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HomeMy WebLinkAboutZ-23007FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCcuPANCY No Z-23007 Date MAY 23, 1994 THIS CERTIFIES that the building. ONE FAMILY DW~T.T.ING Location of Property 7250 BAYVIEW RD.& 25 PRIVATE RD. #12- SOuT~OLD~NY House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 6 Lot 8 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-23007 dated MAY 23, 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 DW~IW.ING WIT~ ACCESSORY GARAGE* The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~%SE SEE ATTAu~u INSPECTION~EPORT. DAVID & CAROLINE McCONNELL N/A N/A N/A Inspector Rev. 1/81 BHILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 7250 BAYVIEW RD. & 25 PRIVATE RI). ~12 (number & street) SUBDIVISION MAP NO. NAME OF OWNER (s) DAVID.& CAROLIN~ McCONNELL OCCUPANCY ADMITTED BY: A-I RESIDENTIAL (type) SELF SOu~uOLD, MEW YORK (municipality) LOT(s) KEY AVAILABLE SOURCE OF P~QIIg~T: DAVID McCONN~LL OWNER (owner-tenant) ACCOMPANIED BY: SELF SUFF.CO. TAX MAP NO. 1000-Y8-6-9 DATE: APRIL 20, 1994 DWELLING: TYPE OF CONSTP,~gTION FOUNDATION TOTAL ROOMS: BAT~ROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWAT~R TYPE HEAT OIL OTHER: WOOD FP. AME CENENTBLOCK CELLAR IST FLR. 4 2ND FLR. ONE FuLL BATH ToiLET ROOM (s) REAR ENCLOSED DECK, TYPE FIREPLACE ONE YES TYPE HEATER ELECTRIC WARM AIR IIX { STORIES FULL CRAWL SPACE 3RDFLR. IlTILITY ROOM PATIO GARAGE AIRCONDITIONING HOTWATER ONE { EXITS TWO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: WOOD FRAME STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CN~TER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~22063-Z-COZ-23006 FOR DECK ADDITION INSPECTED BY DATE OF INSPECTION APRIL 27, 1994 TIME START 9:30 END 9:50 MAP OF PI2OPE,rp-TV SURVEYEI) I:'OIZ $OUT~OLD I -+-' STEGAJE I~ I-zODEr?JCl4 VA.'~ . . /~ 9Y'.~-,O.. Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF SOUTHOLO 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. 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. 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 - $i00.00 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 4/20/94 Date ......................................... ew Construction ........... Old Or Pre-existing Building .... % ............ q 7~50 B~view Road, Southold NY ocation of Property? ...................................................................... House No. Street Hamlet ]wer or Owners of Property. David MC Connell and Caroline H. Mc Connell *unty Tax Map No 1000, Section...7~. ....... Block. 6 8 and 9 ,bdivision ................... · ................. Filed Map ............ Lot ...................... ~rmit No ................ Date Of Permit ................ Applicant ............................. alth Dept. Approval .......................... Underwriters Approval ......................... anning Board Approval ......... ; .............. quest for: Temporary Certificate ........... Final Certicate..~ ..... ;.. (- CONSENT TO INSPECTION BLDG. bE ' ' David MC Connell and Caroline H. Mo Connell ~, the undersigned, Steven Mg g n eiL of estat of Caro, ne H. Co ell do(es) hereby state: /,executor of the estate of Caroline Mc Connell, That the undersigned (is) ~a~a) the owner(s) of the premises in the Tovm of Southold located at 7250 Bayview Road · which is shown and designated on the Suffolk County tax map as District 1000, Section 78 , Block 6 , Lot 8 & 9. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Sou~hold Town Building Inspector's Office for the following:__ Pre-existing C/0 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 w/th 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 of the Town of Southold. Dated: 4/20/94 (signature) (print name) David Mc Connell (signature) (print name)