HomeMy WebLinkAboutZ-23211No Z-23211
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
Date SEPTEMBER 14, 1994
THIS CERTIFIES that the building MULTIPLE DWELLINGS
Location of Property 355 CAROL ROAD SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 52 Block 2 Lot 7.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for multiple dwellings built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23211 dated SEPTEMBER 14, 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 MULTIPLE HOTEL UNITS *
The certificate is issued to CAWLEYS SOUTHOLD BEACH MOTEL, INC
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS 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: 355 CAROL ROAD SOUTHOLD, NEW YORK
number S street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) CAWLEYS SOUTHOLD BEACH MOTEL, INC.
OCCUPANCY B-2
type owner -tenant
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-52-2-7.3
SOURCE OF REQUEST: RENE S. EVANS DATE: 6/9/94
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS FOUR
FOUNDATION CEMENT SLAB CELLAR NONE CRAWL SPACE
TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FLR.
BATHROOM (s) 4 TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO YES
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING NO
TYPE HEAT ELECTRIC WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS: BP 122154-Z - CO Z-23213 ACCP STORAGE SHEDS
INSPECTED BY DATE OF INSPECTION JUNE 13, 1995
GARY
H TIME START 10:10 END 11:10
Form No. 6
jW . 9 Oma' mA TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
t 765-1802
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 17 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $/1.5.00, Commercial $15.00
Date .......�.� y/..f.��........................
New Construction ...........
p Oldr,Or Pre-existing Building.. ..�[..........
Location of Property. �1.f1 F-.Qii, fj, .... .�. i...... �O uThc ' y .
House No. Street N / Hamlet
Onwer or Owners of Property..... fiV.D.1... E E V 4 k) 5
................
County Tax Map No 1000, Section. Q51P.......Block....s2:.........Lot.....L.J ............
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: $.............................
cZ�R.�f gY3b...........................
APPLICANTAPPLICANT
SNE S. C%lAu
Owner(s) Name
do(es) hereby state:
CONSENT
TO
INSPECTION
L_ C-bA-) A R-lP , the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at LA R- VE P–P �, 6--;-ty-Tft-0 U15
.- Ll I , which is shown and designated on the Suffolk
County tax map as District 1000, Section , Block Q_, Lot 7, .
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:
(signature)
1Z�'�1E' S. �v►�}sv5
(print name)
signature)
(print name)
MIC)OLE
A.
LEToN44zuD
121.27
27
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SLI'f-alk- Coum4t) -rcix Map Oesl5tict+ioti:
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Chicago Ti Ele Itisurarice cow�aHq
Airyevod Apr. 24, r980
200ecac-4c VAN -TzlyL , P.C.
Licensed Lcrtid Supovdxjors
New Yark
2n
No
SLI'f-alk- Coum4t) -rcix Map Oesl5tict+ioti:
0 S+-11000, 5ec+. 052, elk. 2, #/a PC 1. 1 .
GgoaratT4-sed 4o +he
Chicago Ti Ele Itisurarice cow�aHq
Airyevod Apr. 24, r980
200ecac-4c VAN -TzlyL , P.C.
Licensed Lcrtid Supovdxjors
New Yark
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3L-5-5- O-AA41" f_
number & street
municipality
SUBDIVISION -�- MAP NO. LOT(s)
NAME OF OWNER ( s ) J ,� �,�J �, ,, jr9 of Y-- A/E /'�/¢•n%S
OCCUPANCY 6-�-
(type) (
6--�2„type owner -tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST:
DATE:
DWELLING:
TYPE OF CONSTRUCTION (Ndt� D /e�9 r►'� # STORIES ekk
FOUNDATION C/,.s/7' S L�i•g CELLAR �.✓ CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE — PATIO �S
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER BA/,� TYPE HEATER , j�(XC d* 1 AIRCONDITIONING
TYPE HEAT r64C WARM AIR . HOTWATER
# EXITS
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
V-0 L.ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS:
INSPECTED BY
DATE OF INSPECTION 13
TIME START 1Q. 1Q END - . /`l
/0(1n- SL- 2-- S
TOWN OF SOUTHOLD PROPERTY IMORD CARD
OWNER
STREET,-.3,S-45,VILLAGE
VL.
DIST.1
SUB. LOT
J
IMP.
,
DATE
REMARKS
FORMER OWNER
N
E
ACR.
�.
.� L__- iNB .E- c r/r/'- y7W Y- pinn�.c r'l' !.^ rig S t�, %
pn
NAI
a I t 1 i4
.
`'�z3 SAL �4aeo.91P.4J il; ? � 7- 7e- F7 h'/'2u�J�4SG`v.4tiS
S
W
TYPE OF BUILDING
RES. 411j'
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
ino
�y,Sp47.
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�z�PL
.
`'�z3 SAL �4aeo.91P.4J il; ? � 7- 7e- F7 h'/'2u�J�4SG`v.4tiS
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
-
BULKHEAD
Total
0
AV ': i}d
TeP"�..+,t,�. � �.; -L ��•.bF•t4 s.xnan
9 1
4-
Q
Foundation
-C.
Bath
f
Extension
TRh.:
p
AV ': i}d
TeP"�..+,t,�. � �.; -L ��•.bF•t4 s.xnan
9 1
4-
Q
Foundation
-C.
Bath
Extension
TRh.:
Basement
�,/p
Floors
Extension
y�
Ext. Walls✓Qr
L
Interior Finish
OA've
Extension
Fire Place
Ne
Heat
..:
M. Bldg.
,/
cll��= /dS2
�_'
Y
Q
Foundation
-C.
Bath
Extension
Basement
�,/p
Floors
Extension
Ext. Walls✓Qr
L
Interior Finish
OA've
Extension
Fire Place
Ne
Heat
Porch
Pool
Attic
Deck
Patio
Rooms 1st Floor
3
Breezeway
Driveway
R ti��K or
Garage
0. B.