HomeMy WebLinkAboutZ-19747No Z-19747
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
DATE: February 21, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1780 GREAT PECONIC BAY BLVD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 145 Block 4 Lot 2.1
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19747 dated FEBRUARY 21, 1991
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 *
The certificate is issued to MARIE E. NERSOYAN
(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.
.�s2fci
Building Inspector
Rev. 1/81
BUIL .1.G DEPART: L IT
T0:1111 OF SOUTHOLD, N. Y.
HOUSI77G CODE INSPECTION REPORT
Location 1780 GREAT PECONIC BAY BLVD. LAUREL, N.Y.
knumoer be street) (Nunicipaiity)
Subdivision clap No. Lot(;,)
Name of Owner(s) MARIE E. NERSOYAN
Occupancy A-1
(type) owner -tenant)
Ad.-aitted by: MARION KING Accompanied by: SAME
Key available Suffolk Co. Tax No. 145-4-2.1
Source of request MARIE E. NERSOYAN Date FEB. 11, 1991
MIELLING :
Type of construction WOOD FRAME JL 1
rrstories
Foundation CEMENT BLOCK Cellar PARTIAL Crawl space
Total rooms, 1st. F1 5 2nd. F1 3rd. F1
Bathroom(s) 1 Toilet room(s) 1
Porch, type CLOSED IN PORCH Deck, type Patio' type_ SLATE
Breezeway Garage UNDER HOUSE Utility room
Type Heat LILCO GAS Warm Air FLOOR HEATER •Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater YES Type heater LILCO GAS
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
SWi.-aming poolGuest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncation Deccrintion
lArt.1
ICHAPTI
Sec.
F
E%TERIOR Exterior surfaces shall be maintained in good
___L2_42.5(E)
condition. Surfaces not inherentlyy resistant
to deterioration shall be treated with a
(protective coating of paint or other suitable
1
preserative.
Remarks:
Inspected by: �f ���. Date of Insp. FEB. 20, 1991
G J. FISH Time start 9:30 end 9:50
t wFORM OUT FFA
?,V TOWN OF SUTHOLD L3 Sl9W
Building Department p�ry "tel
Town Hall v
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted a www• to the Building Inspec-
tor wkth the following; for new buildings or new use: a lines, streets, and unusual
1. Final survey of property with accurate location of all buildings, property
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of piroperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other, pertinent informa-
tion required to prepare a certificate.
C. Fees:BUSINESS $50.00
1. Certificate of occupancy $.25.00 —
2. Certificate of occupancy on pre-existing dwelling $50-00
3. Copy of certificate of occupancy $ 5 :00, over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00 Date ...(•••••.
5.Updated C.O. $`50.00
NewConstruction...... Old orPre-existing Building .X.......... Vacant Land .............
1764 ecovic.Bax.6l�rd...i.au.eT. Nea�.lGark...................
Location of Property ... F r
Street •Hamlet
House No. ,
Marie E. Nersoyan ...................
Owner or Owners of Property . •.• •• ••••''''''''' ''''''
County Tax Map No. 1000 Section 145 , , , Block ..4 ........ .. Lot. .
Subdivision .......................... :..Filed Map No. ..........Lot No. .............
..A Applicant .................
Permit No........... Date of Permit .... pp • • ' ' ' ' '.........
Health Dept. Approval .................
..............:.Labor Dept. Approval ....................... .
Underwriters Approval .................. ..Planning Bo A rc
Request for Temporary Certificate .................. • • final Certi Ica
Fee Submitted $ .IQQ,QQ .......................
Construction on above described building and permit
Applicant .....
Rev. 10.10.78
co � ig1N1
......................
...I ...................
cod and regulations.
CONSENT
TO
INSPECTION
Marie E. Nersoyan the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
Ilio
of Southold located at Peeonic Bay Blvd., Laurel, New York
, which is shown and designated on the Suffolk
Coufity tax map as District 1000, Section 145 Block 4 Lot -4-::F 2
That the undersigned (has) (have) filed, 'or caused to be filed. an applica-
tion in -ho Southold Town Building 1nspecw. •o ofr;«4 row +ha fAllowing:
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 subs equeytt"prdsecutions for vio-
lations of the laws, ordinances, rules or regulatio4 y( th�/Ptown of Southold.
