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HomeMy WebLinkAboutZ-24254FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24254 Date APRIL 2, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2280 BOISSEAU AVE. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 14.2 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-24254 dated APRIL 21 1996 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 MARJORY N. STEVENS & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-291912 - OCTOBER 7, 1993 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING Ur PA RIM EN'I' TOWN OF SOUTBOLD ROUSING COUR INSPECTION REPORT LOCA'T'ION: 2280 BOISSEAU AVE. SOUTHOLD, N.Y- numb e r .Y.number b streeL �mu1cicipality SUBUIVISION MAP NO. LO'r(s) NAME OF OWNER (s) MARJORY M. STEVENS ✓4 OTHERS OCCOPANCY SINGLE FAMILY type^ owner -tenant AUMIT'TE.1) BY: MARJORY STEVENS ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-5-5-6-14.2 SOURCE OF REQUEST: MARJORY STEVENS DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. 3 CELLAR PARTIAL 2NU FLR. 3111) FLR. DATE: NOV. 5, 1996 / STORIES I 1 EXITS 2 CRAWL SPACE xx BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCII TYPE DECK, TYPE WOOD REAR PATIO _ BREEZEWAY FIREPLACE GARAGE DOMESTIC IIOTWATP.R YES TYPE HEATER GAS L.P. AIRCONDITIONING TYPE BEAT L.P. GAS WARM Alit YES _ IIOTWATER OTHER: REAR MUD ROOM DOUBLE FRONT ENTRY WAY — OUTSIDE HOT TUB. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL arNrR: STORAGE, TYPE CONST. GUEST, TYPE CONST'_ VIOLATIONS: CHAPTER 45 N.Y. S'PAT'E UNIFORM FIRE PREVENTION S BUILDING CODE RrMARKS: BP #23299—Z CO Z-24253 (ADDITION—DECK&PORCH) INSPECTrD BY M. BOUFIS DATE OF INSPECTION TIME START 9:50 AM 1/25/96 ENI) 10:20 AM Z 0 r ,Vd. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN FALL 765-1302 APPLICATION FOR CERTIFICATE OF OCCUPANCY A.: s application must be :filled in by typewri.ter OR ink and submitted to the buildia= insDector with the following: for new building or new use: 1. -final survev of property with accurate location of all buildings, property lines, streets, and unusual natural or topcgraphic 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 1e 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. 3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "are -existing', land uses: 1. tic Curate survev of property snowing all property lines, streets, bu'-ld=ng and unusual natural or t000graDnic features. =. A properly completed aoDlicatlori and a consent to inspect signed by the applicant. If a Certificate of Occupancv 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 S=5.00, Alterations to dwelling 525.00, Swimming pool 525.00, ;iccessory building 525.00, Additions to accessory building 525.00. Businesses 550.00. 2. CarziSicate of OccuDancv on Pre—exist=na, Build_n4 — S100.00 3. Copy of Certificate of occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Cartificat_ of Occupancv - Residential $15.00, Commercial S15.00 Date_1/5/96 .................................. New Construction..... �_ O Old Or Pre-existing Building... X ............ / fioisseau Avenue Southold „_ Location of Property............................................................... House No. Street Hamlet Onwer or Owners of Property._ Estate of Evelyn H. Moffat. „ _„ _. 00 2. County Tax Map No 1000, Section.. 055.00 ......lock.. 06,.00 ......... Lot, i.014 r: ............. Subdivision....................................Filed Man ............ Lot ...................... Permit No................Date OfMarjy Aormit................ ADp1'cant.......or...Moffat ..... Ste .....v..ens....... -;ealtn Debt. ADoroval .......................... Under -writers ADDroval......................... ?canning Board Approval ........................ Request for: Temporary Cerz'=_tate........... L_ilal C articate_..)�...... Fee Submitted: S100,00 .................... Marjory Mo�`�tevens -A4 CONSENT TO IN SI'GC'1•ION Evelyn H. Moffat Marjory Moffat Stevens, Executrix of the Estate of / the undersirined, Ovnler(s) Names) do(es) herehv state: That the undersigned (is) (are) the owner(s) of the premises in the 'Town of Southold located at .7,QRA Boisseau Avenue, Southold, New York xvhich is shoxvn and designated on the Suffolk 002.1 County tax reap as District 1000, Section 055.00, Block 06.00, Lot 014. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tow -n Building Inspector's Office for the following: Certificate of Occupancy ' 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 inay he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: January 5, 1996 i; i ' Y :. a u' Mari V Mo fat Stevens (print name) S if! nature print name LOCATION: U `� (number SUBDIVISION NAME OF OWNER (s) Alk OCCUPANCY�� type ADMITTED BY: KEY AVAILABL SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT A4 -'s - street) MAP NO. LOT(s) SUFF.CO. icipality (owner -tenant) ACCOMPANIED BY: AX MAP NO. /!ia`rl DATE : 5� DWELLING• TYPE OF CONSTRUCTION 1l `� # STORIES FOUNDATION ��� CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR.,— 3RD FLR. ""- BATHROOM (s) 011le- TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE �4� PATIO___ BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER'S TYPE HEATER S. //p` AIRCONDITIONING TYPE HEATyt�/- s WARM AIR "" y' HOTWATER OTHER: / //iC �i t'r 7. ,( `► 2t G -t G 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 / EXITS 4-/ 1 1 1 1 ,C _MIM i �. his �. AM MWK Fm REMARKS: � ." � LNSPECTED BY a DATE OF INSPECTION �'"YY6 TIME START Yi r5 -D END Q" 2-0