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Home My WebLink AboutZ-28884FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28884 THIS CERTIFIES that the building DWELLING Date: 09/26/02 Location of Property 1515 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 087 Block 0003 Lot 050 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_ 28884 dated SEPTEMBER 26, 2002 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 J ROYAL & VIRGINIA GIFFORD of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A Aizednature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1515 MINNEHAHA BLVD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): J ROYAL & VIRGINIA GIFFORD OCCUPANCY: SINGLE FAMILY J ROYAL & VIRGINIA GIFFORD ADMITTED BY: MARYANNE FEAVEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 87.-3-50 SOURCE OF REQUEST: MARYANNE FEAVEL 8/7/02 DATE: 09/26/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES• 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE. TOTAL ROOKS: IST FLR.: 6 219D FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT ENTRY COVERED DECK TYPE: BREEZEWAY: FIREPLACE: PATIO TYPE: BUICK DOMESTIC HOTWOITER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: OIL OTHER: WARM AIR: XX HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1-1/2 CAR WOOD FRAME STORAGE, TYPE CONST_: SWIMMING POOL: GUEST, TYPE CONST, OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -1 INSPECTED BY. Lu DATE ON INSPECTION: 08Z12/02 reinspected 9/20/02 GARY J M T13M START: 10:30 AM END: 11:00 AM Form No. 6 ; ` n pr. n ` , TOWN OF SOUTHOLD BUILDING DEPARTMENT _ Z6,12. TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. A properly completed application and 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 �f Date.------��/ New Construction: Location of Property: House No. Owner or Owners of Property: or Pre-existing Building: Street MrAgWiM,1118 Suffolk County Tax Map No 1000, Section 7 Block _ Subdivision 9j��/�� j %f ( Filed Map, Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ 6k G2y 9 y Underwriters Approval: (check one) Hamlet Lot Lot: Final Certificate: (check one) Applicant Signature CONSENT TO INSPECTION �ST/�T� o� � �Gy�91-• �»=��iP � ^' Owncr(s) Names) the undersigned, do(es) hereby state: That the undersigned (is) (are the owner(s) of the premises in the Town of Southold located at l l P � _/ ., i i, , which is shown and designated on the Suffolk County tax map as District loon, Section Block • Lot u That the undersigned (has) (have) filed. 'or caused to be filed, an ap - tion in'th Southold Town L'uiicting lnspc:c,,,,orrc�, ra. �tiA f nllnwina: 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, includind-inspections to determine that said premises comply with all of the laws, ordinances rul es and regulations of the Town of Southold. The undersiigned, in consenting to such insp¢ctions,- do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of the 14; ws, ordinances, rules or regulations of the Town of S nhold. i Dated: (signature) _ (print name) (sianalure) OPECHEE - . A . . PAS- d 3.oN EDOf � YlD00 • C , GE 8$ s+ E- VRES .: 87.50' 49 DEED) 7 iav7.5 0.41. 0.91E ]VIN I� �Ac wALK UNOfR j 34.5' STORY FRAME HOUSE ��r ► 1 1 1 1 ,1�l��Islr11!e! I STORY FRAIA i6 WLDING N 201, 10.4 P N/0/F EILEEN CASTRO a/k/a EILEEN GALLAGHER—CASTRO J 148.77' SURVEY OF PROPERTY SITUATED AT LAUGHING WATERS TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-87-03-50 SCALE 1"=20' JUNE 7, 2002 AREA = 14,965.97 sq. ft. 0.343 ac. .b o a� CERTIFIED T0: SCOTT GIFFORD 0 1 ! ! O o0 ^R TITLE ASSOCULIIOt .��F N6 UNATHORQED ALTERATION OR ADDITION po 12.4' :. 0 Land EDUCATION LAW. . COPIES OF THIS SURVEY MAP NOT BEARING o THE LAND SURVEYOR'S INKED SEAL OR ❑2 N o ' is q TO BE A VAUD TRUE COPY. ° 1 CERTIFICATIONS INDICATED HEREON SWILL RUN Title Surveys — Subdivisions — Site Plans — Construction Layout o • IS PREPARED, AND ON HIS BEHALF TO THE C31 o TIRE COMPANY, GOVERN104TAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND OFFICES LOCATED AT TO THE ASSIGNEES OF THE LENDING INSTI- °o TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. P.O. Box 1931 Riverhead, New York 11901 Riverhead, New York 11901-0965 0 ca •0 FENCE O 0.5'N, O.L. E/W *000 RAN. FENCE E 0.1'N S 87'38'30" W I� �Ac wALK UNOfR j 34.5' STORY FRAME HOUSE ��r ► 1 1 1 1 ,1�l��Islr11!e! I STORY FRAIA i6 WLDING N 201, 10.4 P N/0/F EILEEN CASTRO a/k/a EILEEN GALLAGHER—CASTRO J 148.77' SURVEY OF PROPERTY SITUATED AT LAUGHING WATERS TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-87-03-50 SCALE 1"=20' JUNE 7, 2002 AREA = 14,965.97 sq. ft. 0.343 ac. .b o a� CERTIFIED T0: SCOTT GIFFORD 0 1 ! STANDARDS' AS �"�'° BY THE LI-A.L.S. AND APPROVED AND FOR SUCH USE BY 71d1B*,.� ST LAND O A. ingegno TITLE ASSOCULIIOt .��F N6 UNATHORQED ALTERATION OR ADDITION �I (jl TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Land EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING FENCE 0.1'N, 1.1'E THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED q TO BE A VAUD TRUE COPY. 11XX55 CERTIFICATIONS INDICATED HEREON SWILL RUN Title Surveys — Subdivisions — Site Plans — Construction Layout ONLY TO THE PERSON FOR WHOM THE SURVEY PHONE (631)727-2090 IS PREPARED, AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERN104TAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND OFFICES LOCATED AT TO THE ASSIGNEES OF THE LENDING INSTI- N.Y.S. Lic. No. 49668 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACGQiDANOE WII11 THE MRJMIRA STANDARDS' AS �"�'° BY THE LI-A.L.S. AND APPROVED AND FOR SUCH USE BY 71d1B*,.� ST LAND Joseph A. ingegno TITLE ASSOCULIIOt .��F N6 �" �iN w ® Land Surveyor 0 . Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 49668 1360 Roanoke Avenue P.O. Box 1931 Riverhead, New York 11901 Riverhead, New York 11901-0965 LOCATION: l t7 ` � H1.1,, (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT($): (type) (owner -tenant) ADMITTED BY: ACCOMPANIED BY: _�- KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: th=L, # EXITS: 3 FOUNDATION: G A CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: *—' 3RD FLR: BATHROOM(S): OILET ROOM(S): UTILITY ROOM: PORCH TYPE: ECK, TYPE: PATIO, TYPE: BREEZEWAY: REPLACE: - GARAGE: DOMESTIC HOTW TER: NQS TYPE HEATER: AIRCONDITIONING: TYPE HEAT:. ! WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: / Of / GARAGE, TYPE OF CONST.: ( S •RAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: LA4 DATE ON INSPECTION: TIME START: END:.