROOMS: IST FLR.
BATHROOM (s) ONE
PORCH T~E FRONT COVERED
BREEZEWAY NOI~
DOHESTIC HOT~ATER ELECTRIC
TYPE HEAT ELECTRIC
MOOD FRAI~
CELLAR FuLL
4 2ND'FLR. 2
TOILET ~0~1 (s)
FIREPLACE
TYPE HEATER
WARM AIR
STORIES 2 ~ EXITS 2
CRAI/L SPACE OFlfH u~DER HEATED PORCH
UTILITY ROG~ NONE
NO~E "' ~ATIO NONE
GARACE NONE
AIRCONDITIONING
HOTWATER
O'l'Itl~i:
ACCESSORY STRUCTuKES:
GARAGE, TYPE OF CONST.
SI/I~flNG POOL
OTHER:
I/2 GARAGE STORAGE, TYPE CONST.
· t~JEST, ~lPg CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
GARAGE IS DIVIDED ON PROPERTY LINE AS INDICATED ON JO~ 4, 1971
~N M. ROUFIS /
DATE OF INSPECTION AUG. 31, 1994
TII~ START 10:45 END 11:15
Form No. 6
OF SO TUO D
BUILDING DEPARTMENT ~
765-1802
A. 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 ~ccurate location of all buildings, property lihes,
streets, and unusual natural oP 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 Approvalof 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 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
I. 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-existinR Buildinm - $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 AuKus t ~ 1994 '
New Construction ........... Old Or Pre-existing Building.. ~ ......
,Location of Property...~. Grove Drive Reydon Shores, Southold, N.Y.
House' ; .............................................................
Street Hamlet ~1971
ESTATE OF IRENE BONARDI d d
Onwer or Owners of Property .............. , ec ~ .
County Tax Map No 1000, Section ...... LQ.....Block. ~... 21
Subdivision ........................ Filed
· -- · Map Lot
Permit No Date Of Permit
Applicant .
Health Dept. Approval ...................... Underwriters Approval .........................
Planning Board Approval ..........
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ......................
..i.w'. ...... . ..
Estate
by Dr.
CONSENT
TO
INS PECTION
of IRENE BONARDI, dec'd.,
Paul Gastwirth, Executor~
O~mer(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 350 Grove Drive, Reydon Shores,
Southold, N.Y. 11971 , which is shown and designated on the Suffolk
County tax map as District 1000, Section 80 , Block 4 , Lot 21
That the undersigned (has) ~ filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for tb~ following:
Application for Certificate of Occupancy
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: August ~3'"', 1994. x,/~ ~
(signature) Executor
Dr. Paul Oastwirth (print name)
(signature)
(print name)
MAp OF 'LAND
'7.