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
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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�
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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 �%
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-
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-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
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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