Dated: February 11, 1991
ungnatur
Marie E. Nersoyan
(print name
Gary Flanner Olsen, Esq.
(signature)
(print name)
j r a t C,. ,
FEB 1 5
x ° 1991
rc;
I'4"a L'4'—
CONC COLUMN
W 4.4'
N 0.2'
I
Z
Q
Q)
'.1 N 16, 1943
700-/45- 4-02.00/
S
0
S
N 690 1,3'E
Conc Knee tall/
LOT I
N
PECONIC BAY BLVD.
Gen %y So 02
i
It LOT 2
/ — I STORY
WOOD FRAME
RESIDENCE
I
CIRC 'L AR DRIVE /
P� I
co^✓c, OA WARE /
ARB /
CM LIL. ItA
Fd NOR 7 H / O
SL ATE
PATIO
End 2 roil'
End Fence 2 Rot/ fe. Gen j _ fence N 0.3' F/O LOT 3
20 w/o line Line y on
t N TEED TO
/,:M T � HELEN H CHILDS
i AMERICAN TITLE INSURANCE CO
,n /v OF SOUTHOL D
45'40Tly
N/F JOHNSON
SURVEY OF
LOTS 1,2, � P/0,3
r'"X I'4CO"
NC COLUMN
N
at KNE
509'44'-
23.97
PK NAIL FA
MAP OF PROPERTY OF ELIZABETH MESROBIAN
AND FOREST HILLS IMPROVEMENT CO., INC.
SITUATE
LAUREL., TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y
SURVEYED FOR: WILLIAM T. � HELEN H. CH/LDS
n
� N
3
n 'Q
and
O
�
institution.
A
......_.
,_.;.k to
owners
O
235= a
cl; u .
_„ : , .....,..,_,1
,mal shall
:,a .._ ._.:,
._:_.. ._
0
\
2.90
iW
i2 h
N
at KNE
509'44'-
23.97
PK NAIL FA
MAP OF PROPERTY OF ELIZABETH MESROBIAN
AND FOREST HILLS IMPROVEMENT CO., INC.
SITUATE
LAUREL., TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y
SURVEYED FOR: WILLIAM T. � HELEN H. CH/LDS
M
=End fence
/ S I.O'±
SURVEYED 2 FEBRUARY
SCALE /" 30,
f
SURVEYED BY:
STANLEY J. ISAKSi
P.O. BOX 294
NEW SUFFOLK, N.
/i 5/6 -734 -5835
N.Y. S.
LIC.
11-P&I
"" •�� �- -:•�::ilio❑ tJ this
:. •.i cf 9IR449
and
institution.
......_.
,_.;.k to
owners
r:,a Louring
cl; u .
_„ : , .....,..,_,1
,mal shall
:,a .._ ._.:,
._:_.. ._
.... .. ,olid truo
M
=End fence
/ S I.O'±
SURVEYED 2 FEBRUARY
SCALE /" 30,
f
SURVEYED BY:
STANLEY J. ISAKSi
P.O. BOX 294
NEW SUFFOLK, N.
/i 5/6 -734 -5835
N.Y. S.
LIC.
11-P&I
"" •�� �- -:•�::ilio❑ tJ this
:. •.i cf 9IR449
BUILDI�,:G DEPART:°IE1\ T
TMJN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location-
�number
Subdivision
Name of Owner(s)
Occupancy
streeti
NYap
icipaiity
o. Lot(s)
(type)
Admitted by: Accompanied
owner -tenant)
by:'
Key available Suffolk Co. Tax No. �S�J`— �—�.
Source of request , _ Date '4// A/
DWELLING:
Type of construction #s-tories . j
Foundation �� Cellar &_t,yawl space_
Total rooms, lst. F -'6"- 2nd. F1 3rd. F1
Bathroom(s) / Toilet room(s) j
Porch, tyrpe ° Deck, type Patio, type_Q�
Breezeway =Z7 GarageU
. tility room
Type Heat Warm AirL r6.&- 4Ar�k otwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwat.er�� Type heater,
Other
ACCESSORY STRUCTURES: O -L-9—
Garage, type const.
Swimming pool
Storage, type const.
Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 4.5 N.Y. State Uniform Fire Prevention
f Rtii lAli - OA-
ation
•
Remarks:
Inspected by: JDate of Insp. � -11eh
Time start 2�z en