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Home My WebLink AboutZ-19305FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19305 Date AUGUST 20. 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5496 MAIN BAYVIEW ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 37 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-19305 dated AUGUST 20, 1990 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 MICHAEL & BARBARA NORKELUN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT Buil ng Inspector Rev. 1/81 - BUILDI:'G DEPARTNEiIT T0:•!L\I OF SOUTHOLD, N. Y. HOUSIiG CODE IPISPECTION REPORT Location 5496 MAIN BAYVIEW ROAD SOUTHOLD, NEW YORK knumoer do street) Nunicipaiity) Subdivision Map No. Lots) Name of Owner(S) MICHAEL & BARBARA NORKELUR Occupancy RESIDENTIAL (ONE FAMILY) (type) owner -tenant Admitted by:MICHAEL NORKELUN Accompanied by: SAME Key available Suffolk Co. Tax No. 78-4-37 Source of request MICHAEL & BARBARA NORKELUN DWELLING: Date 8/17/90 Type of construction WOOD FRAMED #stories 1 Foundation CEMENT BLOCK Cellar FULL Crawl space 1/2 Total rooms, 1st. F1 6 2nd. F1 - - 3rd. F1 - - Bathroom(s) ONE Toilet room(s) ONE Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat OIL Warm Air HOT AIR Hotwater OIL FIRED Fireplace (s) WOODSTOVE No. Exits 2 Airconditioning NO Domestic hotwater YES Type heater HOT AIR Other ACCESSORY STRUCTURE'S • NONE Garage, type const. Storage, type const. SWir:uning pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Lc,cation DPscrintion IArt. ) Sec. NONE Remarks: BP IZ-729 CO Z-645 f ,addition; & BP 17004Z- CO Z -10364Z (Addition) Inspected by: '(ACY 1 . Date of Insp. Aug. 20, 1990 Victor Le Time start 10:00 end 10:15 0 7GS-3y %9 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY \. 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 12 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. 3. 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. 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 �. Opiated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................... :;t•w Construction........... Old Or Pre-existing Buildig.. ......... :.jcation of Property.s. q` ..� fv:� �:.. V::�s^:..l�:J:....:............................ House No. Street Hamlet ')nwer or Owners of Property.: vh ..::'.qq :�'::P: ?, �d? ; R:A;'; :.. �i ........................ County Tax Map No 1000, Section..... i Y...... Block ....... 7 ........ Lot ..... .............. Subdivision....................................Filed Map ............ Lot .............. :........ ?crmit No................Date Of Permit ................ Applicant ............................. iealth Dept. Approval..........................Underwriters Approval......................... ?tanning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $..... . 03I �.. �? ................................ . APPLICANT �av co 193 os CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: x the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at C'kM r. � Ai which is shown and designated on the Suffolk County tax map as District 1000, Section Block y Lot 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: 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: qa (print name) (signature) (print name) TOWN OF SOUTHOLD �J PROPERTY Rj RECORD CARD -)"I -, r. :7 - OWNER STREET VILLAGE DISTRICT SUB. LOT CB. misc. LAND IMP. TOTAL DATE REMARKS FORMER OWNER N E ACREAGE n, 6 IZ Y 3 "" 0 37S V WU TYPE OF BUILDING RES. SEAS. VL. FARM comm. IND. CB. misc. LAND IMP. TOTAL DATE REMARKS 7 3 o o n, 6 IZ Y 3 "" 0 ,5- 0 0 14/z- x173 -'A( - V J' b&NeG CONDVib"N' / NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Wcodland Swampland Brushic.-id Housc-OAot..,- Tctol M. Bldg. 3 / X I - Extension p X Ig --/8b Extension Extension i Breeze) Garage O. B. Foundation a 0 Basement Ext. Walls Fire Place Porch Porch Patio Driveway G /j Bath / P� R Floors 17 S I3 Interior Finish v'f? i t.f Heat Attic Rooms 1st Floor Rooms 2nd Floor w� IVV X ' - - I 0 � I a 0 Basement Ext. Walls Fire Place Porch Porch Patio Driveway G /j Bath / P� R Floors 17 S I3 Interior Finish v'f? i t.f Heat Attic Rooms 1st Floor Rooms 2nd Floor BUILDI:,tG DEPART;•IENT TO, -IN OF SOUTHOLD, N. Y. HOUSIiG CODE INSPECTION REPORT Location knumoer`& street Subdivision Name of Owner(s) '-V4 ,,(' Map No . �A . - l t (type) Admitted by:_41�"T �q�fi�,E,,� Accompanied i.p ai.i ty ) Lot(s) owner -tenant) by: Key available Suffolk Co. Tart No. Source of request Date DIrTELLING : Type of construction ,#stories_ Foundation [� ��- �Q ellar��_Crawl space Total rooms, lst. F1 2nd. Fl - 3rd. Fl- Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway - Garage Utility room --y Type Heat 64 Warm Air gyp'' �,�.Hotwater Fireplace (s) QT.J-AX No. Exits .2. Aircondition_nb._ JJ U Domestic hotwater q.3 Type heater ` .. Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool - Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Remarks: Inspected by:u� Date of Insp.j 9 D Time start /o : a) end 1 0