HomeMy WebLinkAboutZ-23882FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23882
Date SEPTEMBER 18, 1995
THIS CERTIFIES that the buildin~
Location of Property 6760 GT. PECONIC BA~ BLVD.
House No. Street
County Tax Map No. 1000 Section ]26 Block l!
Subdivision Filed Map No.
ONE FAMILY DWELLING
N.Y.
Hamlet
Lot 3.!
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-23882 dated SE~£F~4BER 18, 1995
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 GARAGE *
The certificate is issued to DOR~£~ A. GI~,NNEMAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PT.~%SE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
1,OCATI ON:
BI! i I.D I LIG I)E I'AICFHEIFr
TOW~ OF SOUTIIOLD
IIOUSING CODE INSI'ECTION REI'ORT
6760 GREAT PECONIC BAY BLVD. LAUREL, N.Y.
[nmnber & street~ ~nicipality)
SUIII) IVIS ION
HAI'IF. O1: O!dNl';ll (s)
HAP NO. 1.OT(s)
· DOROTHY GRANNF-,I'{AN
OCCIIPANCY A- i RIGS. OI,/NER
ADHITTED BY: HARGERY WALR~R ^CCOM{'ANIED BY: SAI~
KEY AVAIl.ABLE .qUFF.CO. TAX MAI' NO. 1000-i26-i-l-~.I
SODRCE OF RE(]UEST: WILLIAH C. GOGGINS, ATTY D^TE: SEPT. ?, {995
I)WELLING:
TYI'E OF t~ONS'I'RDCTION
FODHI)AT I ON
TOTAL ROOHS: mST FLR.
BATIIIIOOH (s) 2
PORCI{ TYI'E
B IHrA:, Z Ei4AY
DOHESTIC IIOT~ATER
TYI'E DF. AT
OTIIER:
}/OOD FRAI~
CONCRETE
CEI.i.^R
6 2HI) FI.Il.
TOII,ET ROOH (s)
F I RE i' I.ACE
Y~S TYPE IIF, ATE R
LILGO gAS I4ARH Ail/
HANDICAP ILAMP FRONT OF HODSE
ff STORIES ONE ! F.×ITS 3
PARTIAL CRAV/L Si;ACE
3RI) FLR.
UTILITY ROOH
CLOSED OFF GARAGE
OFF BOILER AIRCO.DI'FIOHI NG
~ HOI~ATER
ACCESSORY STRIICTDRES:
GARAGF., 'I'YI:'I5 OF (;(){,{SI'. WOOD FIIA~ 5TORAGF~, 'I'YPI:~ CONST.
S{4IHHIHG 1'OOI. , GIW. ST, TYPE CONST.
OTIIER: ON GRADE I4OOD PATIO, STAIRS TO BRACH I4ITIt DECK, BRICK PATIO {FRONT)
VIOI.ATIORS: CIIAI'TER 65 N.Y. STATE III'{IIrORH FIRE PREVERT1OR & BUII.I)ING CODE
LOCATION DESCRII'TIOH AI<T. SEC.
REH^RKS: BP #10173Z-COZ-10147, BP fflO967Z-COZ-10755, BP {19551Z-COZ-19947,
BP {{23009Z-COZ-238B 1
~J/ FISH
DAI'F. OI"' INSI'ECTIOH SEPT. I I, 1995
TIHF. S'I'ART 10: lO END 10:50
Fo Fm HO. [~
TOWN OF SOUTIIOI,D
BUILDING DEPARTHENT
TOWN HALL
765-!802
A?PLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property sho~ing all property lines, streets, building and
unusual natural or ~opographic 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 ~riting to the applicant.
Fees
i. 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-existin~ Buildin~ - $I00.00
3. Copy of Certificate of Occupancy - $20.00
a. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $i5.00., Commercial $15.00
.............
Hamlet
New Construction ...... ~...~ Old ~ Pre-existing Building.
~ouse No. Street
Onxoer or Owners of Property ..................................................................
=oun, Tn~ ~p ~o ,000. Sectio,,..f~-. ~ ...... ,~,,,c,~ ..... //, ........ ~o~..~ .................
Subdivision .................................... Filed Hnp ............ Lot ......................
?ermit No ................ D~te Of Permit ................ App[£c:Int .............................
Uealth Dept. Approval .......................... U,derwriters Approval .........................
'lanning Board Approval ........................
2equest for: Temporary Certificate ........... Fin;il Certic~ate ...........
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