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