HomeMy WebLinkAboutZ-24890FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCuumANCY
No Z--24890
Date FEBRUARY 5, 1997
THIS CERTIFIES that the building.
Location of Property 1935 LA~]~EL WAY
House No.
County Tax Map No. 1000 Section 121
Subdivision
ONE FAMILY DWELLING
WATTITUCK, N.Y.
Street
Block 04 Lot 22
Filed Map No. Lot No.
Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: A~RIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24890 dated FEBRUARY 4, 1997
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 OWE FAMILY DWELLING WITH ACCESBORYWETAL S~D *
The certificate is issued to LILLIAN RERFu~TH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAu~D INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
//il~ng InSpector
BIJILI)ING I)EPARI~IEN'r
TO~4N OF SOU'rllOI.D
ltODSING CODE INSPECTION REPORT
1935 LAUREL I~AY
I.OCAT I ON:
(number & street)
SUIIDIV [SION
NAHE OF ONNER (s) LILLIAN HERFURTH
OCCDPANCY A- I RES.
(type)
ADNITTEO BY: THOI~tAfi GORMAN
KEY AVAIl. ABLE
(~ ic ipal i ty)
HAP NO. LOT(s)
(o~ner-tenant)
ACCOHPANIED BY: SAI~
SIIFF .CO. TAX NAP NO-_IQ_O_O-121_-~_--_22_ ...................
SI)UI{CE OF RF. QIIEST: ......... _L_.~LL_~YAN__.HE. RF_U~__TH .............................................. DATE :_.JAN
DIVI,] LI.T NG:
TYPE OF CONSTRUCTION WOOD FRAILS_
I.,'OUNI)ATION CEMENT BLOCK CEI,I.AR
TOTAl. ROOHS:
BATIIROOH ( s ) ONE
PORCI! TYPE
BREEZEI~AY
DOHES'FIC tlOTNATER YES
TYPE IIEAT ELECTRIC
OTI[ER:
{~ s'rOR IES
CRAWl. SPACE
{ST FI.R. 3 2ND F1.R. 3RD FI.Il.
TOILET ROOH
DECK, TYPE WOOD DECK PATIO
F I RE Pl..ACE .ONE. GARAGE
TYPE IIEATER PROPANE
ktARH AIR
I ! EXITS 2
AIRCONDITIONI NG
ilO'rWATER
ACCESSORY STRllCTURES:
GARAGE, TYPE OF CONS'r.
SWIllING POOl.
()'FLIER:
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
NETAL SHED
VIOLATIONS: CIIAP'FER /45 N.Y. STATE UNIFORH FIRE PREVENTION & BIIII.DING CODE
LOCATION DESCRIPTION ART. SEC.
LEAK ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION. ~.Y.C.R.
AROUND
PART~_
CHIMNEY
AREA
FENCES, WALLS AND OTHER HINOR CONSTRUCTION lie SHEDS) SHALL ~].Y.C.R. VOL 9B
ACCESSORY
~--SHE1
BE MAINTAINED IN SAFE, GOOD AND SUBSTANTIAL CONDITIONS.
PART.
REHARKS: BP #23907-Z (Deck Add) COZ-2488)
_R. VOL_9B
1244.1 (b)
INSPECTED BY '
GAR~/~/IS~ '- TIt4E STAR'r 9: 30'-~ ~ 9:50 AH
Fmrm No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
,JAN
APPLICATION FOR CERTIFICATE OF occuPANCY
This application must be fil!~d in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
i. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Finai Approval from Heaich 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 buildiqg, 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-exis~ing" land uses:
1. Accurate survey of property showing ali 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 sha!i state the
reasons therefor in writing to the applicant.
~ees
l. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwe!iing $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00
Copy of Certificate of Occupancy - .. -25c
Updated Certificate of Occupancy - $50.00
Temporary Cer=ificate of Occupancy - Residential $15.00, Commercial $15.00
~ew Construction ........... Old Or Pre-existing Buildin
House No. Street Harriet
, wer or Owners 'rop.=y. L / L A ,v'
.ounty Tax Map No i000, Section...!.~.~ ..... Biock..~ ............Lo:.A~ ...............
~ubdivision .................................... Filed Map ............ Lot ......................
7ermit No ................ Date Of ?e~it ................ Applicant .............................
-!eal~h Dept. Approval .......................... Underwriters Approval ........... ..............
fanning Board Approval ........................
eques~ for: Temporary Certificate ........... Final Certica~e ...........
...............................
CONSI;'.NT
TO
INSI I_',C 1
i.i L L 1.4.1' F'/ R l~"~-t..,J I'~"'l~-H o the ~ndersigned,
O~er(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the To~
, which is shown and designated on the Suffolk
Com,ty tax map as District 1000, Section ]~/ , Block ~ , Lot_2X
That the undersigaed (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building [nspecto~'*s Office for the f~llowing:
Tlmt the undersigned do(es) hereby give consent to the Building lnspecttn's
or' thc Town of Southold to enter upon the above described property, including
any ;iud all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, inclnding inspections
to determine that said premises comply with all of the laws. ordinances, rules
an~l l'egtilatiotls of the Town (~f Southold.
The undersigned, in consenting to such h~sp~ctions, do(es) so with the
knowledge and understanding that any infornmtion obtained In the conduct of
such inspections may be used us evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regnlations of the Town of S~