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Home My WebLink AboutZ-24701 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24701 Date OCTOBER 28, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1895 MINNEHAHA BLVD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 3 Lot 53 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-24701 dated OCTOBER 28, 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 WITH ACCESSORY GARAGE The certificate is issued to OTTO YARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ROUSING Cony: INSPECTION REPORT LOCATION: 1895 MINNEHAHA BLVD. SOUTHOLD, N.Y-. , number h street (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s)OTTO YARO OCCUPANCY_ A-1 RESIDENTIAL _ OWNER type owner-tenant ADMITTED BY: DEBBIE DARRESS _ ACCOMPANIED BY: SAME _ KEY AVAll,ABLE SUFF.CU. TAR MAP NO. 87-03-53 SOURCE OF REQUEST: OTTO YARD DATE: OCT. 10, 1995 DWELLING: ---- ---- — - ------ TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 EXITS 2 FOUNDATION CEMENT BLOCK CEII.LAlt NO CRAWL. SPACE TOTAL. ROOMS: 1ST PLR. 5 2ND FLR. 3RD FLR_ BATHROOM (s) ONE TOILET ROOM (s) ONE(outsidOTILITY ROOM _ PORCH TYPE NONE BECK, TYPE PATIO CEMENT BREEZEWAY FIREPLACE, ONE GARAGE DOMESTIC HOTWATER YES 'TYPE BEATER OIL AIRCONDITIONING TYPE REAL' OIL WARM AIR HOIVATER %X OTHER: ACCESSORY STRUCTURES: WITH ATTACHED CARPORT GARAGE, TYPE OF CONST. WOOD FRAME 2 CAR / STORAGE, TYPE CONST. ACCY WOOD FRAME- SWIMMING POOL , GUEST, TYPE CONST_ OTHER: ------------------------------------------------------------------------------------------- ---------------------------------------------------------------=--------------------------- VIOLATIONS: CHAPTER 45 N.Y_ STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #15241Z - CO Z-15481 (ACCY) BP #17442-Z-CO Z-17367 (RELOCATE ACCY) .INSPECTED BY DATE OF INSPECTION OCT. 15, 1996 GARY TIME START 10: 15 END 10:35 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i,APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. 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 1% lead. 15. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, 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 - $100.00 3. Copy of Certificate of Occupancy - .25 . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . , , ,October .10:. .l 996. . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. XXX, , , , , , , , , , , , Location of Property. . , 1895 .Minnehaha .Blvd: . Southold,. .NY, , , . , , , , . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. ,Otto .Yaro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . County Tax Map No 1000, Section. . 87. . . . . . . . . .Block. . . . . . . . . . . . . . .Lot. . , 53 . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . OSa l APPLIC . . . . . . . . . . . . . . . . . . . . . . Biqa. c.� za y'7D/ CONSIsNT `1'O INSIDIj, I'I:ON Otto Yaro the undersigned, Ow-ner(s) ldame(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1895 Minnehaha Blvd, Southold NY which is shown and designated on the Suffoll: County tax map as District 1000, Section 87 Block 3 1_,ot 53 `That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Torn Building Inspector's Office for the following: above address 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 i.nforn►ati.on obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio - lations, of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 10-10-9 6 (si n Lure) Otto Taro _ (print name) (Signature) (print name) UY MAP OF Pfe' `FY L)-..-V EYE -C)1 7-26 4, - ' BU 14-0 AT 20 'BAY T0 %/N OF 5OU'r H.OLD , N.Y. > LL CY WeL it GAQ- BLAC-lZ-To.F CAR • J 0 s,� .17 7 C011AV.MAP-,-.DATA- �! / t�° °vEvt A7,� \ `�► - /. moob RQPI�rZk:l VA U.- di HfC-,H^/AY5,ArZE 1�5-Qpot'�vw Oki P, 0 1AP OF T N;�;�WAX;E-:fZ' F-ILED 12.H�l NPM�T-N-Y- -T*Pf, 5U FR CO.r-L:C-rJV-'8-0P'-!CE At��IN NIO-917