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Home My WebLink AboutZ-19414 FORM N0. 4 TOWN OF SOUTHOLD BUILBING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY PRE EXISTING No 219414 Date OCT. 4, 1990 THIS CERTIFIES that the building CARRIAGE HOUSE AND ACCESSORY Location of Property 1280 PECONIC BAY BLVD LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 02 Lot I2 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a private one family dwelling built prior to APRIL 9, 1957 pursuant to which Certificate of Occupancy 219414 dated OCT. 4, 1990 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 CARRIAGE HOUSE (HARNLWITH SEASONAL SERVANT QUARTERS*** The certificate is issued to LAURIE ANN KROM & ANO. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A SEE INSPECTION REPORT ui ding Spector Rev. 1/81 , BUILDIi•:C DEPARTi•1E~iT TOt•Ji`1 OF SOUTHOLD, N. Y. HOUSING CODE IiI5PECTIOiQ REPORT Location 1280 PECONIC RAY BLVD T,AIIREL ~numoer zk street I~iunicipality) Subdivision iwiap No. Lot(s) Name of 0~•~ner(s) LAIIRIE ANN ICROM ~ ANO. Occupancy CARRIAGE NOIISE (BARN) AITH SEASONAL SERVANT QUARTERS. (type owner-tenant Admitted by: owNRR Accompanied by: sAME Key available Suffolk Co. Tax No. t45-D2-tz Source of request oxNER Date 5/24/90 D4IELLIDIG Type o£ construction FRAMs #stories t~ Foundaticn Cellar NO Crawl space %x Total rooms, 1st. F1 5 2nd. F1 z 3rd. F1 Bathroom(s) z Toilet room(s) Porch, type Deck, type woon(covExED)Patio, type Breezeway Garage t cAR Utility room xx Type Heat oIL Harm Air __Hotwater xx Fireplace(s) No. E:tits z Airconditioning Domestic hotwater xx Type heater -OIL Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Si~~imming pool Guest, type const. Other FRAME PIIMP ROUSE, SMOKE HOUSE. VIOLATIONS: Housing Code, Chapter 4.5 N.Y. Stat@ Uniform Fire Prevention Location Description IArt.I Sec. SMOKE DETECTOR INSTALLED I +1 DECx RP19087Z with C.O,Z19372 • Remarks• ALT RP 194337. v' h C.O.Z19413 inspected ~.Gt~ Dace of Insp. 5/25/90 Tao As .ISaxR 'Time start 12:45.end t: 15 p.m. Form No. 6 ~ r~IS j {f ~ TOWN OF SOUTHOLD I ~ uA p~y~ BUILDING DEPARTMENT MAY 2.~~1990 TOWN HALL 765-1802 BLCG. OEP'T. 7O1NN pF SOJTkO!„nPj"""_. ,~pPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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-4 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solver 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. 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, Ct~ommercical $15.00 Date ...M:~.y h..~ ~ !.U . New Construction..........~.`-~O,ld Or Pre-existing BuRilding. .lam. Location of Property. ~ ~ i.~-1.....~Q.~..C~'n.~.C~..'.-~:r:y.. ~1 !~41.........~~r~: House No. Street Hamlet Onwer or Owners of Property.. ~a.~l:~L:.~:... ~t :m..r.... !'.7..~.1.~ ~ .(..C~.~l....... . County Tax Map No 1000, Section...l..l~....B1ock......~......Lot.... ~ I~............ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval........Iv? :..............Underwriters Approval..lT...f' lLi'/~F.~ Planning Board Approval......!Y'~ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ I'~ Z `4 c.((~ APPLICANT 6 ~,~cb CONSENT TO INSPECTION e- ~~c~m ~ fir, ~-r~YY~ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at _ $Q ~Q_r r n,c, ~G V V l a.~C-~~ which is shown and designated on the Suffolk County tax map as District 1000, Section ~ ~ Block o2 Lot 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: 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 cf 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. Dated:~~j~~~~ fib ~1~~~-~- (signature) c,~ r- ~ ~ 1 ~U W~ (print name) ~ 9c~ ~ mom. ~ ~ j,,a y r r 9~3 ~ ?~9~ V ~ ~ ~ 1903 r~..Gl. - ~~o~~ ~ 1~~~ NMMr 44162 Ce~r~+ ECM 18.7.