Loading...
HomeMy WebLinkAboutZ-22661FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22661 Date OCTOBER 15~ 1993 THIS CERTIFIES that the building ONE FAMILY DWRLLING Location of Property 6645 PECONIC BAY BLVD. LAURRI,~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 10 Lot 20 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-22661 dated OCTOBER 15~ 1993 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 & ACCESSORY GARAGE WITH BATHROOM * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLRASE SEE ATTACM~.D INSPECTION REPORT. Rev. 1/81 JOSEPH P. SHERIDAN~ JR. N/A i%ding Inspector LOCATION: suBDIvISION NAME OF OWNER (s) BUILDING DEPARTmeNT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 6645 Peeonic Bay Blvd. (number & street) JOSEPH P. SHERIDAN, Jr. Laurel· N.Y. MAP NO. (municipality LOT (s) OCCUPANCY A-I Res. (type) ADMITTED BY:. ANGIEJOHNSON KEY AVAILABLE SOUKC~ OF REQUEST: JOSEPH SHERIDAN (owner-tenant) SAME ACCOMPANIED BY: SUFF. co. TAX HAP NO. 126-10-20 DATE: AUG. 4· 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION cF~tENT BLOCK TOTAL ROOMS: IST FLR. 5 BATHROOM (s) ONE PORCH TYPE ENCLOSED BREEZEWAY 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE NO ~ STORIES ONE # EXiTs TWO CELLAR PARTIAL CRAWL SPACE 3RD FLR. UTILITY ROOM PATIO, TYPE BRICK GARAGE DOMESTIC U0~ATER TYPE HEATER TYFE HEAT OIL WARM AIR OTHER: WOOD STOVE (SEE AFFIDAVIT) ACCESSORY STRUCTURES: AIRCONDITIONING HOTWATER GARAGE, TYFE OF cONST. SWIMMING POOL I CAR WOOD FRAME WITH STORAGE, TYPE CONST. BATHP. O(]~ · GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D~SCRIPTION ART. SEC. REMARKS: BP #21675Z-C0 Z-22660 ALTERATION TO PORCH GARY~ F I SH DATE ON INSPECTION AUGUST 17, 1993 TIME START 9:30 AMENI~ 9:55 am Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. " For existing buildings (prior to April 9, 19_!~ non-conforming uses, or buildings and "pr~_-exis~ting" land uses: 1. Accurate survey of j~roperty shQwing all property lines, streets, building and unusual natur~or topographic features. 2.. A properly completed application and a consent to insp~ct signed by the applicant. If a Certificate of ~pan~y~ denied, the Building Inspect'or 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~.~ of Occupancy on Pre-existing B~ui~lding ~,-~. Certificate - $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 $J5.0~, Commercial $15.00 New' Construction ........ ~... Old Or.Pre-existing B ilding ................. / ' Lo~ation House No. Street Hamlet County Tax Map No 1000, Section .... /~.~. ..... Block../.~.. .......... 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 ........... / l gPO Fee Submitted: $ ........................ October 7, 1993 Building Department Town of Southold Southold, NY 11971 RE: 6515 Peconic Bay Blvd. Laurel, NY Dear Sirs, I have owned the above mentioned property since November 30, 1977. The home was purchased from Robert and Janet Bailey. The current wood stove was in the house prior to my ownership. There have been no alterations to said stove during the time of my ownership. The undersigned makes these statements knowing that the town of Southold is relying on these warranties. NOTA,q¥ ?UBLIC OF NE~ JERSEY CONSENT TO INSPECTION Owner(s) Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~5'~ b~' ~c o.o, c ~v/~ County tax map as District 1000, Section · which is shown and deslffnated on the Suffolk · Block , Lot 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: 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: si~nature) ~ (print name) POLL^I,< ,.._ 32':1: 8 HAP OF P~.OPF:_J~TY SURVEYED FOR. E~gL'LEVA I~.D APPl2..O TO B[bkY AVE, SCALE Fi: PIONUMEN? GUAP. ANTEED TO THE .5OUl HOLD SAVING.5 YAN T'UYL C.~EE N PO~T, N,Y, '