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HomeMy WebLinkAboutZ-26775FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26775 Date: 11/10/99 THIS CERTIFIES that the building DWELLING Location of Property 6230 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 0002 Lot 003 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- 26775 dated NOVEMBER 10, 1999 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 & ATTACHED GARAGE WITH APARTMENT ABOVE * The certificate is issued to MARY ELLEN WHITTET THOMPSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CEHTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A //Bu ~ding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6230 GREAT PECONIC BAY BLVD LAUREL SUBDIVISION: MAP NO.: NAN~ OF OWNER (S): MARY ELLENWHITTET THOMPSON -- LOT (S) -- OCCUPANCY: RESIDENTIAL MARY ELLEN WHITTET THOMPSON ADMITTED BY: OWNER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 128.-2-3 SOURCE OF REQUEST: GARY OLSEN. ATTY 10/19/9~ DATE: 11/10/~ TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~ FOUNDATION: PIERS & CONCRETE CELLAR: -- CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR.: ._~ 2ND FLR.: _~_ 3RD FLR.: __~ BATHROOM(S): ~,Q TOILET ROOM(S): Q,Q UTILITY ROOM(S): ** PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: 1 CAR DOMESTIC HOTWATER: YES TYPE HEATER: ~ AIRCONDITIONING: TYPE BRAT: OIL WARM AIR: HOTWATER: XX OTHER: 3 WALK IN CLOSETS **FURNACE ROOM BACK OF G~RAGE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMEING POOL: OTHER: STORAGE, TYpE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ ART. SEC, REMARKS: BP ~2526Z-COZ-2249 {ADDITION) DATE ON INSPECTION: 10/21/~ TIME START: 10:15 AM END: 10:45 AM FORM NO, G TOWN OF SOUTHOLD , Building Dcq~art,.ont .' Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1, Final survey of property with accurate location of all buildings, property lings, streets, and unusual natural or topographic features. 2, Final approval of Health Dept. of water supply and sewerage disposal-{S-9 form or equal). 3. Approval of electrical installation from Board o[ Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- [ions, a certificate of Code compliance from tho Architect or Engineer responsible for the building, 5.Submit Planning Board approval of completed site plan requirements where applicable. B, 'For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p.--'operty showing all property lines, streets, buildi~gs~an~ou~$~al~/~a~rqT~· topographic features. 2.Sworn statement of owner or previous owner'as to use, occupancy and con~Jition of buildings, 3, Date of any housing code or safety inspection of buildings or premises;°r o~,lrp~cl~rl~l~l~nf~r~- sion required to prepare a certificate. 1. Certificate of occupancy $25;00 -- BUS[NE££ $50.00 2. Certificate of occupancy on pre-existing dwelling $ .50.00 3, Copy of certificate of occupancy $ .5;'00, over 5 yea~s $10.00 4.Vacant Land C.O. $ '20.00 5.Updatod C.O. $"50.00 Date June 14, 1999 for house ~ith accessol~ apartment New Cons t~uc tion ...... Old or Pre-existing Building , .~ .......... Vacant Land ............. Locadon of Property 6.2.3.0 Pec'onic Bay ~lvd., .La?re.l, NY 11948 HOU$~ NO, Str~'L' t Ham/~ t Owner Owners of Property Mary Ellen Whittet-Thompson 128.00 2 3.000 County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision ............................... Filed Mai) No ........... Lot No .............. Permit No ........... Date of Permit . Health Dept. Approval ............... ....... Applicant .................................. ....... Labor Dept. Approvel ........................ Underwriters Approval ............... Request for Temporary Certificate ...... 100.00 Fee Submitted $ ......... . ........... .... Planning Board Approval ...................... .......... Final Certificate ....................... Construction on above described building and permit meets all applicable codes and re~ulations. Applicant .................................................... Rev, 10-10-78 GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, NY 11935 CONSENT TO INSPISCT1ON Mary Ellen Whittet-Thompson , the undersigned, Owner(n) do(es) hereby stat,:: That the undersigned (is) (are) the owner(s) of the premises in the Town 6230 Peconic Bay Blvd., Laurel, NY 11948 of Southold located at , which is shown and designated on the Suffolk County tax ma~) as District 1000, Section 128,00 · Block 2 , Lot ~ non That the undersigned (has) (have) filed, 'or caused robe filed, an applica- tion in"th~ Southold To~ Building house ~th accesso~ aparment That the undersigned do(cs) 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 xvitl~ respect to the aforesaid application, including"inspections to determine that said premises comply with all otthe laws, ordinances, rules and regulationd of the Toxvn of Soutbold. The undersigned, in con:;enting to such inspections° do(es) so with the knowledge and understanding that any information obtained tn the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of, the laxvs, ordinance.~;, rules or regmlations of the Town of Southold. Mary Ellen Whittet-Thompson (print name) (signature) CM FO. N 0.7' CONC COtU/~N ~ MONUMEN; F'D. NIe STALZER NYT' 46-5 42' COLUMN DR/YE DR/VE ~'~ 'ASPHALT 2 STORY WOOD FRAME RESIDENCE NJF HESS McGOWAN f.~LtL 46B © Iteration or addit;,.~n to this allan of Section 7209 of ~tate Education Law. # I000 ' 128 -02 -05 .~rve¥ mc~p r~ot bearing ors embossed seal shell :d to be o voild true ]uARANTEED TO .' ELLEN THOMPSON TOWN OF sOuTHOLD ?~cated here on shall rson for ~vhom th~ survey nd on his behalf to th~ not lrans~:r=~J~ tO r~ MAP OF DESCRIBED PROPERTY SI TUA TE MATTITUCK, TOWN OF sOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR E£LEN THOMPSON SURVEYED 17 0C7 SCAt E I : ' SuRvEYED BY: ST,4NLEY J ISAKS~ PO, 80X 294 NEW SUFFOLK, NY, (516) 75'~ - 58]5