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)