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Home My WebLink AboutZ-17617No Z-17617 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date DECEMBER 19. 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5040 MAIN BAYVIEW RD. SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section _078_ Block 4 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to Requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERT.OF OCCUPANCY . #Z-17617 dated DECEMBER 19, 1988 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 WITH ACCESSORY GARAGE The certificate is issued to 3 J'S HOLDING CORP. (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 BUILDI.":G DEP 11RT:d�l L TO;iN OF SOUTHOLD, N. Y. HOUSIi:G CODE INSPECTIO;v REPORT Location 5040 MAIN BAYVIEW ROAD SOUTHOLD, NEW YORK �numoer do s zreet i-iunicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) 3 J's HOLDING CORP. Occupancy UNOCCUPIED type owner -tenant) Admitted by: SELF Accompanied by: Key available JAMES HOMAN Suffolk Co. Tax No. 078-4-31 Source of request JAMES HOMAN Date DEC. 6, 1988 DVELLING: Type of construction WOOD FRAMED .41 rstories 1 Foundation BRICK Cellar PARTIAL Crawl space Total rooms, 1st. Fl 5 2nd. F1 3rd. Fl Bathroom(s) 1 Toilet rooms) Porch, typewood small Deck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL FIRED 'alarm Air CENTRAL Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater YES Type heater GAS Other ACCESSORY STRUCTURES: Garage, type const. WOOD 1 CAR Swimming pool Other Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention Location Descri>7tion Sec, )UTSIDE CELLAR DOOR NEEDS FIXING ( 1242.5 )UTSIDE SEVERAL BROKEN WINDOWS 1242.5 )UTSIDE FRONT SCREEN DOOR ROTTEN 1242.5 IiMTSIDE NEEDS PAINTING 1242.5 INSIDE HOLE IN SHEETROCK 1242,7 INSIDE KITCHEN & BATH FLOOR NEED REPLACING 1242.7d GARAGE NEEDS MAJOR REPAIRS 1242.5 Remarks: Inspected by•_�J �y ,zV Date of Insp. 12/19/1988 CURTIS W. HORTON Time start 10:30 end ]1: 15 CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (y 1141 which is shown and designated on the Suffolk County tax map as District 1000, Section -74'_, Block, Lot. That the under signe (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 regulatio "f the Town of Southold. Dated: ign �P7 -e5 f7 d 227 a print name) (signature) (print name) FORM NO. 6 TOWN OF SOUTHOLD Building Department 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 •e� 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 lines, 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 of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5.00 , o 4.Vacant Land C.O. $ 20.00 S.Uodated C.O. $ 50.00 POOLS $25.00 ALTERATION $25.00 Accessory $10.00 Business $50.00 $100.00 er 5 years $10.00 Date ... 61��° :. 4:. �Ir'8%... . NewCons truc tion , , , , , , Old or Pre-existing Building .......... Vacant Land . Location of Property ... F/ . f?.......... At'4ki�t3!Q ylll Pel ...�40A(�.:.............. . House No. Srfeee/et Ham/et -3J1Owner or Owners of Property ....... ..... f.P!'LQ� a4... S%� %,............ ........... . County Tax Map No. 1000 Section ... 02 K ..... Block ........ V..... Lot.. 3.1......... . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...... II ... . Request for Temporary Certificate .....................Final Certificate ....................... . Fee Submitted $ ... /a 0, -......... . Construction on above described building an ermit meets Zalicable codes and regulations. Apicant .. ... ... C' '' ................... Rev. 10-10-78 r+" Rai c,• 36 3S.), '`«ads �....�.. , ` r'w.V.;.,> tir :�� ' -'s. s - -. .. BUILDING DEPARTMENT TOM14 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location x d q U number & street Subdivision Map No. Name of Owner(s) �iviunicipality) Lot(s) Occupancy type owner -tenant Admitted by: 4,40-� Accompanied by: Key available 2� Co. Tax No. a 7 _ Source of request � Date lee - DWELLING Type of constr tion #.stories Foundation Cel ar rawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio,, type Breezeway Garage — Utility room Type. Heat Warm AirHotwater Fireplaces) No. Exits Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. ��age, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 45'N.Y. State- uniform -Fire Prevention Remarks: Inspected by: :Date of Insp . o O Time start 1 =end 5 - J • . _ ��[JF��'•L�}`��.,�'�+:•t�'F''•`�r :, , Vit' ••,� �,v.. �„ , , • i ' } ,f 't� Y � � � . '- ,. �' � iw N W �..y.a.:��i.►�ay;�..r,., j��J�/.�r/� � r. Z S z Z7!'A #6 104 If .y: - , ' i , �' .� , .� `. �1JL�D:' i'I �• � `.�iVrly � u=tic •:; _ ';'�''� '•� - .%,t•i. 7�( ��'.r:��1`":Y'-a+fA�j it :, ',•S, full ► �� .F, ., • j p�.. • �!�'',� yi '.•mow'+' ' ,i.'�r.�. '• :i: (' � '(•'�: i,'. �..' •,1,�`•'��, •.i'••,i, arrt. .`+ �'. :'fly �i::a •.t' ?` . .! , ,f•. :: '}'1' '-r•"1 � - ._ i .,. �+�'. . r••. ,: �' rest ,�'!%:y. ;,"•' 4. '�;. ' p�; ..�:. ,� o- . --. -` `'1:�!. �'- •,�"sTMYa`i.'. s : i :r'' r•' � �� ., ,1 �,�•• f �:,,.i'- t.:. l •l •• APPROVED• BY'., }�' {;±�� :;,,r.•;,r,`;;,:. �, _ `,.�` ,' }Y} •S� , Sty?.hjR,: ^� ' .1r,.�' I'1 . ' r �•'' 1.�+ PLANNING B®ARD;,, _ ;�.. r.. ... TOWN OF SOUTHOLD �A�N ,r i:'.',hl '� r' i• '4-, ^! ',.r•.�:• •.1�'• s: .. ��.•' ;: t �' s r. - DATE JUL-1 1 L, �;L.d? , `, V •�, A }':.: , .. ' s , . f.t{��; !��...f �( .i•_.Y '* r of t4N, i. �' •�ri�� •� ..�, 1'J •. '1' �'' `':. �']t •,fit �- ,l, J