HomeMy WebLinkAboutZ-20756FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20756 Date MAY 28~ 1992
THIS CERTIFIES that the building
Location of Property 2735 BOISSEAU AVE.~
House No. Street
County Tax Map No. 1000 Section 55 Block 5
Subdivision Filed Map No.
ONE FAMILY DWF. T.LING
SOUTHOLD r N.Y.
Hamlet
Lot 13
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9¢ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20756 dated MAY 28~ 1992
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 DW~IJ.INGWITH ACCESSORY STORAGE SHllo *
The certificate is issued to THEODORE J. & BARBARA BUCCI ( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
,/ Bu~ng Inspec(or -
Rev. 1/81
TO'J.I OF SOU?HOLD,
Loc~ ~on
HOUSI2:G CODE IHSPECTIO2'; RE?ORT
2735 BOISSEAU AVE. SOuTHOLD, NEW YORK
Subdivision
Name of Owner(s)
'rtI~ODORE J. & BAR.BAIUi BUCCI
Occupancy. ONE FAMILY D~ELLING
[Type)
OWNER
( o,.vrler- C e~a~]i )
A~mitted by:
Key available
Source of request
TED BUCCI Accompanied by: SAME
__Suffolk Co. T~c No. 55-5-13
J.KEVIN McLAU~Li~' 'A'n'¥ Date MAY 19, ! 1992
DErELL IDIG:
,Type of construction FRAME
Fo ~undation BRIC~ ,~stor~es 2
Cellar PART. Crawl space PART.
Total rooms, 1st. F1 4 2nd. F1 5 ~rd. F1
Bathroom(s ) I
Toilet room(s)
Porch, t~pe. I OPEN & Deck, type
Breezeway I .-.O.ua~u -- Patio, type ....
- Garage Utility room
Type Heat OIL 'Warm Air Hotwater
Fireplace(s) No. F~cits 2 Airconditionin~_ .
Domestic hotwater xx Type heater LP
Other
ACCESSORY STRUCTURES:
Garage, type const. FRAME
Swir~ming pool
Other * BP ~4037 CO Z-~52
Storage, type const.
Guest, type const.
J
Location
ViOLATIOL~S: .C}L~PTER 45--N.y. STATE UNIFORm! FII~E PREVENTION & BUILDING CODE
-- Descrintion Art. I Sec.
ACCESSORY SHKD ROOF IS IN POOR REPAIR. I]242-5 (d)
F{emar~cs ·
Date of Insp.
· Time start 9:~5
end 9:35
Form No. G
'l'Ol~/N OF SOUTIIOLD
~UiLDING DEPM{TIqENT
TOWN II~LL
765-1802
APPLICATION [;OR CERTIFICATE OF OCCUPANCy
A. This application must be filled in by typewriter OR ink and submitted to the building
in,petter with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, properry lines,
streets, and unusual natural or copoL, raphic fearureu'
2. k~inal Approval fro~a ~ealch Dept. of water supply and sewerage-disposal(S_9 form).
3. Approval of '~lectrical installation from Board of Fire Underwriters.
4. SWOrn s~atement from plumbe£ certifying tha£ the suld~ used in system contains
less than 2/10 of 1% lead.
5.Coauaercial building, industrial building, multiple residences and similar buildings
and installagions, ~ certificate of Code Compliance from architect or cngin,~er
respousible for the building.
6. Submit Planning Board Approval of COmpleted
~- For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and
"Pre-existing,, land use~: ,
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consellt to inspect signed by the applicant.
If a Certificate of Occupancy is denied, ri]e Building inspector shall state the
ruauoas tl%erefor ill writing to thc applicant.
C. Fees
I. Certificate of Occupancy _ New dwelling $25.00, Additions to dwelling $25.00,
Alterations co dwelling $25.00, Swil,uning pool $25.00, Accessory buildil~: $25.00,
Additio[p-. tO acce':Sory buildin{,~ $25.00. Businesseu ~50.00.
2.Ccrri£ica[e of OccupaHcy on Pre-existing Buildil%g - $100.00
3.Copy of Certificate of Occup:ll~cy _ $5.00 oVer 5 years - $10.00
4. Updated Certificace of Occupallcy - $50.00
5. Temporary Certificate of Occupancy _ Residential $15.00, Commercial $15.00
Date .~qy 19, 1992
':ow Construction... .. Old Or Pre-exi:~tino Building. ~...
Location of Property..2735 ~Bisseau .A.v.e., Southold, NY ........
llouse No, '' ' ...................
Street .................
Ilaml e c
')nwer or O~ners of Proper~y.T~{E~O~,.~..' .an.d BARBARA BUCCI
County Tax Map No 1000, ~', '
oectlon.055...QQ ...... Block . O ~.. ,0.0.
· · ..... Lo~. 013.000
:~ubdivision '
................................... Filed Hap ............ Lot ......................
)~rmit No./~037 .......... Dace Of Perlnic.. 9/1 1/68
.............. Applicant .BUCCI
:{eall::h Dept. Approval.. ' ............... i ...... i ....
........................ Uuderwricers Approval .........
1.1 lnlng lie;ltd Approval ............... ' .....
(',Y q Uu,: r f ·
· .or. ~emporary Certificate ......... Final ~er/.~cate.
CONSEt~'T
TO
INS PEC'FfON
do(es) hereby state:
· the undersigned,
That the undersio~ned (is) (are) ~he~'ovmer(s) of the pre:nises in the Tovm
--~__, which is shown and desi~n.a~cd on ~he Suffolk
County tax map as District 1000, Section ~ , Block ~-- , Lo~ %~
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld To~ Euildin~ Inspector,s Office for the follov-~g.
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, includin~
any and ali buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, inc!udin~ inspections
to determine that said premises comply with all of the laws; ordinances, rules
and re~ulations of the Town cf Southotd.
The undersigned, in consenting to such inspections, do(es) so %%ith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lation$ of the laws, ordinances, rules or regulation:
o[~]e Town q~ J~uthotd
(print name)
(sicanluuc)
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