HomeMy WebLinkAboutZ-22111' 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-22111 Date JANUARY 15, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 4030 PECONIC BAY BLVD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000.Section 128 Block 6 Lot 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-22111 dated JANUARY 15, 1993
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 -TWO CAR GARAGE.
The certificate is issued to LEON MUNIER, JR.
(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.
uilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4030 Peconic Bay Blvd. Laurel, N.Y.
number & street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) LEON MUNIER, JR.
OCCUPANCY A-] Res.
ADMITTED BY: Leon Munier
KEY AVAILABLE
SOURCE OF REQUEST:
DWELLING:
LEON MUNIER, JR.
towner -tenant)
ACCOMPANIED BY: Leon Munier
SUFF. CO. TAX MAP NO. 128-6-1
DATE: Dec. 29, 1992
TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 1-1/2 # E%ITS 2
FOUNDATION CEMENT BLOCK CELLAR 1/4 CRAWL SPACE
TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) 1 UTILITY ROOM
PORCH TYPE DECK, TYPE WOOD ON WATER PATIO, TYPE
BREEZEWAY TYPE HEAT ELECTRIC GARAGE
DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING
OTHER: 2 LARGE WALK IN CLOSETS ON 2ND FLOOR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 2 CAR WOOD FRAME
SWIMMING POOL
OTHER: BEACH SHACK & DECK
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
3/4
REMARKS: BP #1216 CO Z-1369 (Add) BP #7437Z -CO Z-6156 (Deck Add.)
INSPECTED BY:
�f Z� DATE ON INSPECTION Jan. 14, 1993
Gary .i�is
TIME START 9:20 AM END 9:55 AM
CO'Nsr- :T
TO
I,N-1-�CC,FIOiv
Leon L. Munier, Jr. the
Utvnerls) Nam(:(;;)
do(es) hereby state:
That the undersigned (is) (arc) the owner(,;) of talc premise:: in the To:•m
of Southold located at 4030 Peconic Bay Blvd., Laurel
t:'lich is :;ho:.a
,n and desir;nted on the S::i;o1
County tax map as District 1000, Section 128 L'locic 6 Lot 1
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the folio —ing:
Updated Certificate of occupancy
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iticluding
any and all buildings located thereon, to conduct such inspections as they may
deem necessary lvith respect to the a.-c.esaid application, incl, din; insp^_c ;Ons
to determine that said premises coma?;.• :rith all of the lairs: ordinances, .rules
and regulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so with the
1--o-.,-ledge and understanding; that any info. -:nation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laves, ordinances, rules or regulation pf the Tonwn of Southold.
Dated: 12/29/92
(girt latu c)
,ypnn T Mn ii�r lr .
(print nanle)
( sit! 11.1tu re)
(print name)
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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:
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 - $5.00 over 5 years - $10.00
4.. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ........ Jan..13:.1993.......................
dew Construction........... Old Or Pre-existing Building..... XX.. ......
Location of Property....4030 PECONIC BAY BLVD. LAUREL, N.Y.
.....................................................................
House No. Street Hamlet
)nwer or Owners of Property....... LEON L. ......, JR ...... ._ .. ...
}
:ounty Tax Map No 1000, Section .....!$._.... Block .... o6 ........Lot ......................
subdivision....................................Filed Map ............ Lot ......................
'ermit No................Date Of Permit ................ Applicant ..............................
[ealth Dept. Approval ...................... ..Underwriters Approval.........................
'lanning Board Approval ........................
request for: Temporary Certificate............ Final Certicate...........
ee Submitted: $,.,100.00..................
�pLeon L. Munier
v� ,y y o . ...............APPLICANT........................
'ne Cam Q)){
SURVEY FOR
L EON L. MUVIER, LIR
Ar LAUREL
TOWN OF SGUrNOLO
SUFFOLK CGUNrY, NY
suF,r. to rax No. 1000-IZO.06.01
SCALE: / % 40
NOV.. /J, 1984
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