HomeMy WebLinkAboutZ-20632FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20632
Date APRIL 7r 1992
THIS CERTIFIES that the building
Location of Property 845 BAY AVENUE
House No.
County Tax Map No. 1000 Section 31
Subdivision
ONE FAMILY DW~T.T.ING
EAST MARIONr N.Y.
Street Hamlet
Block 10 Lot 15
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-20632 dated APRIL 7~ 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~T~ING WITH ACCESSORY BAP/N & TWO SEASONAL
COTTAGES. *
The certificate is issued to
WILLIAM J. CROWLEY~ DECEASED
(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.
Rev. 1/81
Building~nspector
Location
TO'.',~[ OF SCUT[[OLD, ir. Y.
HOUSIi:G CODE Ii~SPECTIO~'I REfOIT
845 BAY AVENUE EAST MA~ION, N.Y.
Subdivision
(i.iun±c &pa±± 5y
Lot(z)
Nane of 0~.aer(z) WILLIAM J. CROWLEY, DECEASED
Occupancy_
A~mitted by:
~ype)
CELIC REALTY
OI4NER
(6'.'m eg-i;enanz)
Accompanied by: SAME
Key available
Suffolk Co. Tasc No. 1000-31-10-15
Source of request
SHELDON E. f, OLOSTE~N'
_Date
MARCH 9, 1992
?,~LLI~fG: · ~AIN HOUSE
,Type of construction
Foundation
Total rooms, 1st. F1 7
Bathroom(s) 2 FULL BATHS
Porch, type
Breeze?ay_
Type Heat ELECTRIC
Fireplace ( s )
Domestic hotwater
Other
2 1BIITS SEE SIlRVEY
WOOD FRAME
(~2~ENT BLOCK
SCREEN PORCH Deck,
Garage
~stor!es ONE
Cellar ~oLL Crawl space - -
2nd. Fl_ 5rd. F1
Toilet room(s)
type. Patio, type_
Utility room
' '~/arm Air Hot.,ater
No. Faits 2 A.u ~ond~on:ng .
YEs .Type heater ELECTRIC
Carage, type const. Storage, type coast.
S~.d~aing pool Cuest, type const.
Other~ CONCRETE PATIO, WELL HOUSE, FLAG POLE
~ STRUCTu~
V~OLAT!o~fs:
_~Lncation
EXTERIOR
.CI[APTER 45--N.Y. STATE UNIFO[~! FIRE PREVENTION & BUILDING CODE
Descriotion
Exterior stairs, porches, entrance platforms
and the railings thereon shall be maintained in
a safe and sound condition.
Exterior surfaces shall be maintained in good
condition. Surfaces not inherent by resistant
to deterioration shall be treated with a
protective coating.of paint or other suitable
preservative.
Needs Repair
Art.[ Sec.
1242.1 (c)
1242.~ (e)
Remarks: BP [3298-Z - CO Z-2899
Date of Insp.
· Time start 9:30
MARCH 13, 1992
end 9:50
TO',';~r OF SCUTHOLD, pt. Y.
Location
HOUSIXC CODE INS?ECTION REFCRT
845 BAY AVENUE EAST MARION, N.Y.
Subdivision
Nm,~e of Owner(c)
Map No.
14ILLIAM J. CROWLE¥, DECEASED
Occupancy.
(type)
A~mitted by: CELICP, gALT~
Lot(:;)__
O~NER
(OWner- ~:enan~ )
Accompanied by: SAME
Key available
Suf£olk Co. T~uc No. 1000-31-10-15
Source of request
SHELDON E. GOLDsTE~N'
Date
HARCH 9, 1992
?~LLI~: COTTAGE."B"' (SEE S~I~Y)
,Tyoe of construction ~OOD F~ ~ .
' . .... ~storles
Foundation CEMENT BLO~K &~E~NT Cellar PARTIAL Crawl space
Total rooms,~s~.~~ 2nd. F1 3rd. F1
Bathroom(s) I FULLBATH Toilet room(s)
Porch, type SCHEEN ON FROITr Deck, type. Patio,
Breezeway_ Garage Utility room
Type Heat__ NONE 'Warm Air Hotwater
Fireplace(s)
Domestic hotwater
Other
~e
No. F~cits 2 Airconditioning .
,Type heater ELECTriC
Gar~o~, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
ONE
.CIIAPTER 45--N.Y. STATE UNIFOI~! FIRE PREVENTION & BUILDING CODE
I A=t. I Sec.
