The URL can be used to link to this page

Home My WebLink AboutZ-25412FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25412 Date DECEMBER 12, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 46205 MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 2 Lot 16.1 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-25412 dated DECEMBER 12, 1997 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 STRUCTURES The certificate is issued to MADELINE L. & VERNON MOELIUS (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. Rev. 1/81 111111,111 NG DEVAR1111-04T TOWN OF i011•I'1101.1) IIOIIS I NG CGDE I NSIIE,GI• ION REFORT LOCATION: 46205 MAIN ROAD SOUTHOLD, N.Y. (municipallcy - ---- - number 6 aCreel: - ----- ---- - - SIIIIDIVISION NAP NO. NAME OF OWNER (a) MADELINE MOELIUS & ANO. OCCUPANCY-- SINGLE FAMILY ---- ADMITTED ISY: MADELINE MELIUS nCCDMPANII?D BY: SAME KEY AVAILAIII.T-------511pIr.CO. 'rAX MAP NO,-i�-T-------- SOURCIF OF RRQIIES'T: PAUL CAMINITI , ATTY DATE: MAY 5, 1997 DWE1,I.ING_: 'TYPE OF CONSTRUCTION WOOD FRAME _ / STORIES 2 FOUNDATION BRICK -CEMENT ------- CEIA.AR FULL---------CRAWT. SPACE — TOTAL ROOMS: IS'r FLR. 5 2ND 171.I1. 4 31ti) FI.R. IIATIIROOH (a) 2 TOILET, ROOM (a) UTILITY ROOM_ PORCH 'TYPE OPEN FRONTSSIDE ENCLOSED. BECK, TYPE. _ _ _ PA'r1.0 BREEZEWAY_ FIREPI.ACK GARAGE — DOMESTIC 110TWAT'ER YES TYPE IIEAI'Rll OFF BOILER AIRCONDITIONING TYPH IIEA'r OIL - WARM Alit ------- --- IIOTWATRR XX 0,11110t.. A rra Qcfill v c•runr•rn If Ir e. EX1TS 3 CARA(NE, 'TYPE OF CONST._3 CAR WOOD STORAGE, TYPE CONST'. WOOD BARN -POOR SHAPE SWINMING POOL GIMST, TYPE CONST. O•I'HRIU SEE BELOW (DIAGRAM ATTACHED) ----- -- - --- - -- --------------- ----- - VIOI.ATIONS: CHAPTER 45 N.Y. ST'A'TE IINIFORM FIRR PREVENTION & BUILDING CODE LOCATION DESCRIPTION ----------------------- ART, Sir(;. ---------------- WOOD STORAGE SHED # 1 h 2 - POOR SHAPE WOOD CHICKEN COOP - POOR SHAPE SHEDS 3 6 4 -OK -- ------------------------------------------------- FARM STAND h GREEN HOUSE - NO CO, BUILDING PERMIT #18234 HAS EXPIRED. REMARKS: I NSPE(;'VE'D BY OF DWELLING IN NEED OF COSMETIC WORK. NATE OF INSPECTION JUNE 3, 1997- reinspected on TIME EN START 10:45 AM 1) -Ijl p17AA" T997 TOWN OF SOUTHOLD BUILDING DEPAR=iT TOWN HALL 765-1302 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 5. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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 tae applicant. If a Certificate of OccuDancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees L. Cartificate of Occupancy - New dwelling 125.00, Additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool 525.00, Accessary building $25.00, Additions to accessory building 525.00. Businesse 2. Cartificate of Occupancy on Pre-existing 3uil ".2 - $100.00 3. Copv of Carti:icate of Occupancy 4. Updated Certificate of Occupancy - 350.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial S15.00 Date .......f ... New Construction........... Old Or Pre-existing BuilI.ng.. ,............. Location of Property ........2 .�( .. /.�� h� / A.1. � 4 /�......... . House No. Street / Hamlet Onwer or Owners of Property......a a_1�E�Litil Mdt<<V5, ��P�^� NS.. County Tax Map No 1000, Section .... 7.!�...... Block ..... .......... Lot. ..� .`. /............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. health Dent. Approval ..........................Under -writers Approval......................... Planning Board Approval ........................ Request for: Temporar-r Certificate........... Final Carticate....r'....... i Fee Submitted: 3. •... .........✓:. ... �- .. ....................... APPLIC?NT? C% 1 5�"( (� ..1 e.) -t' d-5 Y12 CONSENT TO INSPECTION �`/// D & e i of 6- L Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of t of Southold located at it 6 2,6S_ k a I lu the undersigned, premises in the Town which is shown and designated on the Suffolk County tax map as District 1000, Section, Block y Lot 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: ►Jt (f \,A( kj Da-lefte w)cl _ j Accecsci�z y 4 .4 C/e'f a /*uv S 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 ofAe Town Southold. Dated:1 - / 7` cca 0 (sWature) veil (print name) (signature) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ,��% LOCATION: 44 X05 �vti J e""r�R `"�°� number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER ( s) Wei e"W !? OCCUPANCY _J� 4A61 �ft,•t-kms ___ (eype) (owner -tenant) ADMITTED BY: ;Y�-�G�G��8/!S ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAR MAP NO. SOURCE OF REQUEST: DATE: yl� DWELLING: TYPE OF CONSTRUCTION L!/� �j�,e�� # STORIES_ �� # ERITS� FOUNDATION _k,,,�,e,,r�C �- e. Q , CELLAR,4 RAWL SPACE TOTAL ROOMS: IST FLR.15— 2ND FLR. 4/ 3RD A. BATHROOM (s) I;p_ TOILET ROOM (s) UTILITY ROOM PORCH TYPE GraseVS/,D,67 DECK, TYPE PATIO BREEZEWAY _ FIREPLACE GARAGE - DOMESTIC HOTWATER TYPE HEATER Off all' AIRCONDITIONING _ TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: "l 'GARAGE, TYPE OF CONST. 3 �Cl f � s STORAGE, TYPE CONST.i� SWIMMING POOL GUEST, TYPE CONST. -- OTHER: '-n O'? .$" VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LO TION DESCRIPTION ART. SEC. i -4 - IN i TIME START END BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: ��z C -9-s- > number & street municipality SUBDIVISION MAP NO. NAME OF OWNER (s) OCCUPANCY LOT(s) ( ty ffe ) C' f % (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE_ SUFF . CO . TAX MAP MO. /QOO -- -7--';-- Z - SOURCE OF REQUEST: 4LCC�C� DATE: DWELLING: TYPE OF CONSTRUCTIONS L , # STORIES # E%ITS FOUNDATION::]eX/ - /� CELLAR �( CRAWL SPACE TOTAL ROOMS: IST FLR. -.S 2ND FLR. _ 3RD FLR. BATHROOM (s) TOILET ROOM (s) - UTILITY ROOM PORCH TYPE 0/%Q i = ��j fZZ`tti/j. DECK, TYPE PATIO `- BREEZEWAY FIREPLACE `-'-"- GARAGE DOMESTIC HOTWATER TYPE HEATER G GJ AIRCONDITIONING TYPE HEAT Of ! WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ' 3 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED BY �® �f DATE OF INSPECTION .5-111, TIME START END f7 '. r Ae REMARKS: INSPECTED BY �® �f DATE OF INSPECTION .5-111, TIME START END f7 '. L4 �. 0 0�� 6a-ee