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Home My WebLink AboutZ-24830FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24830 Date JANUARY 9, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 17000 MAIN STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 23 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-24830 dated JANUARY 9, 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 of the aforesaid building. JAMES JACOBS SR. & PETER JACOBS (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N *PLEASE SEE ATTACHED INSPECTION I - W, Building I Rev. 1/81 BUILDING DEPAR'rMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 17000 MAIN STREET NEW SUFFOLK, N.Y. - ----- `f)Uml)P_i 6 streeCj -- �)nunicipalityj --- SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) JAMES JACOBS SR. & PETER JACOBS OCCUPANCY SINGLE FAMILY -------�IyPe�----- -------------owner—Cenao�- ADMITTED BY: JAMES JACOBS ACCOMPANIED BY: SAS; — KEY AVAILABLE SI1FF_CO. 'PAX MAP NO. 1000-117-9-23 SOURCE OF REQUEST: WILLIAM PRICE, ATTY _DATE: DEC. 17, 1996____ DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 _ EXITS --3____ FOt)NDATTON XITS— — FOIINDATLON BRICK CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM REAR MUD PANTRY PORCH TYPE FRONT COVERED DECK, TYPE STDR ST()()P PATIO BRElEZEWAY FIREPLACE GARAGE DOMESTIC IIOTWATER Kg TYPE HEATER LILCO GAS AIRCONDITTONING TYPE HEAP LILCO GAS WARM AIR HOTWATER XX O"rHER: STORAGE AREA UNDER STAIRCASE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST SWIMMI.NG POOL O'rHER: --------------------- --------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE 2 CAR WOOD FRAME STORAGE, TYPE CONST. , GUEST, TYPE CONST. LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED BY ///'/ DATE OF INSPECTION DEC. 30, 1996 BOUF JOHN M. IS TIME START 9:35 AM END 10:00 AM__ rutill llv, U TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 765-1802" �.,n r1 acy,✓j APPLICATION FOR.CERTiFICATE OF OCCUPANCY This application must be filled in by typewriter OR Ink -and submitted to kite building Inspector with the following$ for nett building yr new use: It Final survey of property with accurato location of all buildings# property liuesi straetsi and unusual natural or topographic featUves- 21 Final Approval from health Uepti•of water supply and sewerage-disposal(S-9 form). 3& Approval of electrical installation from Board of Fire Underwriterai 41 Sworn statement from plumber certifying that the solder used in system contalas less than 2/10 of 17. lend+ 54 Commercial buildingi,indus•trial buildingi multiple residences and sitltilar building! and installations, a certificate of Code Compliance froW architect or engineer responsible for the building& 6& Submit Planning Board Approval of completed site plan requirements+ For existing buildings (prior to April 9i 1951) note -conforming usesi or buildings find "pre-existingf1 land usess 14 Accurate survey of property showing all property linesi streetsi building