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HomeMy WebLinkAboutZ-22732FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22732 Date NOVEMBER 18r 1993 THIS CERTIFIES that the building. Location of Property 355 BAYVIEW DRIVE House No. County Tax Map No. 1000 Section 37 Subdivision ONE FAMILY DWELLING EAST MARIONr N.Y. Street Hamlet Block 1 Lot 7 Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22732 dated NOVEMBER 18~ 1993 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 W/TH 1 CAR GARAGE UNDER HOUSE * The certificate is issued to PETER G. BREUER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLmASE SEE ATTAC/4ED INSPECTION REPORT. /~uil~ing Inspector Rev. 1/81 LOCATION: SUBDIVISION N/~J'tE OF OWNER (s) BUILDING DEPARTmeNT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 355 BAYVlEW DRIVE (number & street) EAST MARION, N.Y. (.,unicipality NO. LOT (n) PETER G. BREUER OWNER OCCUPANCY A-I lIES. (type) ADHII~ED BY:. CHARL~I-£g BI~gUER KEY AVAILABLE SOUKdE OF REQUEST: PETER G. BP. RDR (owner-tenant) ACCOMPANIED BY: SAI~ SUFF. CO. TAx MAP NO. 37-l-7 DATE: NOV. mo, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FP. AME FOUNDATION 'CEMEIFr BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) Ol~ FuLL PORCH TYPE ENCLOSED BREEZEWAY DOmeSTIC HO~ATHR YES. TYPE HEAT OIL O~IER: '6 2ND FLR. TOILET ROOM (s) ONE DECK, TYPE FIKEP~%CE ONE TYPE HEATER OIL WARM AIR ~ STORIES ONE ~ EXITS 2 CELLAR PART. CRAWL SPACE 3RD FLR. UTILITY ROOM · PATIO, TYpE RAISED PATIO G.4JIAGE I CAP. UNDER HOUSE AIRCONDITIONING XX DO~{ATER ACCESSORY STRUCTURES: NONE ' GARAGE, TYPE OF CONST. S~IMMING POOL O~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKs: INSPECTED BY: DATE ON INSPECTION NOV. 16, 1993 TIME START 9:25 ED 9:45 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,l Date ................. . N ew Construction ........... Old Or Pre-e_~isting Bgilding,~P~..~ Lo t f Property..~.~..q~... House No. ~ Street Ha~et Onwer or Owners of Property...~~~.~~.. 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 Certicate ........... APPLICANT CONSENT TO INSPECTION Ow~er(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 .~ /~,~-- f~ C~y/.//EL// .~ r, E 2 ~a ~, ~ ~, ~/~, which iS shox~ and designated on the Suffolk County tax map as District 1000, Section ~ ~. , Block [ , Lot ~ That the undersigned (has) (have) filed, or caused to be filed· au applica- tion in the Southold Tot~ Building Inspector's Office for the iollow~g: 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 aferesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town cf 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: (signature) (print name) (signature) (print name)