HomeMy WebLinkAboutZ-25295FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25295 Date OCTOBER 3, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 6725 GT. PECONIC BAY BLVD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 10 Lot 19
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-25295 dated OCTOBER 3, 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE *
The certificate is issued to LAWRENCE A. HOLFELDER & ORS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECT
Rev. 1/81'
ISIS ILOI NG DEPARTMENT
TOWN OF SOU'1'II0I.D
IIOIISTNG CODE INSI'ECI'lON REPORT
1,0CATION; 6725 PECONIC BAY BLVD.
(vi -r lti sCreeCj
LAUREL, N.Y._ _
-----�muntc patILy
SIIISOIVISION - --_- - TIAI' NO.
NAME. OF OWNER (s) LAWRENCE HOLFELDER
OCCUPANCY SINGLE FAMILY
---- --Z t y Pe �----------------- -----town a r- C e n a n t ---------------
ADMITTED BY: ANGIE JOHNSON ACCOMPANIED BY: SAME
KEY AVATI.AISLF.---SIICF.CO. TAX MAI' NO. ]00-0- 0_1g— -- .--_._------
------------
SOURCE OF REQIJEST: - LAWRENCE HOLFELDER DATE:_�UG 1997 _--_-----_--
--------------
---------------------
-------------
_DWEi.LTNG
TYPE OF CONSTRUCTION
WOOD FRAME
__-/ STORIES -1-112/ Ext,rS-2 -
- - -
FOIINDATfON - CEMENT BLOCK
CELLAR
FULL_
_ CRAWL SPACE_
TOTAL ROOMS: IST PLR.
5 _2ND FLR.
2 3RD FLR.
BATHROOM (s) ONE
_ 'TOILET ROOM
(s) ONE _
UTILITY ROOM
PORCH TYPE FRONT ENCLOSED
–
DECK, TYPE
_
PATIO REAR CONCRETE
IIREEZEWAY-------
_ FIREPLACE
—SNE---- --
GARAGE -
DOME'STIC 110TWACTER gg
TYPE HEATElt
LILCO GAS
AIRCONDITIONING -- -- -
TYPE DEAT-_--- OIL
WARM AIR
-------------
-
OTHER: BILCO EBIT
---
ACCT?SRnRV S'Punr•rmzrc.
GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, 'TYPE CONST. WOOD ATTACyED�_TO GARAGE
SWIMMING POOL �I'ooR� Lr - — - -
— _ GI1ESl', TYPE. CONST.
OTHER:- STONE BARBECUE
VIOLA_I'IONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVE'N'TION S BUILDING CODE
LOCATION- -DESCRIPTION-- ART. SEC.
REMARKS:
1 NSPECTET) BY-_- DA'Z'E OF INSPECTION OC_T. 2,_ 1997
JONN M. BO PIS TIME START 10:45 AM END 11 -05 -AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 6
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewrite:- 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).
S. 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 17 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.
�3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"prc-existing" land 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
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
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, Commercial $15.00
Date ,, .August ... ,1997 •. .• •• .
New Construction........... Old Or Pre-existing Building ... X.............
Location of Property ............ §725 Peconic Bay B1vd.,Laurel,N.V.
.................................................
House No. Street Hamlet
Unwer or Owners of Property... Lawrence A. Holfelder etal
............................................................
County Tax Map No 1000, Section. 126-10.-19. Block................Lot......................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit..........
••.... Applicant ..........................
ilealLh Dept. Approval..........................Underwriters Approval.........................
:Tanning Board Approval ........................
,,cqucst for: Temporary Certificate........... Final Certicate.... X......
ree Submitted: $..100.D.0. ....................
CONSENT
TO
INS170CTION
Lawrence A. Holfelder
the unclr:rsir!nvd,
Uwner(s) Names)
do(es) hereby state:
one
That the undersigned (is) (A**) the owner(s) of tilt, prncntscs In Ilin 'i owil
of Southold located at 6725 Peconic Bay Blvd. ,Laurel,N.Y^__
«•hich Ir shtnvn mid rlesirnntod on the SnCfnll:
Ccltnty t^x map as District 100n, Section, Block IQ . Lot __Lq
That the undersigned (has) (leave) filed, or caused to be filed. nit nrplicn-
tion in the Southold Town Building, inspeo.tnr's Office for tine following:
Pre-existing Building
That the undersigned do(es) hereby give congnnt to the Buildbig Inspectors
of the 'town of Southold to enter upon the above dcscril)ed property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspr,ctions
to determine that said premises comply with nll of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
Such inspections may be used ns evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: August ,1997/ m
`� (signature)
Lawrence A. Holfelder
N
SURVEY OF
PROPERTY
AT LAUREL
TOWN OF SCJTHOLD
SUFFOLK COUNTY, N. Y.
