HomeMy WebLinkAboutZ-27252FORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27252
Date: 08/16/00
THIS CERTIFIES that the building DWELLING
Location of Property 2180 BRAY AVE LAUREL
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 0007 Lot 017
Subdivision Filed Map No. -- 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- 27252 dated AUGUST 16, 2000
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 WITH ACCESSORY METAL SHED *
The certificate is issued to ANDREW & MARGARET DONLEVY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
t~ized/Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
~OUSING CODE INSPECTION REPORT
LOCATION: ~80 B~AY AVE LAUREL
SUBDIVISION: NAP NO.: -- LOT (S) --
NA~ OF OW~R (S): ANDREW & ~T DO~
TYPE OF CONSTRUCTION: WOOD FRAME % STORIES: 1.O # EXITS: ~
FOUNDATION: CONCRETE RLOCE CELL4~R: FULL CRAWL SPACE: __
TOTAL ROOMS= 1ST FLR.: __~ 2ND FLR.: ~ 3P~D FLR.: ~
BATHROOM(S): 1,Q TOILET ROOM(S): Q,Q UTILITY ROOM(S): --
PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE:
BP~EZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: _~ AIRCONDITIONING:
TYPE HEAT: LIPA CAS WARM AIR: XX HOTWATER:
GARAGE, TYPE OF CONST.:
SWIF~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS~ CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC.
P~4A~S: BP~3774Z-COZ-3077 IADDITION & ALTERATION)
INSPECTED BY:./~ ) ~/~ DATE ON INSPECTION: 08/15/00
TIME START: 10:20 AM END: 10:45 AM
TOWN OF SOUTHOLD
· BUILDING DEPARTMENT
TOWN HALL
765-1802
mo
ifl i AUG 9 2000
APPLICATION FOR CERTIFICATE OF OCC]
This application must be filled in by typewriter OR ink a: ~ s_~__u~ig~ed to the bui
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property 1
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system conta
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bu
and installations, a certificate of Code Compliance from architect or engine,
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For exls~mng buildings (prior to Aprii 9, 1957) non-conforming uses, or buildinl
Upre-existing" land uses:
1. Accurate survey of property showing ali property lines, streets, building an<
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applJ
If a Certificate of Occupancy is denied, the Building Inspector shall state
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.
Additions to accessory building $25.00. Businesses $50.00.
.Certificate of Occupancy on Pre-existinR Buildin~ - $100.00
Copy of Certificate of Occupancy - , .25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0
_~ C~iO~.~ Date ....................
New ConstructiOnLocation of Property ........... ..... ~._____~_............Old Or Pre-existin~ Building~. ~ ................ ..... ::::~.~ "'~"~''
House No. Street Hamlet
Onwer or O ers of p y .... .... ..............
1000, section...Z.. _.,
County Tax Map No ............................ ~.~ ..........
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:
LO~
GEORGE
FILE
SUFFOLK
S.C. TAX
SURVEY OF
LOT 80
SUBDIVISION MAP OF
PROPERTY OF
I. TUTHILL &
SECTION ONE
No. 861 FILED JANUARY 15, 1929
$ITUA TED A T
LAUREL
TOWN OF $OUTHOLD
COUNTY, NEW YORK
No. 1000- 126-07-17
SCALE 1 "=20'
JULY 11, 2000
AREA = 7,5OO.00 Iq. ft.
0.172 ac.
SECOND STAR FOUNDATION
OTHERS