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Home My WebLink AboutZ-23613FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23613 THIS CERTIFIES that the build Date MAY 1, 1995 ONE FAMILY DWELLING Location of Property 5740 MAIN BAYVIEW ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 41.1 Subdivision Filed Map No. 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-23613 dated MAY 1, 1995 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 ACCESSORY GARAGE * The certificate is issued to MARY BRESLIN COMERFORD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *NOTE: THIS UPDATES PRE CO Z-10377 DATED FEB. 6, 1981. 1ete A�4 uil ing Inspector Rev. 1/81 7j, Form 11u. 6 '1OWN OF SOlfl'IIOLD BUILDING DEPARTMENT TOWN HALL 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: I. 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 electric S installation from Board of Fire Underwriters. 4. Sworn statement from'plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial buildin , industrial building, multiple residences and similar buildings and installations - S 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 "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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiimning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 -�G ly l /U TAY !nRDate .. ►7G� .J,.l•..(I. ..................... New Construction........... Old Or Pre-existing � Building .. �. .......... Location of Property....Li.(...I.,.IQ��..U.1.I✓+�1Lf..../f-f1�..........:��i�l �..... house Norr.��//��'' vStreet 1 hamlet Onwer or Owners f Property...'.'.... '.... %i...l(,yrv) OJ ....................... County Tar. Map No 1000, Section.... P.......Block......q.........Lot......'?�:.L.......... Subdivision....................................Filed Map ............ Lot /...................... Permit No................Date Of Permit ................ Applicant ... CQ C��u f. J ...... .Health Dept. Approval..........................Underwriters Approval......................... :Tanning Board Approval .................. p • G-hCc PL^ -lc? request for: Temporary Certificate........... Final Certicate.....4.... //n% ee Subm/ fitted: $..................... ...............l�X_(eN ... �ac&� c��3613 vlk j .:. -7 . _ ��, 'TOWN OF SOUTHOLD PROPERTY. RECO1(6 CARD OWNER STREET VILLAGE DIST. SUB. LOT K FORM& OWNER a4►t0 N ��ff// E n e ACR. _ TUU �Cjaoud� ✓/dWf4 S46 � �. 14 W. TYPE OF BUILDING ZES. SEAS. ^ -' VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS J S O`D / 68 /�'�/ S ,!T 16-0011C, a� 9'013eg ii J4A,PL✓ec�J6eMJe m•,/u//,d�o•rfA�rO-,e- T/'%�ES'Res(� ��I�Sa_�b�c�YiaYc�CFHo o-� • v 2, 3 z � y AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 'illable 3 Voodland swampland FRONTAGE ON WATER 1rushland FRONTAGE ON ROAD Ja lop6 louse Plot DEPTH BULKHEAD 'otal DOCK N COLOR TRIM M. Bldg. Foundation Bath Dinette Extension Basement Floors K. Extension Ext. Walls Interior Finish LR. Extension Fire Place Heat DR. Type Roof Rooms 1st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage Patio O. B. Total • ~ : • TOWN OF OUTHOLDNOOERTY RECORD -CARD r 5 OWNER STREET VILLAGE + DISTRICT SUB. LOT FORMER OWNER N E ACREAGE W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. (�� /'t r ccc LAND IMP. /Zoo.15-00 TOTAL DATE REMARKS av A,,o �m�d Z yoU •3 ado �� 6 � ' 1200 v as / 2Go 17-00 Z 7 O G iT 3 0 ov 38o 0 5'00 �E a'�`�� L IN CON I G.�• NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable, 3 Wcodland Swampland Brushland —"ON House Plot i Tcta 6 if ■■N■NN■■■NOON ■ ■i11■ ■.■■N■■.■■N �,. f ,X',"' :. � - ■■■.■■■ ®►®ZI®r®I N■N■■N.N■N■ "s f c Bath ■■ ■ N■fr::No ■■NNE i OL!ri' ■■■■ Extension No ;N 9 ■ a■ r■■■m Basement wU ■■E U Extension fee ■NN��'!.■N. ■.■ Ext. Walls 1�■!� ■N a O.■INN■.■■■■■�INlI■■■ 6ewt^-ems Extension mac---, �awrONONN■■C ■ ...■�.1 a2 �'� NIl1.■1.NO ■■I ■ ■ ■1 ....■.--- Heait )-2 /e c ��, t�. 'Attic ■ ■ M. Bldg. �,. f ,X',"' :. � - Foundation "s f c Bath Extension `'t '� "� .2. v Basement wU Floors U Extension fee Ext. Walls j') Interior Finish 6ewt^-ems Extension ------------------- D a2 �'� 7 Fire Place / Heait )-2 /e c t�. 'Attic Porch -- Porch Rooms 1st Floor Breezeway Patio Driveway Rooms 2nd Floor - -Garage ii�� O. B.