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HomeMy WebLinkAboutZ-23376FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23376 Date NOVEMBER 29, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 690 NORTH SEA DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 5 Lot 15 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-23376 dated NOVEMBER 29, 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 DWELLING * The certificate is issued to BLANCHE SEIBERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 690 NORTH SEA DRIVE SOUTHOLD, NEW YORK number h street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) BLANCHE SEIBERT OCCUPANCY SINGLE FAMILY DWELLING (type) (owner -tenant) ADMITTED BY: PETER TOLLNER ACCOMPANIED BY:SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-54-5-15 SOURCE OF REQUEST• PAUL CAMINITI, ATTY DATE: OCT. 20, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRA14E FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. 3 BATHROOM (s) ONE PORCH TYPE FRONT COVERED BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OIL OTHER: ACCESSORY STRUCTURES: YES # STORIES_ CELLAR FULL 2ND FLR. 3RD FLR. I # E%ITS 2 CRAWL SPACE TOILET ROOM (s) UTILITY ROOM DECK, TYPE RAISED REAR PATIO, TYPE RAISED FRONT FIREPLACE GARAGE UNDER HOUSE TYPE HEATER ELECTRIC AIRCONDITIONING WARM AIR YES HOTWATER GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION is BUILDING CODE REMARKS: BP #22492Z -CO Z-23375 for Deck Addition INSPECTED BY: DATE ON INSPECTION OCT• 28, 1994 TIME START 9:05 END 9:30 Form No. 6 TOWN OF SOUTHOLD ' ,' flC l R BUILDING DEPARTMENT TOWN HALL 765-1802 _ BLD_G_DEPT..� 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 '.'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, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerrcia $15.00 Date ........16 .....© +.T ..................... New Construction.......... Old Or P-exi tin Building. �X.......... ..e Location of Property......�dV...�'Cf!!e ..... Y. �� ....... .. .... ... House No. Street Hamlet Onwer or Owners of Property .....,E�d e'�............................ . County Tax Map No 1000, Section .... COSY ... Block ........ ..... Lot .... l................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate. ......... Fee Submitted: $............................. -7 ....... ................... c.:Q - a33 -? � APPLICANT CONSENT TO INSPCOFION or(s) Name do(es) hereby state: the undersigned, That the undersigned (is) (are)/the ,owner(s) the promises in the Town of South ld located at O i(/C%�I d- Aau�� , which is shorn and designated on the Suffolk County tax map as District 1000, Section Block !�'� , Lot 15"� That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To C5 Building I,nspector's M for the following: 6;t -E - 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 o he Town of Southold. Dated: 0 ' �% j crZ leTc,,o 7 CL�jPX tsignaturei (print name) (signature) (print name 41 F e�%k N SURVEY FOR S TEVEN TENEDIOS A T SOUTHOLD TOWN OF SOU THOLD SUFFOLK COUNTY, N. Y. 1000-54-05-15 Scale. 1" = 50' Oct. 14, 1994 ANY ALTERATION OR ADDITION TO THS SURVEY )S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209-SUBDVKSM 2. ALL CERMCAMNS hVWON ARE VALAD FOR TFYS MAP AAO COPES THEREOF WE Y AF. SHAD MAP OR COPES BEAR T7£ AIPRESSED SEAL OF THE SU?VEYOR WHOSE SiQU TURF APPEARS HEREON. ADDITIONALLY TO COWL WITH SAAR LAW THE TERM 'ALTERED BY' MOIST BE USED BY ANY AAO ALL SURVEYORS UTALRMG A COPY OF ANOTHER SURVEYORS "4P. TERMS SUCH AS 9YSPIECTED' AAO IBROUGiHT-TO-DA TEN ARE NOT AN COM°UANCE WITH THE LAW. CERTIFIED TO, STEVEN TENEDIOS AREA = 39,472 sq. ft. N.Y.S. LIC. NO. 49618 PECONICRVEYORS, P.C. (516) 765 - 5020 P. 0. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 94-317 LOCATION: SUBDIVISION NAME OF OWNER ( s OCCUPANCY ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE`INSPECTION number & street - - r/o-� , z el, z - MAP NO. SUFF.CO. nicipality LOT(s) 4 (owner—tenant ACCOMPANIED BY: AXMAP NO. —DATE: /6 — DWELLING: Al TYPE OF CONSTRUCTION`'` - STORIES # EXITS FOUNDATION' �' - CELLAR ��1� CRAWL SPACE �-- TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM -(s) TOILET ROOM (s) UTILITY ROOM _ PORCH TYPE %y <7 DECK., TYPW,#tfAd PATIO Alrgd- BREEZEWAY IREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR Y05" HOTWATER OTHER: ArrpggnpY CTRTTrTTTRAG - GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWI MING POOL GUEST, TYPE CONST. OTHER.- THER:VIOLATIONS: ---------- VIOLATIONS:CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. f REMARKS: INSPECTED BY DATE OF INSPECTION TIME START : ® END