and „ unusual natural or topographic features# 21' A properly completed. application and a consent to inspect signed by tyle applicant+ If a Certificate of Occupancy is dettiedi the Building Inspector shall state the reasons therefor in writing to the applicant; Fees I Certificate of Occupancy - New dwelling $25.001 Additions to dwelling $25.00. Alterations to dwelling $25+00# Swimming pool $25+001 Accessory building $254001 Additions to accessory building $25100+ Businesses $50:001 2. Certificate of Occupancy on Pre-existing Building - $100.00 34 Copy of Certificate of Occupancy - $5.00-6ver 5 years - $10.00 41 Updated Certificate of Occupancy - $50100 5& Temporary Certificate of Occupancy - Residential $15.00# Commercial. $15.00 1 Dateiyr,ejq New Cotistructiolt&&ttt+.++++ Old Or Pre-existing Building,/.+:4++4+:+4::+. 17000 Main STrg?t Locption of Property1.11.44/41141t1.t&i44 &4ti1.11&114t{1&&&ii++NI House No, Street Ilnmlet Onwer or Owners of Propertyli+&44'i 7-TF.S, 4Ij,, JFgQl?4;,a Ar44a ildl s$eter& 0 l i s7aiomb 64 l:& 41 t t 14i County Tax Nap No 10001 Sec tionstI��s'4QQl&&&&Block&it.lQs�rsO&Qlt1&4Lot4&&4043�r & 4—i—:i11 SUbdiVision4 4i44+444&41ti44i4&t64&111:444.&Filed htap4+4.+14+:ti41+Ot:.&:lltt&11ti:I:+ii Permit Nost►i ril&&.&i4&i.Uate Of Permits441+4;i&&114+66Applicalltt11it1111{t+#11:1&&1;.tit& Itealth Dept4 Approvall4&t4i4&+4i+1&&444&►+16&+.Underwriters Approvnli.&1.+++++++•++++131+• Planning Board Approval.ta+4464444&#464+14+&44t Request for! $Temporary Cert if lea te4i+t+ti&&4+ Final Certicatea&+ IPA+r00 100OQFee Submittedl $/&&1&&&44&%06 t&t&+ 4 s 4 t&&#s/t♦ L/yb William H. Frice;�rJr. r � ce y 3 CONSENT 111 0. INSPECTION William H. Price, Jr., Owners) Name( ;) the undersigned, do(es) hereby state: attorney for the That the undersigned (is) F€1W the./owner(s) of tile premises in the Town Of Southold located at 17000 Main Street, New Suffolk, New York Which is shown and designated on the Suffolk County tax map as District l000, Section 117.00 Block 09.00 Lot 023.000 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building; Inspector's Office for the following: 2 story frame house with detached frame garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Date3di December 17 1996 (signature) William H. Price, Jr. (print name) ( gnature:) (print name) SURVEY O~ PROFERT� AT NEA SvFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK "On' . iVb3 3• r4 c. ratd,nlny Q NpN R .:AHIFy Sc='1iMEliAE ELF Rl rEFELc _ GRAPHIC SCALE 11-M' i C.4c:i 0 20 d0 80 GUARANTEED TO: DIANE M. RAYNOR RONALD J. EKSTER BRIDGEHAMPTON NATIONAL BANK COMMONHEALTH TITLE INSURANCE COMPANY SURVEYED NOV. 12, Iqq& SUFFOLK COUNTY TAX MAP NUMBER 1000-11 "100-Og00-023000 'UId kw 11b dl etrrt lM m tOp111M to d 8W'rtl Yp ptr lnp 1 Ii.1=1 IMO W � X -11M1 It Iltr Ytft Slots Ef 4tlM L t.' •OIIY COplb lrpp NO M1 Inel OI tAlt fYl'rh 11rbO rltll m o l Do C 1 tM Ilea w 141 r'a 1t1Wb ae11 atoll pe cob 1ptrtt l0 W rlbp lrvt cW1b' 'p tlfitdtlmt i"k.loo turbo alMl/r tMt tills 2"n"y rb OMplryp In drOOrOMIro Itn IM tt- 1>llry CoOf H ordtl l[1 /Or' LfM SWgY1 iOWltd 1r lM ttv YKI statt 15fOC ldl1O0 OI Fn.lt531OM1 tM0 SN'HfOnSOW ;,Vt,I... tlOrs M4H rW only to -It MAIN STREET E9GF Vit- ASenAL. elaanS84 37.30.. E 70.00 wutllre l.e i- 1.9' M. t m. k N X z fA3 0 1 42 O X � r•• 1i.3• ,� 6.9' 10.0• 2 story ^ o W LL1 ¢s zz frawe house a.s w 1i.t• x Zm 0 X ^ oa ti.f' 10.0. 