V~!0LATIONS:
E~XTERIOR IExterior surfaces shall be maintained in good
Iconditlons. Surfaces not inherent by resistant
to deterioration shall be trea~ed ~ith a
Iprotective coaClng of paint or other suitable
I 1242'I (e)
Re..ar.~s.
Inspected by: ~.~F~S~
Date of Insp. HARCH 13, 1992
· Time start 9:50 end 10:05
BUILD i::C DEP:?,T>ZEUT
TO';EI OF SCUT[[OLD, N. ¥.
HOUSIiJC CODE IUSPECTION RZFORT
845 BAY AVENUE EAST }~/~ION, N.Y.
Subdivision
Nm~e o£ Owner(s)
Occupan6y_
A~itted by:
Key available
Source of ~equest
WILLIAM J. CROWLEY, DECEASED
{~7pe)
CELIC REALTY
-OWNER
Accompanied by: SAME
Suffolk Co. Ta:c No. 1000-31-10-15
Date
MARCH 9, 1992
SEELDON E. GOLDSTEIN'
DWELLING: COTTAGE "C" (SEE
,Tyoe of construction WOOH FRAME' .~ ·
' ~, Storles ONE
Foundation CEMENT BLOCK PIERS Cellar - - Crawl space - -
Total rooms, 1st. FI 5 2nd. FI_ 5rd. FI
Bathroom(s) ONE FULL BATIt Toilet room(s)_ --
Porch, type SCREEN PORCR Deck, type
Breezeway_ Garage
Type Heat HONE 'Warm Air
Fireplace(s) No. Fzcit s 2
Domestic hotwater NONE .Type heater
Other
Patio, type
Utility room
Hotwatar
Aircondition~ng
ACCESSORY
Garage, type const.
Swim. ming pool
Other
Storage, type const.
Guest, type const.
V_~OLAT!0NS:
~Lncation
STEPS ON
~XT~RIOR
.CIL~PTER 45--N.Y. STATE UNIFOI~I FiRE PREVENTION & BUILDING CODE
De,crib ,;.ion I-Art. I Sec.
Exterior sairs, porches, entrance platforms
land the railings thereon shall be maintained
in a safe and sound condition.
I CHAPT.[ F
1242.
_
Re...arxs.
Inspected by:~ ~ ~
FISH
Date of Insp. M.AJICH 13, 1992
· Time Start 10:05 end I0:15
Form No. 6
"~--~ [~'~ ~77: i'~'~ TOWN OF SOUTIIOLD
BUILDING DEPARTblENT
, TOWN HALL
MAR I 765-1802
', ~ ~2L~CAT~ON FOR CgR~TICA~E OF OCCUPANCY
.l. This application must be filled in by ~ypewriter 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 i% lead.
, 5. Co~ercial 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" laud 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, Swiping 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.O0
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, Co~crcial $15.00
Date ...~gC~..~.~.~.~ .....................
i:~X~ ........... ~MX Pre-existing Building. PRIOR TO 1957
Location of Property.. ~A~. ~.~. 0~..~.
House No. Street Hamlet
~nwer or Owners of Property.~pp~.~.~Q~D~TEIN AND FRED G. ANDERSON~ ~XECU~O~S
mswa ..........
]oonty Tax Map No 1000, Section .... ~ ........ Block. 10 .Lot.~ ...........
~ubd ivision .................................... Filed Map ............ Lot ......................
ermit No ................ Date 0f Permit ................ Applicant .............................
ealth Dept. Approval .............
............. Underwriters Approval .....
lanning Board Approval ........................
equcst for: Temporary Certificate ........... Final Certicate.0~..Q~NCY
9
,tt[i t O t992 CONSEST
' INSPECTION
SHELDON E. GOLDSTEIN AND FRED G. ANDERSON,
ESTATE OF WILLIAM J. CROWLEY, DECEASED
(D%wner(s) Name(s)
do(es) hereby state:
EXECUTORS OF THE
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in thc Tox~rn
of Southold located at EA.qT SIDE OF BAY AVENUEr EAST MARION, NEW YORK
which is shoxwn and desi~B,nted on the Suffolk
County tax map as District 1000, Section 31 . ]31ock~10 , Lot 15
That the undersigned (~) (bare) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the following:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
That the unders~ned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
an5· 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 xwith 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: MARCH f, 1992
(signature)
SHELDON 'E. GOLDSTEIN
(print name)
(signature)
(print nanle)
GCHli'qAT 2:
~' L.~G POLE
WILL
COKI'C ~. ~