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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 rw -:i �N:.i'�:�''. L�Y!+�P��.. {�7.'b'`:.✓..�• .:,� COSI �• �..+•+•a{�a '• ooHovr v[r16C� R -w..r. �• rt -r..:.: C:.,:�2�L..........'q.Y VII vsEO L4NO sl/4✓[YOR C vo n.I JS'A.I Y ' r AREA - 44, 622 50 Fr OR 1.0244 ACRES /e ✓:. A. e ! r1 // 4 t 1•' u � p O \ 5 � i Q V� CFR /IFIfO rL+ THE wogr6A6E C[NrER INC. 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