3 0 cn iq to).-! - ~-.. CD ED Irl Z Z f <in n 0 EN0 R Ir14 u W SURVEY O~ PROFERT� AT NEA SvFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK "On' . iVb3 3• r4 c. ratd,nlny Q NpN R .:AHIFy Sc='1iMEliAE ELF Rl rEFELc _ GRAPHIC SCALE 11-M' i C.4c:i 0 20 d0 80 GUARANTEED TO: DIANE M. RAYNOR RONALD J. EKSTER BRIDGEHAMPTON NATIONAL BANK COMMONHEALTH TITLE INSURANCE COMPANY SURVEYED NOV. 12, Iqq& SUFFOLK COUNTY TAX MAP NUMBER 1000-11 "100-Og00-023000 'UId kw 11b dl etrrt lM m tOp111M to d 8W'rtl Yp ptr lnp 1 Ii.1=1 IMO W � X -11M1 It Iltr Ytft Slots Ef 4tlM L t.' •OIIY COplb lrpp NO M1 Inel OI tAlt fYl'rh 11rbO rltll m o l Do C 1 tM Ilea w 141 r'a 1t1Wb ae11 atoll pe cob 1ptrtt l0 W rlbp lrvt cW1b' 'p tlfitdtlmt i"k.loo turbo alMl/r tMt tills 2"n"y rb OMplryp In drOOrOMIro Itn IM tt- 1>llry CoOf H ordtl l[1 /Or' LfM SWgY1 iOWltd 1r lM ttv YKI statt 15fOC ldl1O0 OI Fn.lt531OM1 tM0 SN'HfOnSOW ;,Vt,I... tlOrs M4H rW only to -It BUILDING DEIPARTME.NT TOWN OF SOVT0111) ;K]nqImG CODE INSPECTION REPORT LOCATION: SVDVlvTS)nN MAP NO. NAME OF OWNER OCCUPANCY 4 C1.0 ACCOMPANIED BY: ADMITTED BY: SOURCE 017 REQUEST: 17 FOUNDATION CrT.I.AR CRAWL SPACE �t 19 BATHROOM (s) TOILET Room (s) UT 11. 1 TY Room PATIO BK17EZEWAY�--- �IR��8CE �~---� G&0\QE __ ___- OnMESTlC BnTWATEN �r TYPE REATrRu/mCOmocz'nm/m TYPE RDA. ~� WARM ATR110TWATDR nTnK|z: ACCESSORY STRUCTURES: GARAGE, TYPE OF CV0ST STORAGE, TYPE SWIMMING Pn0/. , GUEST, TYPE CVmST'___________________________________ u7|\EK: --------------------- -------------------- VIOLATIONS: ___________________-------------------- -- DATE OF INSPrCTlON INSPECTED BY /6 o 0 -,// 7 - 9 -a3 TOWN OF SOUTHOLD PROPERTY RECORD CARD M OWNER STREET 17'bo� VILLAGE DISTRICT SUB. LOT a,wb t+ "S0,Cpr 'Saco S /lia�� .ffr-ee�` , / /Vecri��v/f�/S FORMER OWNER N nn 11 t•- e e t E .�OC a J, of �i e e 7` ACREAGE S� � ,,� W � n� a/e�� TYPE OF BUILDING RES.I SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS A166 ,2V66 276 11 D - L f�4 Ccs las taco �s , — AIC _ Ar oo he) 3 4 0 0 3 1 4v Y 3Sr AGE BUILDING CONDITION NEW NORMA BELOW ABOVE FRONTAGE ON WATER Farmcre Value Per Acre Value_ —moo FRONTAGE ON ROAD/� j ` Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampla d Brushla;d House Plot Total M. Bldg. _q (9 -1-- o 1 & Foundation Basement Ext. Walls Fire Place C UA, Porch rch CIO -Porch Patio Driveway J' 7 (f Bath Floors Interior Finish Heat Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer Extension Extension Extension 4 J� AY Breeze\V,py Garage Ab, I %. rt A X 9-0 'S GG 0. B. lL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL