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Home My WebLink AboutZ-23180FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23180 Date AUGUST 24, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 820 GREAT_PECONIC BAY BOULEVARD LAUREL, NY House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 2 Lot 8 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-23180 dated AUGUST 24, 1994 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 A ONE FAMILY DWELLING WITH ACCESSORY GARAGE WITH ATTACHED SHED. The certificate is issued to BARBARA ANN LEARY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 820 GREAT PECONIC BAY BOULEVARD LAUREL, NY number S street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) BARBARA ANN LEARY OCCUPANCY OWNER type owner -tenant ADMITTED BY: BARBARA ANN LEARY ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: DEBORAH DOTY FOR BARBARA ANN LEARY DATE: 8/10/94 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 11/2 # EXITS 2 FOUNDATION CEMENT CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 3RD FLR. BATHROOM (s) 2 FULL BATHS TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PCO BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT LILCO GAS WARM AIR X HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR - WOOD FRAME STORAGE, TYPE CONST. GARDEN SHED ATTACHED TO REAR OF SWIMMING POOL GUEST, TYPE CONST. GARAGE OTHER: VIOLATIONS: CBAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION REMARKS: INSPECTED BY /i/G�i�• 3�4A SCRI ART. SEC. DATE OF INSPECTION 8/11/94 TIME START 9:30 AM END 10:00 AM Form No. 6 TOWN OF SOUTHOLD f' BUILDING DEPARTMENT 1994 TOWN HALL 765-1802 BLDG. DEPT. TOWN OFSOUTHOLD APPLICATION 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-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 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,it 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, Commercial $15.00 Date .. Au&ust 101 199? .................... . New Construction....... ... Old Or Pre-existing Building.,yes . Location of Property.., 820 Peconic Bay Boulevard, Laurel, NY House No. Street Hamlet Onwer or Owners of Property.... , ,Barbara Ann Leary ( telephone # 298-9471) County Tax Map No 1000, Section ....... 14,5r....Block..2 ,,,,,,,,,,,,Lot.. 8 .................. 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: 83 o n APPLICANT Deborah Doty, attorney Y k E LP661, Ow I -Ift - Crt k E LP661, Ow I .a t AND #2 OF 'EMAP OF DUDLEY PARK" 2 LAUREL Ml g SCALE- 1" = 40' BANK SECURITYOTITLEI ASND GUARANTY CO. MAY 26, 1964 . �.I LIAM A-SEIBERT- JR. AND #2 OF 'EMAP OF DUDLEY PARK" 2 LAUREL TOWN OF SOUTHOLD SUFE. CO., N.Y. GUARANTEED TO: SCALE- 1" = 40' BANK SECURITYOTITLEI ASND GUARANTY CO. MAY 26, 1964 /� +qyv OCT. 16, 1967 �c't�fv//- PROFESS ENG ER AND $o oT 15111" spy 'f e rtov P 33 y j� d -.r N i . y t w O rad' 4) , 0. . �.I LIAM A-SEIBERT- JR. AND #2 OF 'EMAP OF DUDLEY PARK" LAUREL TOWN OF SOUTHOLD SUFE. CO., N.Y. GUARANTEED TO: SCALE- 1" = 40' BANK SECURITYOTITLEI ASND GUARANTY CO. MAY 26, 1964 /� +qyv OCT. 16, 1967 �c't�fv//- PROFESS ENG ER AND LAND SURVEYOR, N.Y.S. LIC. NO. 12845 spy O rad' 4) , 0. r� BLDG. DEPT. TOWN OF SOUTHOLD Owner(s) Name do(es) herebv state: CONSENT TO INSPECTION I the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section iiA&Block 2 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 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: 4,, --9 -I �(sigcrna�ture) (print name) signature (print name) BUILDING DEPARP ENT TOWN OF SOUT11OLD HOUSING CODE INSPECTION REPORT LOCATION: bo d�,—L number S st SUBDIVISION NAME OF OWNER (s) W. MAP NO. municipality LOT (s) OCCUPANCY (type) (owner-tcnant) ADMITTED BY:. i! �ggeA &,j L'Adi ACCOMPANIED By: KEY AVAILABLE 4 r y rot SUFF . CO. TAX MAP NO. Jas-- SOUr,ZZ OF REQUEST: DATE DWELLING: TYPE OF CONSTRUCTION �VQ4M1 # STORIES/ # ESITS FOUNDATION E„Jj CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. _ _ 2ND FLR. 3RD FLR. BATHROOM (s) t'ct(' �AT}}S ' TOILET ROOM (s) UTILITY ROOM PORCH TYPE �� /=n1C�c�S� [� DECK, TYPE PATIO, TYPE . BREEZEWAY FIREPLACE cn1f` GARAGE DOMESTIC 11OT14ATER f TYPE HEATER_ X�;WS AIRCONDITIONING_ TYPE HEAT S WARM AIR HOT14ATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST..�cdq,�- cJ�j� �,�,g,Mr STORAGE, TYPE CONST. A7 Ar�c*if-�J SWI141ING POOL GUEST, . TYPE CONST. 6;�,rreG OTIIER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START _� END TOWN OF SOUTHOLD PROPERTY RECORD CARDZ- OWNE STREET VILLAGE DIST. SUB. LOT /Mr y3 E //I ACR Ac'uL FORMER OWNER //'�- �,, 71L - o •-i N S W TYPE OF BUILDING S d SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z 1/4 O O D 3 f 0-0 , '001 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE -� FARM Acre Value Per Acre Value o^ % 3:00 Z Tillable 1 Tillable 2 killable 3 a. Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH ?,G BULKHEAD Total DOCK 10 - .,� I "1.1 1 11 L� �✓ LT