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Home My WebLink AboutZ-25439FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25439 Date DECEMBER 17, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 830 PINE AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 77 Block 3 Lot 15.1 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-25439 dated DECEMBER 17, 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 GARAGE The certificate is issued to MARY M. MCDAVID & ANO (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. Building Rev. 1/81 TOWN OF SOW1'II0I.1) 1101151 NG CONK INSPECTION REPORT LOCATION: 830 PINE AVENUE SOUTHOLD, N.Y. ---.-.--� -- numbe r S S1111OiVISION NAP NO. NAME or owrlrat (n) NARY M. McDAVID & ANO --- -------- ---------------- OCCUPANCY A-1 RES. OWNER _ I:ype�----------------------owner=tennnL'------------ ADM I T ED BY: LEWIS REALTY_ _ _ _ ACCOMPAN I KO BY: SAM[; KKY AVAILARI.K -- --- ---_-FUI+C.(O. 'fAX MAP NO. - 1000-77-1-15 - 1 SOURCE OF REQUEST: PAUL CAMINITI, ATTY DA'rl?: NOV. 26,_ 1997 -- — --- - -- ----------- --- -------------------- - --- -- TYPIC OF CONST1t11C'r10N WOOD FRAME / S'I'ORIP,S 2 / EXI.TS 3 FOUNOATTON CEMENT BLOCK - -- - CELLAR - --------- CRAWL SPACK - - --- TO'TAL ROOMS: IST 171.1t. 2 2ND F),Il. Jltll Pl.lt. RATURODM (n) 2 •r0 t1.ET Roots (:,) (IT 11.rrY PORC11 TYLE ENCLOSED PORCH DECK, TYPE KRIS%ZKWAY FIREPLACE ONS DOMESTIC 110TWATER YES TYPE 1111A' K11 --- -- -- TYPK HEAT OIL WARN Alit - %% ----- 0'11110t: STORAGE AREA 2ND FLOOR. LOWER LEVEL 2 ROOMS ACCESSORY STIlUCT111tES: ONE PATIO GARAGE AIRCONDITIONINC 110TWATKIt CAltAGE, '1'YPK OP CONST. _ STORAGE, 'I'YI'Ii CONST. I:WRIMING 1'001. ---- CI1KS'1', 'I'YI'h CONfi'I'. --------------------------------------------------------------------- VIOLATIONS: CIIAPTER 45 N.Y. STATE IINIFORM FIRE PItI1V1tN'1'ION 6 11111LDING CODE LOCA'TI'ON---DESCRiI''1'ION-------^-- --- - REMARKS: BP #1 ---------------- --- - 1NSPRI, I:D IlY - UATIt OF INSI'KCTION DECKER 5- 1997_- - - Y J. FISH T1tM START 11:05 AM END 11:23 AM GARAGE) ( ADDITION TO ACCESSORY CO Z-25439 ---------------- --- - 1NSPRI, I:D IlY - UATIt OF INSI'KCTION DECKER 5- 1997_- - - Y J. FISH T1tM START 11:05 AM END 11:23 AM � r Dov 2 87 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1.802 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 2. Certificate of Occupancy on Pre-existing Buildine100.00 3. Copy of Certificate of Occupancy - .251Z. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date... 2 -.Co. ...................... New Construction........... Old Or Pre-existing Building... ......... Location of Property .............. P! r`1(f ✓ \) NUE ........ .................... House No. �/ %� nStreet / Hamlet Onwer or Owners of Property.. gl!. 11 .: 'l e`':.� VIA .. :113 Ll V ( 7' MALL// ✓S County Tax Map No 1000, Section... ..�......Block....-,..........Lot..1.5...1.............. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $............................. S3 ^X65 .... ................. ;mak CC � Ix S V z 3 L I CANT GIr`/ "" s do(es) hereby state: its ame CONSENT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �/ �/E l/�I-/U �U 77?/0C-/A , which is shown and designated on the Suffolk County tax map as District 1000, Section '-77, Block 5 , Lot /,J- / . 