HomeMy WebLinkAboutZ-18458No Z-18458
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
Date OCTOBER 12, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 5225 PECONIC BAY BLVD. LAUREL NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 128 Block 1 Lot 12
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-18458 dated OCTOBER 12, 1989
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 ROBERT & JEAN NORTON
(owners)
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.
uilding Inspector
Rev. 1/81
BUILDI:,:G DEPARTMENT
TOVTN OF SOUTHOLD, N. Y.
HOUS liG CODE INSPECTION REPORT
Location 5225 PECONIC BAY BLVD. LAUREL N.Y.
(number & street) (Municipaiity)
Subdivision clap No. Lot(s)
Name of Owner(s)
ROBERT & JEAN NORTON
Occupancy RES. R-40 OWNER
(type) owner -tenant
Admitted by: ROBERT NORTON Accompanied by: SAME
Key available Suffolk Co. Tax No. 128-1-12
Source of request ROBERT NORTON Date 9/28/1989
M[ELLING:
Type of construction WOOD FRAME ##stories 1�
Foundation POURED CONCRETE Cellar FULL Crawl space
Total rooms, lst. F1 4 2nd. F1 2 3rd. Fl
Bathroom(s) 2 Toilet room(s)
Porch, type covered in rear Deck, type Patio, type
Breezeway Garage CART Utility room
Type Heat OIL 'alarm Air xx Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater OIL Type heater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool
Other
Guest, type
const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Remarks:
Inspected by: 2��
FISH
Date of Insp..
Time start 1:55
9/27/1989
end 2:15
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SURVEY OF PROPERTY
AT
LAUREL
TOWN OF SOUTHOL D
SUFFOLK COUNTY, N.Y.
1000 - 128 - 01 - 12
SCALE 1"= 20'
AUG. 171 1989
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
T011N HALL
SOUTHOLD. NEW YORK
765 -- 1802
APPLICATION FOR CERTIFICATE. OF OCCUPANCY
DATE. August' 31,, 1989.
NEW CONSTRUCTION .......OLD OR PRF, -EXISTING BUILDING XX...i7ACANT LAND........
Location of Property.5225..PecoAic.Aa;.$qu,1_evaLd............Laurel......
HOUSE 90. 1STREET HAMLET
Owner or Owners of "Property. Jean No rton . . . ......... . .. .
County Tax Nap No. 1000 Section 128..00- Block O1 _00 . Lot 012.000.�
Subdivision ....................... Filed Hap ........Lot..........
Permit No. ..........Date of Permit ..........Applicant .......
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request .for Temporary Certificate ....... Final Certificate ................
Fee Submitted; 100.00..............
APPLICANT.. . .........................
Ro'i7ri Norton
Phone number for Mr. Norton 298-8630
rev. 10/14/88
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AFFIDAVIT
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
ROBERT NORTON, being duly sworn, deposes and says:
1. That Jean Norton and I are the owners of premises
located at 5225 Peconic Bay Boulevard, Laurel, New York, SCTM No.
1000-128-01-012.
2. That we have resided at the above premises since
taking title on June 27, 1972.
3. That the building on the premises is in good
condition and consists of a single family, one and a half story
frame house with attached carport.
4. Upon information and belief, the house was built in
or around May, 1956.
5. That since taking title on 6/27/72, no additions or
alterations have been made to the existing dwelling on the
premises.
Sworn to before me this
/& day of September, 1989.
ROBERT MORTON
Notary Public
41"'
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TMrvu M Kariau
Ndhry Public. State of New York
No. 4832984
oualifled in Suffolk CoumY�/��
Expires 4A&=4-88:'48
s
Term
��yY:
ROBERT MORTON
Phone. number„•.for. .Mr•, ;Norton 298-8630
CONSENT
INSPECTION;
ROBERT NORTON and JEAN NORTON, , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(a) of the premises in the Town
of Southold located at 5225 .,Peconic Bay Boulevard
Laurel, 'New York which is shown and designated on the quffolk
County tax map as District 1000, Section 128.00 Block 01.'00 , Lot 01-__2.00Q
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the followings
Certificate of Pro -Existing Use for dwelling
I
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Tdwn of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections ars they may
deem n•eeessary...withirdspect to the-aforesaid'applicatioh;- 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: August 31, 1989
2 I 1989 '3�t
P
(signature)
. l
Robert Norton
(print name)
� f ��� �. 1 s\elf �: i+. R '�� 'f -1<n. . � `•.,
* ^�_• :..�*,e*;, r•�ri';.i�:Yfrrls+iS.'??�.?!. . '.it�sr '4.' X; :rr,. f. a... .{+>:.
(signature)
(print name)
Location
-I
T0.•r,1 Or SCUT' -:OLD, it. Y.
HOUSING COD I11SFEECTION REPORT
,,Z,7S
l.:i n, Oei- « s tree z
Subdivision
Name of Owner(s)_L/ /
Occupancy] . R
i-iunicipa- 1—
P,Iap No .Lo -(s)
l type) `s�
o:�ner-Le an
hd::i41L'zd by:
Lki��44_ -Acc umpanied by:
Key available Suffolk Co. Tax No.
Source of request
Date dZ� Gy
D? EL LING. -
Type of cons ruction •�
4�stories
Foundation p
L
r Cellar-
---- ° rCrawl space
Total rooms, 1st. F1 2nd. F1--'-'
3rd. F1
Bathrooms) Toilet room(s)
Porch, type ,; Deck, type—P_
atio, type
Breezeway- Garage --
b Utility room --
Type Heat Warm Air
X Hotwater
Fireplaces) No. Exits
Airconditionir_o
ic hotwater
Domest� �Type heater
Other
ACCESSORY STRUCTURES.
Garage, type const. Storage
b type const.
SI•limming pool Guest type ype const.
VIOLATIONS- CHAPTER 45--N.Y. STATE UNIFORM FTRF PRFUr*rrTnv
Remarks:
Inspected by•115;17Date of Insp.9V.,2 �7 -
Time start 115 end a -%S
TOWN OF SOUTHOLD PitOPERTY RECORD "CARD
OWNER STREET VILLAGE ;t DISTRICT - b'B—. LOT
4—O&H �ah�:
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PLO
44,
FORMER OWNER
N -.
E
� . , _
ACREAGE
r,say,
S c
'
W.
TYPE OF BUILDING
6
f-;
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RES. 2,
SEAS.
VL.
FARM
COMM.
I IND. ''
I CB.
I MISC.
( Est. Mkt. Value
.
LAND
IMP.
TOTAL
DATE
REMARKS / D
�p
71 2
ill«.r o:6f/J�i
ADO
3 2.v v
60 d
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3
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3,f 4
3900
,2. /6 7A
AGE
BUILDING'CONDITION
: »�.
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER !yx
Farm.
Acre
Value Per Acre
_
Value
FRONTAGE ON ROAD
J� („
3�
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable, 3
f.Woodland
Swampland
Brushlond
House Plot
.�y -
,MW
1. Bldg.
DwIdation
derision j
Basementr
o / /
Floors
, - /', 'r
dension
Ext. Walls
Interior Finish
dension
Fire Place
Heat
Porch
Roof Type
Porch
Rooms I st Floor
reezeway
(�IA 17,
--- L
Patio
- -- ---- ---------
Rooms 2nd Floor
--
Dormer
arage
Driveway
B.