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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.