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HomeMy WebLinkAboutZ-23491 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23491 Date FEBRUARY 14, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 425 DIAMOND LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 68 Block 2 Lot 13.1 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-23491 dated FEBRUARY 14, 1995 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 GARAGE UNDER * The certificate is issued to ELLIOTT V. MEYER & WIFE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. • Building Inspe- or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 425 DIAMOND LANE SOUTHOLD, NEW YORK (number & street) (municipality) SUBDIVISION MAP NO. _ LOT(s) NAME OF OWNER (s) ELLIOTT V. MEYER & WIFE OCCUPANCY SINGLE FAMILY OWNER (type) (owner-tenant) ADMITTED BY: MARJORIE MEYER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-68-t-I3. 1 SOURCE OF REQUEST: PAUL CAMINITI, ATTY DATE: JAN. 25, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EXITS 2 FOUNDATION PIERS CELLAR NO CRAWL SPACE NONE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE ENCLOSED FRONT-COVERED SIDE DECK, TYPE NO PATIO NO BREEZEWAY NONE FIREPLACE ME GARAGE UNDER HOUSE (UTILITIES) DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER XX OTHER: ACCESSORY STRUCTURES: 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 ART. SEC. REMARKS: INSPECTED BY ��� �''/ DATE OF INSPECTION JAN. 30, 1995 JOHN M. BOUFIS TIME START 9:30 AM END 9:50 AM Form No. 6 TOWN OF SOUTHOLD ? �- BUILDING DEPARTMENT TOWN HALL 4 1995 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TrF 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. Businesse 4 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,A0, Commercial_ $1"5.00 Date . . . , ,JiqAJo7� (97j New Construction Old Or Pre-existing Building. . Location of Property 5 )9/44/0/0 mitk. �uT/f9� House No. �J �Street / Hamlet Onwer or Owners of Property e4A�-/ C / /VIZ County Tax Map No 1000, Section. . . / 25 Z '3, Block Lot Subdivision Filed Map Lot Permit No Date Of Permit Applicant Health Dept. Approval Underwriters Approval Planning Board Approval Request for: Temporary Certificate � Final Corticate Fee Submitted: $„� A 1-3 ��� ( 0 d 3'I 9 / APPLICANT � �—�lQ/ • ; • — --# ; - ' ' F.Y.X22....-'LI:V: i A __._ , • . % , , q • • 6., Irk = . C.V t I - 4--, c• -- - " - - •-•-- - --t- : ,°v-r-' - - ;# ..: ,- i--, I .. 1 ... 1..,. -! 1 i--"AL 1 rvil4 . 1 EL..iu.' - t N.-1 ' ..teJul2 E , -EYE . . ., . . . . -. .. . . . . . . _. . 1 ' : ",c• : ''', 4 \ • - ' - . : _ . ati&NIC. ii 93Li 714=11. yi 4'1 • -• .- - 1 ' the , 1 t . ,,• ' - - , - .., • - 1 • 41-4.°C 1+ C9 ' '.. i ' , . '• ' -......, ' '' ' e .40 t 'S ' t • , "1‘ • Snatte6,4%.'"or:is/3 kot4tetic,,,Thierichlten' .-.ci. •_...,„ .4 '4144* ) ., LaW. • ad Stoic , I • ' C(36110 My - \ i :t • . , . . -- A 0 ..."1,...~,r0.7,_ • .0 . 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' hitinn.GuM.A. _..."Walla ef the isacheilftn:•411- sr'additions. 7".ft'in not "si- 1 ‘ ormois. institutions ar nortgembie (.4 ... _ - i: __ tn , 43 . _ . !• 1 • E - .D4i..IME147.- .. , tii . - i t . , , ... . . • .,. • ' • ::,,, ., --::PE Pd —,124---•\--f.,......t2.4 i.-1120 . . 0 to 2 .0-3 t• , . __________. • . . 22,553:c;,...F. - HI. :7 •-,Pz ,-,1 . rsij - ! i / . . , • ../ ..SUM co.i TAX MAF;DATA:JCK)01/5.Z7,45.1 •••,- .1 4 ,i , .*01' . . , Y.. . i 1 • • .., . - . . ..- . _ .....•••• ••......." .'i 7.'";* 1 .. • • . .., . . . •;_.,, . 1 ..... , "-, ,._. ... f. . . „.-2 . , ! I 1/"-.. 1.,:- ..,"'"'•i r":1 -t. . ..„ , •t4 Yikt\ TLYL _ . . ._ . ... _ , „ . .. .. . • • . , _ • ..• .... J. , . , , , . . ,,. -1 , . - 1 rl i .',21"1 - . 2 . , . . „ ' - -1 ; '. ' '-''' -' ' ' ' - . . . - • 2-1 - ; '-'7i I • . ; 12 .. .1..0Is20S,je.,EIMIZE, ppispe utE, ...i.... j• - T , -. '' . -, .._0_40,1.•.1_0..S...I_NCL.,"v. FA.LX1.:)...Vts_iihig:.F-if,F.V -1,...1, : •WE'SAIPO r4Tt4.. .. • . . _ • 1 --Ca,r CPr?1.:•-r.: CFFICE.A51,1,4-.P• t4, .:1428.- - 7 " . .-- -i- ----"" . , , . • CONSENT TO INSPECTION 4 F ' a 1E_ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Q.( 0/,9046Aid / kiE , which is shown and designated on the Suffolk County tax map as District 1000, Section 66 Block Z , Lot 1.3. 1 , 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: (ONE -,40 a c v D we l f i u9 `1 �P14(EUNor,,e 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 he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or reb lat"-..s of the Town of Southold. Dated: J/4,t/071 , iggs . (sigAl, 1 Air 110 WISP 411 (print n. . ) COSI TCT (signature)aL 74 . C,444/U/i I �S (signature) MARoele 4E�/E 1 76 ! - /40 / 7�QS- 3M 4 (print name) -- - o0 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: Ve,..)3# , ° , /ebrt»,1 -0 C,, J (number & street) (municipality) SUBDIVISION �� MAP NO. LOT(s) NAME OF OWNER (s) C��GYT 4 ' ei 9'' /"; n OCCUPANCY .7,# t' ' ,►9/-7i� Q�� �� (type) (owner-tenant) ADMITTED BY: et ,/4 Ayee...._ ACCOMPANIED BY: ,,50��KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: , /0 7'Q -- 4,-,<Z4--4Ai DATE: ".2*C-- DTYPELING: STRUCTION / f C' r2sh�e # STORIES / # E%ITS FOUNDATION 4e& r CELLAR CRAWL SPACE /t dJG/lE___ TOTAL ROOMS: 1ST FLR. S 2ND FLR. 3RD FLR. BATHROOM (s) d/r/ TOILET ROOM (s) UTILITY ROOM PORCH TYPEAC�AS !>3L7I --40Y1.t4r./J/, DECK, TYPE C/a' PATIO �ffC BREEZEWAY 2•/1,14)-e.._ FIREPLACE 4/ GARAGE /#, _ 41 Z'h.eS-) DOMESTIC HOTWATER yee5 TYPE HEATER //- 3)/4 AIRCONDITIONING TYPE HEAT (r) // WARM AIR HOTWATER " I 4.J,40 ._ OTHER: ACCESSORY STRUCTURES: 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 ART. SEC. i _ 9., - _dLL. .L� . i.1it. 14°I'' 4, °.)-C.°-' .-e ‘ irire......•■.""'"1".1*.."*.....gr". REMARKS: INSPECTED BY DATE OF INSPECTION ll TIME START /3 d END