1 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: r �/� � �.--. � L � DISE �,�//� T�->✓o s� /y /� P/�I ��/� 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 of'file ToiytK,of Southold. Dated: ( print Lname) (signature) �.qIt -- C i- C fc UJI S k) l \` (Print name) AT 7 -6 5810 '<zf 47- E AVE" 'U.V. K�v APPROVED BY PLANNING BOARD TOWN Crr 53UTHOLD DATE, -Z:i-ome 16, 1997 L Al2—=Az7!,75C5..�', E"CAC'.') mr, K'G' M E C;y, V�q- C.0 -WT 7' jI 4.0 > LL 4 S.7 2 7- 5 30 C. 275.0 41 2 0 39 15. o 38 jb �SVIQZZAL AQEA 0r 32 31 V T C) ul!> :z.Q > R '<zf 47- E AVE" 'U.V. K�v APPROVED BY PLANNING BOARD TOWN Crr 53UTHOLD DATE, -Z:i-ome 16, 1997 L Al2—=Az7!,75C5..�', E"CAC'.') mr, K'G' M E C;y, V�q- C.0 -WT f� TOWN OF SOUTHOLD PROPERTY RECORD CARD U U 0 OWNER STREET F>�<� VILLAGE DIST. SUB. LOT -- FORMER OWNER N i E i ! ACR. C 5-7 9R S W.� TYPE OF BUIL DING Y, RES. z /0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value - REMARKS LAND — IMP. TOTAL DATE 11 II/2/4 i IInPY 7�564`� T � �i�) J 1�1u .,� - 7� a—le) -Y f ✓i � �'�U � � I n 5(�°1 ��! F ��0 L V-) l ( +Z) V- ✓l i 1! J34 0 rYl fj t <) `J`-> fi0 12 V l - -- BUILDING CONDITION — _--_— ----- AGE NEW NORMAL BELOW ABOVE -- - -- Value Per Value FARM Acre Acre _ -- Tillable FRONTAGE ON WATER — Woodland FRONTAGE ON ROAD / ' S _ ; g4 ------- -------- ------ - Meadowland DEPTH House Plot — BULKHEAD — _-- Total DOCK lUtI. r!'` 3 _ TOWN OF SOUTHOLD XOPERTY RECORD CARD OWNER STREET '" VILLAGE DISTRICT SUB. LOT 2 N M CL- s a nd � *' (--t77— FORMElk OWNER N E ACREAGE S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS if/d0 _ S(o 00 /D1/�� Ya UJwltyuJ !I %/- iClKle �«JL1�� `I 417& ��rVc I�oY C�5 5 U U s/2,1/r,7 -7 11s - f ull ,-� r L'1-L�Jcl-�,_c�� ✓L! � r�llrr�-s s1� �r AGE BUILDING CONDITION BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK NEW Farm NORMAL Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total V 0 I M. Bldg. j( -'V -- �Ye Foundation Both Extension AZ Basement Ext. Walls r- ------- Floors ---- Extension Interior Finish Extension Fire Place Heat a 6 Porch Roof Type Porch Rooms I st Floor Breezeway Patio Rooms 2nd Floor GarageDriveway Dormer --37' S ----9 a 0. B. LOCATION: r SUBDIVISION NAME OF OWNER (s) OCCUPANCY 15;� l BU11.1)ING UISPA)(THU'NT TOWN OF 8OII11101.1) HOUSING COIL 1 NSPH'CT I ON I(EP0RT street:) kinuntei pa 1.0'17(s) . ,D MAP NO- BUILDING O- y type Zowner�tenant ADMI'1"1'L'D 13Y:m _ ACCOMPANIED 13Y: �+— -- KEY AVAILABLE SUFC.CO. TAX MAP NO. V7 � £�"' P / a SOURCE OF REQUEST: ,,, � I — ----- DATE: TYPE OF CONSTRUCTION �� f�,A.yerl P i STORIES i LXrrs FOUNDATION g� , CELLAR CRAWL. SPACE —; TOTAL ROOMS: IST FLR . —_2ND FLR .- - -- 3RD PI.R .— — BATHROOM (s) c19 TO r1.ET 1(OOM (s) -! — 11T H.TTY ROOM PORCH 'TYPE .,�'�;Cp.s'�o� p,P — DECK, TYPE. — PATIO - BREEZEWAY FIREPLACE GARAGE DOMESTIC 1IOTWATER TYPE HEATER — AIRCONUITIONING TYPE IILA'lWARM Alit_ — 110'/1'WATLR ` --- OTIILR: �� t Arpvicenuv wi-mid rimuc. GARAGE, TYPE OF CONST. — S'I-OI(AGE, 'TYPE CONST. SWIMMING POOH. GUEST, TYPE CONST. 0'1'I I L R : ------ ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- VTOLATIONS: CHAPTER 45 N.Y. STATE UN[FORM F'I'RE PREVENTION & BUILDING CODE LOCATION DESCRIPTION — ART. SLC - ------ -------- 131? MA R K S :.�"------- 'INSPECTED 13Y ^ DA'I'S OF -INSPECTION- I'IME START //114711-11, _— END