HomeMy WebLinkAboutZ-23310 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-23310 Date OCTOBER 26, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 43475 MAIN ROAD PECONIC, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 75 Block 1 Lot 18.1
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-23310 dated OCTOBER 26, 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 ONE FAMILY DWELLING WITH ACCESSORY 2 CAR GARAGE, 3 STORAGE
SHEDS, PRIVY & SMOKE HOUSE *
The certificate is issued to CURT WILLIAM MEYHOEFER & ANO
(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.
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Building Insp-ctor
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 43475 MAIN ROAD PECONIC, NEW YORK
(number & street) (municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) CURT WILLIAM MEYHOEFER & ANO
OCCUPANCY SINGLE FAMILY OWNER
(type) (owner-tenant)
ADMITTED BY: CURT MEYHOEFER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-75-1-18. 1
SOURCE OF REQUEST: CURT WM. MEYHOEFER DATE: SEPT. 30, 1994
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 0 EXITS 4
FOUNDATION BRICK CELLAR 1/2 CRAWL SPACE 1/2
TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 5 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM
PORCH TYPE SIDE & FRONT COVERED DECK, TYPE REAR • PATIO
BREEZEWAY FIREPLACE NO GARAGE
DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER YES
OTHER: OUTSIDE CELLAR ENTRANCE - KITCHEN PANTRY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 2 CAR WOOD STORAGE, TYPE CONST. 3 SHEDS *
SWIMMING POOL , GUEST, TYPE CONST.
OTHER: PRIVY & SMOKE HOUSE *
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
*NOTE: ACCESSORY STRUCTURES IN NEED OF REPAIR.
•
REMARKS: 950 SQ. FT. DECK NEEDS PERMIT - HAS INSUFFICIENT SIDE YARD SETBACK.
ON REQUIRED BY THE ZONING BOARD OF APPEALS.
INSPECTED BY L� '3 /. : / 0 DATE OF INSPECTION OCT. 7, 1994
IOHN M. BOUFIS TIME START 9:45 END 10: 15
_. - -
Form No. 6
TOWN OF SOUTHOLD
�l BUILDING DEPARTMENT
( Lc TOWN HALL
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 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:
-I. '" 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.
Certificate of Occupancy on Pre-existing Buildin¢ - $100.00
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 : .1 . .
. . . . . . . . . .
New Construction ,,LL5' ��,Old Or Pre-existing Building. . . .
Location of Property.?.3, 6-5/7l.�/'►� ofd y �cQ /�
House No. Street Hamlet
Onwer or Owners of Propertyl,.[!No2T f y O6/E%e—
County Tax Map No 1000, Section 7✓ Block l Lot '/-
Subdivision •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: $ OD. d 0
Qtf�i:'Q0�. 0(3310 APPLICt 1t
•
•
CONSENT
TO
INSPECTION
ar AVkelE/e_. . the undersigned,
Owner(s) Namc (s) •
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at '3 $175 /7/A-lid Rol
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 75 , Block / , Lot R,/ ,
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 he used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
•
Dated: --S-12-idTho /99// / 41 no
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ma a _ 7s... , TOWN OF SOUTHOLD PROPERTY - RECORD CARD' d.
OWNER STREET LI _t -7 s VILLAGE DIST. SUB. LOT
nne /2ecv N t c. 7
k�P 1 �11, /'/ y ,(�o� �e�A/✓n / "lam�i/1 � . ,
FORMER OWNER N E _
ACR../ _.
