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HomeMy WebLinkAboutZ-23925FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-23925 Date OCTOBER 4, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 250 HUNTINGTON BLVD. PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 67 Block 4 Lot 9 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-23925 dated OCTOBER 4, 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 SEASONAL DWELLING * The certificate is issued to EDWARD SCHWARTZ (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. Building Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 250 HUNTINGTON BLVD. PECONIC,,N.Y. number b street (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) EDWARD SCHWARTZ OCCUPANCY SEASONAL DWELLING type owner—tenant ADMITTED BY: PETER TOLLNE R ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-67-4-9 SOURCE 0 — — — SOURCE OF REQUEST: ELENA SCHWARTZ DATE: JUY 15, 1995 l/WELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK CELLAR PART TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FI.R. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE FRONT ENCLOSED DECK, TYPE _ BREEZEWAY FIREPLACE ONE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC TYPE HEAT OIL WARM AIR FLOOR FURNACE OTHER: Arrr.CSnRy ;'rRw'TllRF';; / STORIES I I EXITS 2 CRAWL SPACE UTILITY ROOM ' PATIO GARAGE AIRCONDITIONING HO'TWATER GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: NOTE: HOT WATER HEATER NO GOOD A FLOOR FURNACE NO GOOD INSFCCTED BY HN M. BOUFIS DATE OF INSPECTION TIME START 9:45 SEPT. 28, 1995 END 10:10 Form No. 6 TOWN OF SOUTHOLD 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 build'_ag 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 17 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 "pre-exiGring" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusua natural or topographic features. 2. A properly completed application and a consent min pegt 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 Date ....../�1,7. ................... New Construction........... Old Or Pre-existing Building ................. Location of Property.... O ...........f�N/Y/. ._TQ_ N ..44 �4:.......... .Q /V/.� ........ House No. Street Hamlet Onwer or Owners of Property.... ,C le✓)G . Ste, �� r�� .................................................... County Tax Map No 1000, Section.... 67 ...... 1; 1 ock ..... / .........Lot.... ................ Subdivision....................................Piled Map ............ Lot ...... ................ Permit No................Date Of Permit ................ Applicant .................. I.......... Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $....��1?...0 0 ................ ,�. D 9ti X ............ . �t.,........... C© _a39 a5 APPLICANT v CUNlli6W TU. INSPECTION Ovmer(s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at j�(? /14,/t2T/, u 7&^) PS l a,,4 , co r✓/ C._. which is shown and designated on the Suffolk County tax map as District 1000, Section Block _�Lot 4 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: �Pae� - Cn 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: j:/9 c (signature) ,C-- A (print name) signature) print name) AREA = 16,319 sq. ft. 0 0� $1 `2l 6 / 1 NQ a Fr, eev 'A � D � tT V vo Z Nam 39 Z � 0{ 00 2 .000 �,0 Q O 9� %so vOi 0• � .g f°"d 5Q.32 O \ e L SURVEY OF LOTS 88, 89, & 90 MAP M0.2 'iaECOr1iNC $•• FLEDSfiPT. AWO AS MAP NO.MW A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. woo - 67 - 04 - 09 Scab: Y' = 30' Sept. 191, 1995 ANY AL MU7xw OR AMMV ro M ARWY a A MLA 77aV OF =MN MM W nE WN Year STA 7r MM4 naa LAW, arcapr As AD? SE'C m 72o"isimm a ALL Ae7t7m now NEAE'QM ARE MA7 FW M AAAP AAD CA"ES n'EAEQF QAC Y F SAD AARP Q4 CMES BEAR 77E AFFESM SEAL QF 77E' "WYOR WiM 9" nM APPE4W hEM ML AawnvmuY TD CMftY WN SAD LAM THE TVW 'AL rD*DOr AWr BE L45t"D BY ANY AAD ALL SUMYORS UTUM A COPY OF AtlD90? SLO YAKS APAP. TVM SM A$ 7WEC7ED• AAD WWW- DA 7r ANE MOT N COAFUAACE 0" 77E LAM. PJB o_ �G F P5 v CERTIFIED TO, EDWARD BOOTH PATRICIA BOOTH Of Ntif 1, N LIC, NO. 49618 PECONI S, P.C. (516) 765 - 5020 P. 0. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 95-253-1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET Z VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE S W TYPE OF BUILDING =- RES. SEAS. p LAND IMP. VL. -- FARM TOTAL DATE COMM. REMARKS IND. I CB. I MISC. jFF LOCATION: (/r� numl SUBDIVISION NAME OF OWNER (s) OCCUPANCY yl2e ADMITTED BY: 1114 KEY AVAILABLE SOURCE OF REgUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT er & street L MAP NO. lmunicipality LOT(s) owrier-tenant) 211-1) ACCOMPANIED BY: 51,01 F- CO.- TAX MAP NO. /�� _ o 1 r ::�u 42L —DATE:-. 7 LPW GLLI LIU a / TYPE OF CONSTRUCTIONS �� STORIES l E%ITS FOUNDATION r� G CELLAR ?� CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s)� TOILET ROOM (s) ' UTILITY ROOM PORCH TYPE %!j�Qy�C,i�,f a DECK, TYPE - PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATL'R TYPE HEATER %C- AIRCONDITIONING �- TYPE BEAT � WAIttI AIR r/-IOV -� (;CCS HOTWATER OTHER: / ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCTZTPT'ION�_ ART. SEC. 1 REMA INSPECTED BY DATE OF INSPECTION TIME START-� END �� i.