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)