The URL can be used to link to this page

Home My WebLink AboutZ-22473FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Location of Property 145 BAYVIEWDRIVE House No. County Tax Map No. 1000 Section 37 Z-22473 Date JULY 26~ 1993 THIS CERTIFIES that the building ONE FAMILY DWR. LLING EAST MARION~ N.Y. Street Hamlet Block 1 Lot 4.1 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-22473 dated JULY 26~ 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 WITH GARAGE UNDER HOUSE * The certificate is issued to DORIS E. TUSTY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A . PLUMBERS CERTIFICATION DATED N/A *PLRASE SEE ATTACHED INSPECTION REPORT. - '//~Uit~ing Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUR[OLD HOUSING CODE INSPECTION REPORT LOCATION: 145 BAYVlEW DRIVE (number & street) SUBDIVISION NAME OF OWNER (s) DORIS E. TUSTY EAST MARION, N.Y. HAP NO. (municipality LOT (s) OCCUPANCY A-! Res. (type) OWNER ('owner-tenant) ADMITTED BY: DORIS IlISTY KEY AVAILABLE SOURCE OF REQUEST: DORIS TUSTY ACCOMPANIED BY: SAHE SUFF. CO. TAX HAP NO. 1000-37-1-4.1 DATE: JULY 15, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION cEMENT BLOCK TOTAL ROOMS: ]ST FLR. BATHROOM (s) 2 FULL BATH PORCH TYPE SCREEN PORCH BREEZEWAY DOMESTIC HOTWATER YES. TYPE HEAT OIL OTUER: WOOD FRAME 7 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE ONg TYPE HEATER OIL WARM AIR XX ~ STORIES ONE # EXITS 2 CELLAR FULL CRAWL SPACE XX -- 3RD FLR. -- UTILITY ROOM PATIO, TYPE CEHENT BLOCK GARAGE I CAR UNDER HOUSE AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF cONsT. S~IMMING POOL OTHER: NORE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION JULY 23, 1993 TIME START 9:55 ENlJ 10:20 TOWN OF SOUT'~O~ i'~ me 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 I% 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 requirementfi. For existing buildings (prior to April 9, 1957) non-conforming ases, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2.. A properly completed application and a consent to inspect' signed by the applicant. If a Certificate of Occupancy 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 $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. Certificate of Occupancy on Pre-existing Building - $i00.00 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 $15.00, Commercial $15.00 Date ?Z./.~. ~/~. New' Construction ........... Old Or Pre-existing Building. - · Location of Property .................. gt.~.2/~rY~.~... R't.!¢.~? ........ ~Z...~ted.. House go. S~reet Hamle~ 0~ o~ o~ o~ ~o~rr ..... 2~R~2 ..... (.' .... ~d.~ ............................... County Tax Map No 1000, Section.. 37 Block. ..d. .Lot..' Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dcpt. Approval .......................... Underwriters Approval ......................... Planning Board Approval ............. ; ....... ~... . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ......... .............. BLDG. TOWN OF $OUTHOLO CONSENT TO INS PIZCTION ~O/'~/b ~_7-. '-'/~OjT~ , the undersigned· Oxm~er(s) Name(s) / do(es) hereby state: That the unders~ned (is) (are) the owner(s) of the premises in the Tom of Southold located at ./~ I/qJ County tax map as District 1000, Section ~ 2 , Block /.. , Lot ~ / . That the undersigned (has) (have) filed, 'o~ caused to be ~iled, an appHca- 'tion in the Southold Tox~m Building Inspector's Office for the iollow~g: ~ ·whicb is shoxvn and desifnated on the Suffolk 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 reg-ulations of the Town of Southold. Dated: (signature) (print name) (signature) (print name lO0 / /