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Home My WebLink AboutZ-22947FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRM EXISTING ~KTIFICATE OF OCCUPANCY No Z-22947 Date APRIL 14, 1994 THIS CERTIFIES that the building. Location of Property. 6370 G~EAT PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 128 Block 2 Subdivision Filed Map No. ONE FAMILY DWELLING LAUREL, N.Y. Lot LOt No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22947 dated APRIL 14, 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 OWE FAMILY DWelLING WITH A~SSORY OWE CAR 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 ATTA~u INSPECTION REPORT. Rev. 1/81 LOIS N~GOWAN & DOR(~£~ MEANEY N/A N/A - / ~i~ ing Inspector LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOI/N OF SOUTHOLD ROUSING CODE INSPECTION REPORT 6370 GT. PECONIC BAY BLVD. LAUREL, N.Y. (n,~her & street) MAP NO. LOIS McGOWAN, & DOROTHI I~ANEY (municipality) LOT(s) OCCUPANCY A-I RES. OWNER (type) (owner-tenant) ADMI'rr~D BY: 1~. McGOWAN ACCOMPANIED BY: SAME KEY AVAILABLE SIJFF.CO. TAX MAP NO. 1000-128-2-2 SOURCE OF REQUEST: GARY FLANNER OLSEN, A'rl'l DATE: APRI. 6, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME ~ STORIES FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) I UTILITY ROOM PORCH TYPE ENCLOSED, REAR BECK, TYPE BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTHATER YES TYFE HEATER LILCO CAS AIRCONDITIONING T¥~E HEAT OIL WARM AIR HOTHATER I-1.2 ~ EXITS THO OT~ER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~MING POOL 0~I:~R: ONE CAR STORAGE, TYPE CONST. ,.GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARRS: BP {22009Z ISS~D FOR 6' PENCE AS SCREEN FOR SHOMER (NO CO REQUIRED) DATE OF INSPECTION APRIL 13, 1994 TIME START 9:30 AM END 9:50 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765- 8o2 TOWN OFSOUTHOLC 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 March 8, 1994 X New Construction ........... Old Or Pre-existing Building ................. Location of Property 6370 Great Peconic Bay Blvd. Laurel, NY ......... House No. Street Ha:~le ~ and ..................... Onwer or Owners of Property.. ~ McG0wan Dor0thy..MeaD.eY.. ' County Tax Map No 1000, Section. 128 ..... Block 2 ........ Lot .......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval. Request for: Temporary Certificate ........... Final Cerf7 ~ ..... / . .... q:F~,~t~ _ · Gary Flanner Olsen, ~., P. O. Box 706, Cu~cnog.ue. % o?' '~' : ' ' . ' , ' , [ ' -'. . · g ~ . I~ "' ' ' . . ~ .... , , ~. .. _,.,.:, .' · . ] .:.. . ,, ~ . / . . ~ ~ ~ p,,- '- ' ' / ~ ~ .~ ~ ~ / 8~ ~ ' _ o . .... . ., .'('. ' ............. .' .".1 · ~_ ~ -. :~ ~ ' ~ ..... ~.,. ' · , i'" .. ,. ' ", -;'.'; ~ "~" ,~ ~) . , , . ... .;, .0 ~,~ ~ '- . . ."~' "" ~u ,,~ ~ ~ : ~L~V~ ~0~ .,' 0 "' '~ ~ " '~.:.- .l . : :.Z. -. - ~ Wow~ o? ~OUT~OLO, N Y ~ ~ "' " ' ' .... .* ~' ' ~" ................. ,'".' :, ~"C'. ..... : . .'. ~.~ · ~ '~, ... . OAT ' X ' '":": ' ' ' - ' ' ~' ' ,.[[[I.~._~ mo¥g~*" ' -.: '.:, ~ . . .... . ,,',- , ' . ... ..... : ~,~O~.[~'~U~[~a'OtOa~r~i,~' ~' ~:" ":" ~ .-.. .. ..... ~ , ..~, ~ . ,. ,,~. , - '' ~ ~ , r. 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FINAL WHEN JOB ~ c~ ' . / ~' ~ ~ STRUCT~ ~-- ' ' ~ ~ ~- ' CONSENT TO INSPECTION Lois McGowan and Dorothy Meaney, '~ Owner(s) Name(s) do(es) hereby state: · the undersigned· That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 6370 Great Peconic Bay Blvd., Laurel, New Yo~k · which is shown and designated on the Suffolk County tax map as District 1000, Section 128 , Block 2 , Lot 2 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'~m.Southold Town Bullciing lnsp~,, .o o~.t:,o to., +h,, fnllo,ving: ,, one family dwelling (1 1/2 story with enclosed porch and detached garaga) That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property· incl.uding ..... 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~, onduct of. such inspections may be used as evidence in subsequent Bt/o_secutions for lations of the laws, ordinances, rules or regulations o~<.T.°~n of Southold. / / . / , ' (sxgnature) 6acy Flannec Olsen, as att0~ney~ (print name) (sl~-nature) (print name)