HomeMy WebLinkAboutZ-23451FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23451 Date JANUARY 17, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 280 SUNSET PATH SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block
Subdivision
Filed Map No
1 Lot 18
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-23451 dated JANUARY 17
995
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 SEASONAL DWELLING
The certificate is issued to THOMAS & MARYANN NEAFSEY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECT
Rev. 1/81
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION• 280 Sunset Path Southold, New York
number h street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) THOMAS J. NEAFSEY & ORS.
OCCUPANCY SEASONAL SINGLE FAMILY
type owner -tenant
ADMITTED BY: MARION RING ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 10 - - -
SOURCE OF REQUEST: MARION KING
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT BLOCK
TOTAL ROOMS: IST FLR. 3
CELLAR
2ND FLR.
PART.
3RD FLR.
DATE: JAN. 11, 1995
_# STORIES 1
CRAWL SPACE PART
I EXITS 2
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM BASEMENT
PORCH TYPE FRONT COVERED SCREEN DECK, TYPE SIDE ENTRANCE pATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER ELECTRIC TYPE HEATER ELECTRIC AIRCONDITIONING _
TYPE HEAT WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSPECTED BY
DATE OF INSPECTION
TIME START 8:45
JAN. 17, 1995
AM END 9:10 AM
Form No. 6
1
TOWN, OF SOUTHOLD
BUILDING DEPARTMENT
TOWN, HALL
765-1802.
APPLICATION FOR CERTIFICATE OF OCCUPAN ��C ✓,
A. This application must be filled in b t tP00�� c9S
inspector with the Y building
OP, ink and sub { d to the building
following: for new building or new use:
1. Final survey of property with accurate location of all buildirt�
streets, and unusual natural or to o s, property lines,
2• Final Approval from Health Dept. p graphic features. ,
3• A royal p Of water supply and sewerage-disposal(S-9 form),
4. Sworn statement electrical
om installationumber from Board of Fire Underwriters.
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
it
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 1
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....
New Construction...,.,,,,,. Old Or Pre-existing Building ,J. , t/:
Location of Property ... s��, ??.... $cvc�.�El....J.!�,?fi•
House No. ............. J�4K 7 /?IC4 0. _
Ir Street Hamlet
Onwer or Owners of Property. t?A� . ti.l�... �(�� en &% % M h� y�
County Tax Map No 1000 ••.••�•�
Section... ..
,,,.,,Block.. � .
. ..........Lot.....
Subdivision..........
....................Filed Map ............ Lot ......................
Permit No................Date Of Permit.
...............Applicant......
Health Dept. Approval............. ..........•............
......••••..Underwriters Approval.....
Planning Board Approval ........................ ..•.•..•••
Request for: Temporary Certificate.......
•••. Final Corticate......
Fee Submitted: $../,D a:.v .................
........ ......
APPLIcnN
e co2-x3�s/ -
CONSENT
TO
INSPECTION
THOMAS NEAFSSY the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
Of Southold located at 31x55 MAIN linen r NY 11935
>�c�es[1$
which is shown and designated on the Suffolk
County tax map as District 1000, Section 54 , Block 1 , Lot 18
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:
PRS -CO FOR THOMAS NEAFSEY
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 the Town of Southold.
Dated: 1/11X95 _ MARION RING
(signature)
MARION RING
(print name)
(signature)
print name
MAP OF LAND
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AND
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LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING S -.PDE INSPECTION REPORT
ber & street) (municipalityT
MAP NO. LOT(s)
*k
(type) (o-dner-tenant)
e -
ADMITTED BY:. ACCOMPANIED BY: SXPWI��—
KEY AVAILABLE SUFF.CO. TAX MAP NO. JZ
SOURCE OF REQUEST:. DATE:
DWELLING:
TYPE OF CONSTRUCTION tjo "a 47Aow STORIES EXITS
4e -
FOUNDATIONCELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. .2ND FLR. -- 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE BECK,TYPE PEIDE�-/, PATIO
.--2
BREEZEWAY ----- FIREPLACE GARAGE
DOMESTIC HOTWATER jaO TYPE BEATER AIRCONDITIONING
TYPE HEAT>- WARM AIR HOTWATER
.OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST:—`"`
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE "PREVENTION & BUILDING CODE
LOCATION IJESCRYPTIfl
ART.
SEC.
All.
REMARKS:
INSPECTED BY DATE.OFINSPECTION
TIME START END
M-1802
BUILDING DEPT.
INSPECTION.-
[
]' FOUNDATION 1ST [ ] ROUGH .PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
C ] FRAMING [ ] FINAL
RIEMARKS':,
DATE
INSPECTOR
t