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Home My WebLink AboutZ-19851No Z-19851 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date APRIL 12, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1110 BAY AVENUE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 8 Lot 17 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-19851 dated APRIL 12, 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 WITH 2 ACCESSORY SHEDS * The certificate is issued to VICTOR NOVAK (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. uilding Inspector Rev. 1/81 BUILDI-G DEP^.RT:L& TO°lI,I OF SOUTHOLD, N. Y. HOUSI::C CODE INSPECTION REPORT Location 1110 BAY AVE. EAST MARION, N.Y. knumoer of street) k1'iunicipa1ity) Subdivision clan No. Lot() Name of Owner(s) VICTOR W. NOVAK Occupancy A-1 OWNER type owner-r-enant) Ad„iittcd by: VICTOR NOVAK Accompanied by: SAME Key available Source of request VICTOR NOVAK D'.'ELLING : Suffolk Co. Talc No. 31-8-17 Date 3/15/91 Type of construction WOOD FRAME rstories ONE Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, lst. F1 5 2nd. F1 3rd. F1 Bathroom(s) ONE FULL Toilet room(s ) Porch, type REAR ENCLOSED Deck, type Patio, type Breezeway Garage Utility room Type Heat OIL Warm Air xx Hctwater Fireplace(s) No. E:cits 2 Airccnditioning Domestic hotwater YES Type heater PROPANE Other ACCESSORY STRUCTURE'S: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const. - 2 ACCESSORY SHEDS VIOLATIO`IS : CHAPTER 45—N.Y. STATE UNIFORM FIRE PRL•'VENTION S BUILDING CODE Remarks: Inspected by: Date -of Insp. MARCH 29, 1991 GAR Flsa Time start 9=30 end10�, Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MM 2 01991 765-1802 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 '.'prey-eA6ting" 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 ...�7 �./ �... / /.......................... New Construction........... Old Or Pre-existing Building \`P-4.......... Location of Property ...% Q ............. X44 ............ Aj..R a��N ............ House No. // Street � Hamlet /� Onwer or Owners of Property. Y.�.GT!l.�:`::.�..��NUQ ...../. C.g. ...................... County Tax Map No 1000, Section.. -3/ ......... Block..F ............ Lot...................... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate..V ....... Fee Submitted: $. ��:vo '..................... Ct' - I ssS 1—PPLTCANT 9 J I .M5547 20E. CD (.0 SCALE -40 1 of It AQEA , 90 U.'MONUMENT Un4irthorLIod allaretion or addWo to this survey Is a vtolabon of Slataton 7204 of the New York OWN EOication Low. C,4AMS of this survey map rot beaft the land SUNWItic's "ad SOM W omb"sod seer shall not be oxwk*W to Lie a valid true copy. Guarantees Indicated becom Sw Am only to the person fair iolhela the sum" is Prepared, and an his behad %* the. title company, governmental sigencillr wW lending institution UUW hereon mW to the asmanams of the 1"nq Voll. wiiop. Guarantees we not Uwukr@W i,on*l instilutleog or llglealiallugM AZ) JULYI 1986 I r. J4 W-4 rUNY'L 10, 'C' LIC - LANP c.',-x�vL- yg, 15 - Gieec, -4w�.ir � iy. CONSENT TO INSPECTION ✓i ce l oI2 W , /Ua v�4d- -4.J n,q f Owner(s) Name(s) do(es) hereby state: MAR 201991 qt TC UV,4 /f the undersigned, That the undersigned fie) (are) the owner(s) of the premises in the Town of Southold located at , which is sho�;m and designated on the Suffolk County tax map as District 1000, Section 7/ , Block ?�`, Lot J_, That the undersigned (h -as) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: l CH1 e de-- 0C Cec ,47JC 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: .-F— (signature) (print name) J7 � (signature) (print name) .CFITr, 0 00 -- ;3 - �- /7 TOWN OF SOUTHOLD PROPERTY" RECORD - CARD OWNER STREET VILLAGE DIST. SUB.LOT'''!*'' v►�4d `v t 1 vY+ (• f �� FORMER OWNER N E /+ ACR. ka (,(� I S W , TYPE OF BUILDIN � s R Y \ A -aH RES. ?/6 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS { .,. 1 -Gmuecr-k 4a i- 366 so Q La9Les 4. Nfavd Ic z AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Valuez.a;sti Acre Tillable 1 i Tillable 2 fnl Tillable 3 Woodland j Swampland FRONTAGE ON WATER �x Brushland FRONTAGE ON ROAD House Plot DEPTH ` A� BULKHEAD t F Total DOCK �,. A .G NONE■■■ ■N■Er®� - a .._ NOON■■■ or, 77 BUILDI�•:G DEPART'.•LiT T071111 OF SOUTHOLD, N. Y. HOUSIidG CODE INSPECTION REPORT Location �//U knt:moer do s reef Subdivision Name of Owner(s) Occupancy n - U,iuni c ip ai i ty ) clap No. --Lot(s) (type) owner -tenant) Admitted by: Vf;A51_ /Vdv04L Accompanied Key available Suffolk Co. Tax No. .31- Source of request Date 2 i_ DWELLING: Type of construction#stories olifc2, Foundation pr Cellar /� Crawl space _ Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathroom(s) b-2,� " Toilet room(s) '— Porch, type r-e� -e-Deck, type Patio type Breezeway ,_ ge Gara � — Utility room Type Heat__a,�_darm Air Hotwater Fireplace(s) No. Exits L Airconditioning -- Domestic hotwater efl . Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type co t. a SWimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Remarks: Inspected by: Date of Insp. Time startI 0 end