C-c A�ew�/c7- C , c 4i ,Ar/a-r.4_tIaTzLr+ •JOO
S W ,. TYPE OF BUILDING
o AP- - ;-r f%l "Ds Kt ' M wl r Al IL o g r, A, e t 7A ha 1-1"
RES. /0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value '
LAND IMP. TOTAL DATE REMARKS
6 10 --i 0 S7:5 ,.) '',////70 31°141 - o 3 c4 r. T Si *:,i'A h S I /////] /L
i
8 0 0 ,3 8' o 6 y G o 0 /oh /7,_ 3211177 ,(:),4”!,% .8i;o 6 t).' p`3 3 p9 GT. 80nee's-ki-rf• C I. Alp y 4 0 e.rc•k•4 Awo
Po o .39'6'"O Sia-- //- 9-,17 v
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per I Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD / 6P
'o
Meadowland DEPTH
17g
HouserPlo!-•s BULKHEAD
Total - DOCK )/ 2 3 tl
•
N Ate/\ -i•-•4,-"•;%':;'-•
3., �'
I. • , - V.
aw
p1
. 'COLOR A/A 'y" TRIM c-✓ Al77E-
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Y YO
_ >,, -
..w _ 1 i i--1 1 /37'y ./ <
A - •
MI pi
- _ - t II iii �'II F, � , �` _
.7"
. AE's "� '
, " zl
M. Bldg. ,2/ X 4 6,. ...; SyG 7 // �,�
a
Extension 7 K 3 .2 _ S 4/1S 5
� /09 0 570 U I s-o -7_.(.., _ = _
Extension r
/ > ' o 36 0 I I- _
Extensions K / 3 - 6,5-
.2.4 S 3 q,�--
Foundation �� /� Both .. Dinette
Parch „s---x - �''o Basement' Floors K.
Porch 5- x / LR.: G-5- Ext. Walls giun7� 1r/N6`Interior Finish LR.
Gfir; I- 1-. Le 1--,'
19,
f. ,0 , 20 : o 5 G o
u Fire Place /V d Heat _ a DR.
Breefw Ili! 12" �"
Garage 1- cLType Roof Rooms 1st Floor BR.
H -, A'> r•
/o
Patio �' r' ecreation Room Rooms 2nd Floor FIN. B
O. B. rmer Driveway
Total •
44,(ir ,
ir.-0-11- '10 47
•
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: /.35".°17:3-- def/000, £ .4� ]z, i _..(number & street) (municipalit
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) 47p Q e f t 61({/4„74
OCCUPANCY 0-./ .4/7 (dP f?"-7tfrr ) ` r C ..
,t (t e) ( y (owner-tenant)
ADMITTED BY: Cf.44. L./ /i'/Qt,I//6•Q 'f'#/L.- ACCOMPANIED BY: 5,71-'442-
KEY AVAILABLE SUFF.CO. TAX MAP NO. /pp XJ -- /, /
SOURCE OF REQUEST: el.//4- 1, 4 /4e Oi2, - DATE: "/(.1•0, 1'
TWPELING: Q� C"(/�„
TYPE OF CONSTRUCTION " ''��' # STORIES 2.0- 0 E%ITS
FOUNDATION 1?, _( .I tt CELLAR �Z_-- CRAWL SPACE / ,
TOTAL ROOMS: 1ST FLR. 2ND FLR. `A45.-- 3RD FLR. --___-----
BATHROOM (s) o��. TOILET ROOM (s) .:94/-e.. UTILITY ROOD -----
PORCH TYPE S/0 E 1-'! 'C(j Q.,t ) _ DECK TYPE 6:al PATIO --
BREEZEWAY s, FIREPLACE /KO GARAGE
DOMESTIC HOTWATER Yes TYPE HEATER 61_ AIRCONDITIONING . ----
TYPE HEAT
// 01 /� WARM AIR �/ / HOTWATER
�j VeS ."-
OTHER: 6,�"T' /f,1c- tele", CE - 1--j 7'' •t;2-- ... i /0, ?', ,...-
ACCESSORY STRUCTURES:
CA �v Q _,.
GARAGE, TYPE OF CST. STORAGE, TYPE CONST. � � da--t`""'�'°'0 •...
ON
SWIMMING POOL , GUEST, TYPE CONST.
OTHER: 'r. ..,,, py-; 40 ke 10,4t4,414e.._..
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
�r', /��?G
REMARKS:
INSPECTED BY DATE OF INSPECTION A0/7 9�
f
i
TIME START 70/5-- END /�� /5
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