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HomeMy WebLinkAboutZ-26128FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26128 Date: 11/23/98 THIS CERTIFIES that the building DWELLING Location of Property 1095 GOOSE CREEK LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 078 Block 0008 Lot 007 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- 26128 dated NOVEMBER 23, 1998 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 ONE CAR GARAGE UNDER * The certificate is issued to STEPHEN & JEFFREY LAYMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1095 GOOSE CREEK LA SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): STEPHEN Si JEFFREY LAYMON OCCUPANCY: SINGLE FAMILY STEPHEN & JEPFREY LAYMON ADMITTED BY: JEFF LAYMON ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 78.-8-7 SOURCE OF REQUEST: JEFFREY LAYMON - NOV. 9. 1998 DATE: 11/23/98 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: _j BATHROOM(S): 2.0 2ND FLR.: _I TOILET ROOM(S): 0.0 PORCH TYPE: SIDE COVERED DECK TYPE: BREEZEWAY: 3RD FLR.: 0 UTILITY ROOM(S): PATIO TYPE: ENCLOSED FIREPLACE: ONE GARAGE: UNDER - ONE CAR DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC TYPE HEAT: OIL WARM AIR: XX HOTWATER: OTHER: NOTE: 1/2 STORY IS BASEMENT GARAGE WITH EXIT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD STORAGE BUILDING GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ' ART i SEC i i i i i i i i REMARKS: BP #5771Z -!e0 Z-5562-(ACCY) BP #25332 -Z - INSPECTED BY: F' ' / L. &±!:='��/�SATE ON INSPECTION: 11/12/98 M. BOUFIS ITIME START: 10:15 AM END: 10:45 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT (I 7 TOWN HALL 765-1802 �J APPLICATION FOR CERTIFICATE OF OCCUPANCY J l A. This application must be filled in by typewriter OR ink and submitted to the buildin} 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), 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 building, industrial building, multiple residences and similar buildir 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 on -conforming uses, or buildings an re -existing" land uses: 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, 22.Additions to accessory building $25.00. Businesses $50.00. . Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25p. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction......... Old Or Pre-existing Building✓ . ............. Location of Property. l.Qp ..............a?SE�(L,;eK ?4A_;E ..........C?!^c%(, . House No. Street Hamlet Onwer or Owners of Property..SVE 44F... {f • !e �,ee .. L0.1/'�/(0�/ County Tax Map No 1000, Section 77... __7a ........Block... 0 3..........Lot.. d 7 .............. Subdivision....................................Filed Map ............ Lot .................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval........................ Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $............................. 54AP LLCANT CONSENT TO INSPECTION j<++2(? S) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at A) 9� (000S E CCe e K lcz which is shown and designated on the Suffolk County tax map as District 1000, Section BlockLot 07 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: .,ur_ 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. Dated: / 1-7� U si nature) 1! L a VL 0,Aj (print ame vvwP'� •♦ 0� 0 _ 2CjR`GN4 eP�D .1 �' �b O : � \ \ R ♦ \ of of \ \ SAVS \N S�pR��gE � ERPMGp �p6 pg5 AO y x c y BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: �A97 -5 6V,!!P6-re xe C-�,:G., ^— number & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY (type) / (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP N0. v?5v — % SOURCE OF REQUEST: DATE: J DWELLING: TYPE OF CONSTRUCTION �/� /zc_ # STORIES FOUNDATION �I 'A CELLAR TOTAL ROOMS: IST FI.R. . (ig 2ND FLR.,W 3RD FLR. BATHROOM (s) 'I . TOILET ROOM (s) PORCH TYPES%Q,t�-_(u DECK, B� . 04 FIREPL DOMESTIC HOTWATER TYPE TYPE HEAT 9// . ' _ WARM AJ OTHER: i1„ _ . e j•�' TYPE PATIO, ACE �/�`�' GARAGE HEATER AIRCO ACCESSORY STRUCTURES: # EXITS ?— CRAWL SPACE TY RO` ��^ TYP NDITIONING H0TWATFR GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: REMARKS: 6 n I; s 7 7 % -2, - fi r t t, - C4 4 C C(' 7 1M 4 J '' '� `2.94 -('-r -7, J 6117 _ - AU- INSPECTED BY: -(-,/%4, DATE ON INSPECTION�---- TIME START END END d , A0 0 0 --7e &7 TOWN OF SOUTHOLD kOPERTY'- RECORD CARD -J M —'' OWNER STREET VILLAGE DISTRICT SUB. LOT ,k -Q ' ham, mere L� `, ..._.. FOR R OWNERN -4 La SMO E -� ACREAGE �c S r1W ., TYPE OF BUILDING A 2E� SEAS. VL. RM comm. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS 17 �..2 �% ` - - v -v6 a3 WSJ S` AGE ? o o� BUILDING Z -z 040 0_NEW lI -� Le n 7 U ),,aO -"Q/I /V O AL G BELQW �� ABOVE X .rz> Farm Acre Value Per Acre Value ti I lable 1 tillable 2 tillable 3 Noodland swampland 3rushland -louse Plot dotal M. Bldg. L11 X;,,�- /4 Foundation Bath Extension Basement "-"Floors j OF Extension Ext. Walls Interior Finish Extension Fire Place Heat Porch Attic Porch Rooms 1st Floor B*ee I "way .S- O Patio Rooms 2nd Floor Garage Driveway. 0. B. z /006 TOWN OF SOUTHOLD �iOPERTY-_RECORD CARD - M - s OWNER STREET VILLAGE DISTRICT SUB. LOT ,fie' h, La -� ..�". FOR R OWryER N E ACREAGE 2ES,i SEAS. S ' W ., VL. qARM COMM. I IND. TYPE OF BUILDING I CB. I MISC. LAND IMP. TOTAL DATE REMARKS yo �) 17d IA -11- 4 od 3 y 3 z, 0172 4-'A'GE 7 D o' BUILDING NDTTIfOta/>� L �� La 7 U �Gl O �Q/I NEW O L BEfLOW �� 3 ABOVE .T � --s. � Farm Acre Value Per Acre Value Fi I lab,le 1 Tillable 2 billable 3 Moodland ,wompland 3rushland -louse Plot "otal ,0-.. fomw �I Tc) tC M. Bldg. 0 Foundation d, Bath Extension Basement Floors e 'Ov /V Extension Ext. Walls si Interior Finish a61,%f SCIS Extension Fire Place Heat AP Porch Attic Porch Rooms 1st Floor S*ee . teway X;Z4 Iz D' Patio Rooms 2nd Floor Garage z >( Driveway - 0. B. �:I 4 4�? M. Bldg. 7 Foundation Bath Extension Basement I Floors Extension Ext. Walls L Interior Finish Extension Fire Place 4 4 Gj M. Bldg. 7 Foundation Bath Extension Basement I Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat Gj Po rch Porch Attic Rooms 1st Floor Breexewa Patio Driveway Rooms 2nd Floor Curage O. B. o M-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE A CHIMNEY REMARKS r DATE