1000-126-70-190
_ Scafe: I"= 40'
Sept. 4, 1997
` Sdp( (71797(/erf./ronJ
[ O
m '
4 u v T
F C ,�
m Z
Me
i
�f i Tp�LOI'-
� -C
ro-
o r.
v,.�,r
6 �
..meg, •�. Q
OAli
crwrFw Tow
0= 1I ne.
maw nrcf manGL rANY
nrLf x. r" w-aozir i
Tk,OiR Trr[f E4lwA1[E' CGpWI
O7L.ME �. fTS YACC6lORS Iltliw Iiali
AREA x29.389S4 ft.J 0.675Ar—
A17L4 rip/ OR AGY7LYV rIr nQAM~y K A 1YtATAW
Or SECn01I 7lOY
i[
QI AE n► rOMfI TE EGTA 7i]M tw1�
iW�I /i �p iCCrbllf 7t01.9.lOIMi�/ f. ALL 4]l7Fk.{7alIB
IIFJECW Mf
.
.
YKO qX 7NO +Yr AM Cp�'� r�
8410 y� M [Or'[i fEww TIE EP/ESSED i�wL
- /y���
Tfi�X/IYYF�rGI►
Mq.9f 901w lINC.vrFAR51 wcm
�((dAT - DiY.s. LCL NO. 49Q8
•!/117r
AOmixuttr ro tt�n.r • AM SM t M Tees :a.rum er
rwT usm •r uvr AEo Act 57wvevCMs tmua+v eorr
ANO TIAW � AAV
�sparwfT-7Aocr d„Qr
dl/C yal PX
,6161 ?w - Sam
P. R par 909
4r
iSW�Y
m n
97-294
BUILDING DE'PARTMEN'T
TOWN OF SOU'THOLD
MOUSING CODE INSPECTION REPORT Lumber
LOCATION: 6 street municipality
SUBDIVISION MAP N0. LOT(s)
NAME OF OWNER (s) )
OCCUPANCY
T�type owner -tenant
ADMITTED BY: '4Q/g JDA/✓ r h�=� ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO./iia
SOURCE OF REQUEST: CLs-d/' DATE: 9 -
DWELLING: A/00441
'TYPE OF CONSTRUCTION 1 STORIES EXITS_
FOUNDATION —CELLAR .��I — CRAWL SPACE
TO'TAI. ROOMS: IST FLR. aIr 2ND FLR._ 3RD FLR.
ISAT1I ROOM (s) CAI< TOILET ROOM (s) &"--- UTILI'1"Y ROOM _" ' �.�.
PORCH TYPE / IYCC.�/l seg . DECK, TYPE �"" PATIO �i�.c.c.�..
BREEZEWAY — FIREPLACE QAol a GARAGE _
DOMESTIC UOTWATER ✓ TYPE HEATER Li /CU AIRCONDITIONING _
TYPE HEAT Q / L WARM AIR HOTWATER _
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST./ UV's' �" /C� STORAGE, TYPE CONS
SWIMMING POOL n , GUEST, TYPE CONST.
OTHER:
VTOLArIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY
DATE OF INSPECTION
TIME START �� �` END
TOWN OF SOUTHOLD PROPERTY RECORD CARD
M_y
OWNER
STREET
VILLAGE
DISTRICT
,SUB.---,
LOT
FORMER OWNER
Nlk
E
7
ACREAGE
t e", C1
r
S J.
T3
I ple co'o') )?
W
f>
TYPE OF BUILDING
SEAS.
VL.
FARM
comm.
IND.
I CB.
misc.
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
'5-00
72- =.,.6 0
2 7 a to
L 6 164
.6 2,- �24516.
3 LS
'ovoo'i
GS
el
/:he Z7
14L'j Yajtcc-
L 4-i't S-kee
4c
L2
AGE
NEW
BUILDING CONDITION
NORMAL BELOW ABOVE FRONTAGE ON WATER
A kv14
Form
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
Tillable I
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
T7
H-11 I .1dir 77yel
/6:!:, " rrt-
Brushland—'%
House Plot
Total
r-,. ..--
J
i
-1
Bath
ath ----- - -
I
- r-- -- __
_
Extension
I
Basement
��,f'J�
Floors
Extension
!
Ext. Walls
r'G ` `
f
l
Interior Finish
ItAll C.
Extension
Fire Place
Heat'
I
�
Porch
r�.�1�
I
+
,
I
1
Porch
Rooms 1st- Floor
Breezeway3�ZX
I
4
Rooms 2nd Floor
5. 1 -
Driveway r.. f',�_:Dormer
J
Foundation �
-1
Bath
ath ----- - -
I
- r-- -- __
M. Bldg.ath
Foundation �
,'
Bath
ath ----- - -
I
- r-- -- __
_
Extension
I
Basement
��,f'J�
Floors
Extension
!
Ext. Walls
r'G ` `
f
l
Interior Finish
ItAll C.
Extension
Fire Place
Heat'
Porch
r�.�1�
Roof Type
1
Porch
Rooms 1st- Floor
Breezeway3�ZX
Patio
Rooms 2nd Floor
5. 1 -
Driveway r.. f',�_:Dormer
--- -
- - ---- - ---
-- - - --- -- -
Garage
'-`�'fie-�---
O. B.