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HomeMy WebLinkAboutZ-27383FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27383 Date: 10/31/00 THIS CERTIFIES that the building DWELLING Location of Property 3050 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 087 Block 0003 Lot 041 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- 27383 dated OCTOBER 31, 2000 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 * The certificate is issued to JOHN A LENNON III (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 INSPECTION REPORT. ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3050 MINNEHAHA BLVD SOUTHOLD SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): JOHN A LENNON III OCCUPANCY: A-1 RESIDENTIAL JOHN A LENNON III ADMITTED BY: JOHN LENNON III ACCOMPANIED BY: SAME EEY AVAILABLE: SUFF. CO. TAX MAP NO.: 87.-3-41 SOURCE OF REQUEST: J. KEVIN MCLAUGHLIN 10/16/00 DATE: 10/31/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCKJ & POSTS CELLAR: CRAWL SPACE: XX TOTAL ROOKS: IST FLR.: 5 2ND FLR.: 2 3RD FLR.: 0 HATHROOK(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: SLATE BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTkTATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: GARY DATE ON INSPECTION: 10/24/00 TIME START: 9:40 AM END: 10:00 AM Form No. 6 I ; k�A_k Lo TOWN OF SOUTHOLD �s%ka) 3 �- t8 ©q BUILDING DEPARTMENT " TO[1N HALL lOfui 6, ;,,: 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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, 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• S 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. 1011(o'oO. .. New Construction..... Old Or Pre-existing Building(, (1, ••. Location of Property..'. ). � o. , f \ f\j ��).CSnc�� I�1�0 .. sb� dL CL House No. Street Hamlet Onwer or Owners of Property �,O.;ti , , �, , Y` V�o.Y� ....... .. • . • . County Tax Ma No 1000, Section.,d 8, ,,,,,Block...�3 ,,,,,,.. Lot ... �,� Subdivision.,�m:`�,:�� ,,,Filed Map.. .Lot.. .. .... ....... Permit No. ...... o ........ Date Of Permit .......... ...... Applicant ..................... ......... Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Cert'cate. Fee Submitted: $.1�\.'..................... 61\Ar, . -5 X15 3 LI 3 3 C ANT ........................ CONSENT T INSpl;CTIoN U v� ✓� � _ l�v�v�C7 � Owner(s) Name do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 3OIS-j) k which is shown and designated on the Suffolk County tax map as District 1000, Section O%r7 , Block b3 , Lot O�_, 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: Cc vLW .� _ d�4 l `a te � y �S �r�C -� SC 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 o the T vn thold. Dated: kc)k"�eUU _ '(signature) ` f� 4C8ktv`Q y ) 0 SURVEY OF PROPERTY AT LA UGHINC WAT R TOWN OF SOUMOLD SUFFOLK C UNM. NW YORK SCAB: 1 =2W �0' p'2 % OCT. 11, 2000 9Z '00 i E S -R F / N �2•A2�� J' 0� w w T Z 4 F N O �gAm ,4Z� CER tfED TOO LAAV TITLE W"ANCE CO. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON, RIG�S�1fit, ■=MONUMENT AREA 11,1 v4 S.F. • =PIPE to tie Il e Rn dsl Vii' LIC. N0, P C S, P.C. (6 31) 7 fl FAX.,(631) P 0. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y, 11971 ((O 49618 765-1797 TOWN OF SOUTHOLD PROPERTY RECORD CARD NER STREET VILLAGE DISTRICT SUB. LOT /v misc. I Est. Mkt. Value AND IMP. TOTAL MER OWNER N E ACREAGE1 '00 76 ,1�51 -,� C" "'q "y -4giYo S f- W y - 6 TYPE OF BUILDING 7/7 SEAS. VL. FARM comm. I IND. I CB. misc. I Est. Mkt. Value AND IMP. TOTAL DATE REMARKS '00 76 7/7 0--t) AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER 1yo Form Acre Value Per Acre Value FRONTAGE ON ROAD .ble 1 BULKHEAD ble 2 DOCK ble 3 ,diand -nplond hiand se Plot i. Bldg. oo Q Jension dension (tension -eezeway 3rage B. Balm,= G. F undation Both Basement Flooi -s Ext. Walls LInterior Finish Fire Place Heat Porch !Roof Type - ----- ----- Porch Rooms 1st Floor Patio Driveway 1 Rooms 2nd Floor Dormer