HomeMy WebLinkAboutZ-23228FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
~RTIFICATE OF OCUU~ANCY
No Z-23228
Date SEPTEMBER 16, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property. 1230 MINI~K-~HA BLVD. SOu'£~OLD, NEW YO~K
House No. Street Hamlet
County Tax Map No. 1000 Section 87 Block 2 Lot 10
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--23228 dated SE~£~MBER 16, 1994
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 DWRr~.ING WITH ACCESSORY ONE CAR GARAGE *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
RICHARD R. & DOLORES PRIETO
N/A
N/A
N/A
*PLRASE S~ ATTAC~D INSPECTIO~ 'B~u~i~l~
Rev. 1/81
LOCATION: 1230 M~NI~HAHA BLVD.
(number & street)
SUBDIVISION NAP NO.
NANE OF ONNER (s) RICHARD R. PRIETO & WIFE
BUILDING DEPARTNENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SOUTBOLD, N~/YORK
(municipality)
LOT(s)
OCCUPANCY SINGLE FAMILY DWELLING
(type) (owner-tenant)
ADMI'I-r~O BY: RICHARD PRIETO ACCOMPANIE~ BY: SAME
KEY AVAILABLE SUFF.CO. 'tAX MAP NO. 1000-87-2-10
SOURCE OF REQUEST: RICHARD & DOLORES PRIETO DATE:AUG. 15, 1994
DWELLING:
TYPE OF CONSTRUCTION CONCRETE BLOCK ~ STORIES I ~ EXITS
FOUNDATION CONCRETE BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL
TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM NONE .
PORCH TYPE FRONT & SIDE COVERED BECK, TYPE NONE ' ' PATIO NONE
BREEZEWAY NONE FIREPLACE NO GARAGE NO
DOMESTIC HOTWATER YES TYPE HEATER OIL FIRED AIRCONDITIONING
TYPE MEAT OIL WAILMAIR YES HOTWATER
OTHER: REAR EXIT-ATTACHED OUTSIDE SHOWER STALL & CEIJ.AREXIT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. I CAR WOOD FRAME STORAGE, TYPE CONST. METAL-
SWIMMING POOL , GUEST, TYPE CONST.
OTHER: SCREENED PORCH ATTAutflfO TO GARAGE.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORNFIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
RENARKS: BP ~z~
INSPECTED BY i
184Z-C0 Z-7570 - ACCY BLDG. WII~ ADDITION
.C'./~..d/~DATE OF INSPECTION
SEPT. 12, 1994
10:00 END 10:30
TIME
START
DHN M. BOUFIS
Form No. 6
ToWN OF SOUTIIOLD
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:
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 f~om 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 an~ 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 requiraments.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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'~ 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
i. 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
August 15 1994
Date .... ~ .......... '
;ew Construction.. Old Or Pre-existing Building X :
.ocation of Property2 ........ Mi,,ehaha Boulevard S0utbold
House No. Street IIamlet
Richard R. Prieto & Dolores Prieto
'nwer or Owners of Property ..................................................................
087 O0 0.2. 0.0 0~0, 00,0
ounty Tax Map No I000, Section ..... .' ...... Block. ' .Lot.. '
ubdiviaion .................... :' ....~ ........ Filed Map ~-. ~i ~
............ ~~-~,: .........
Approv~,~\']., , "
ermit No ................ Dat~ Of Permit ......
ealth Dept. Approval ........................
lanning Board Approval .....................
~quest for' Temporary Certificate .......
.......... Applicant ..: ....................
· .Underwriters
Final Certicate...
Submitted: $ ..... ' .......................
70.00'
SEC. TWO
2,4¢'oo" w. .,,,,~'rER~..,..
N. i --'"MA vZ~,O.
sO~~'COI'~-F''~ e~b~..~./.~',+y FILl="
MAP'
CONSE?:T
TO
RICHARD PRIETO and DOLORES PI~IETO . the
do(cs) hereby state:
That the undersigned (i~) (a~-c) thc ownc~(~) of thc pre,aisc: in thc Term
of Southold located at MINNEHAHA BOULEVARD
. which l~ ~hown and dcsiKn, nted on thc Su~l'olk
County tax map as Di~tric~ 100g. Section.087 .. ., Block~:00 . Lot. 0!~ ,,'
That the undersigned (has) (bare) filed, o~ caused ~o be filed, an applica-
tion in the Southcld Toum ~uilding Inspector,s Office for the
APPLICATION FOR CERTIFICATE 0F OCCUPANCY F~.
PREEXISTING RUI~ D~NG
That tho unders~ned do(es) hereby give consent to tile BulldOg Inspectors
of the Town of Southold to enter upon',h_= above described property, including
any and ail buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, ~c!uding inspect!cna
to de~ermine that said premises comply wRh all of ibc laws; ordinances, rules
and ~e~ulations of the Town of Southold.
Thc undersigned, in consenting to such ~spcctions. do(cs) so with the
knowledge and understanding that any information obtained in thc
co ,uuct of
such inspcctiona may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or repletions of the Town ofSouthold. '
Dated: ~u~ust ~5, ~994
. RICHARD P~IETfl
(print name)
(sianatut-c)