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Home My WebLink AboutZ-22267 '~ FORM NO. 4 a' TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22267 Date APRIL 16, 1993 THIS CERTIFIES that the building ONE-FAMILY DWELLING Location of Property 1575 MINNEHAHA BLVD. , SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 3 Lot 51 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-22267 dated APRIL 16, 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 The certificate is issued to JOHN LaGUARDIA. & ANO (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. BiAlding Inspector Rev. 1/81 BUILDING DEPARTMENT .TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1575 MINNEHAHA BLVD. SOUTHOLD, NEW YORK . number & street)_ (municipality SUBDIVISION MAP NO'. LOT (s) NAME OF OWNER (s) JOHN LaGUARDIA & ANO. OCCUPANCY A-1 RES. OWNER .- (type) (owner-tenant) ADMITTED BY: . KATE KUHLMANN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP N0. 1000-87-3-51 SOURCE OF REQUEST: CATHERINE FISH PETERSEN & DATE: APRIL 12, 1993 JOHN LaGUARDIA - DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS 2 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACEPARTIAL TOTAL ROOMS: 1ST FLR. 5 2ND FLR. - 3RD FLR. - - - BATHROOM (s) ONE FULL TOILET ROOM (s) ONE UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE STONE REAR YARD BREEZEWAY FIREPLACE NONE GARAGE ONE CAR ATTACHED DOMESTIC HOTWATER xx TYPE HEATER OIL AIRCONDITIONING - - TYPE HEAT OIL WARM AIR HOTWATER Xx OTHER: OUTSIDE SHMER in IC YARD. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST,- TYPE CONST. OTHER: B.B.Q- - ---------------------------------------==-------------------------------- ------------------------------------------------------------------=------------------ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: X�/ DATE ON INSPECTION APRIL 16, 1993 G J. FISH TIME START 8:55 END 9: 10 Form No. 6 -� TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN HALL 765-1802 APR 1 31993 APPLICATION FOR CERTIFICATE OF OCCUPANC pC�y, y E, ;;ILE; _ 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 buildin s streets, and unusual natural or topographic features. g Property lines, 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. 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 '. if land uses: . 1. Accurate survey of property showingall 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 reasons therefor in writing to the applicant. state the , '. Fees 1. Certificate of Occupancy - 'New dwellin Alterations to dwellin g $25.00, Additions to dwelling $25.00, g $25.00, Swimmi Additions ng pool $25.00, Accessory building $25.00, to accessory building $25.00. Businesses $50.00.. 2 Certificate of Occupancy on Pre-existing Building - $100.00 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 . . .4•-1- — %3 Buildin 2w Construction. . . . . . . . . . . Old Or Pre-existing � + • - g. , , , .,� - Xation of Propey 6c ; � 47 ' — House No. Street• • • • • . . • • • � L1 Nv Hamlet !wer or Owners of Property. . . . . . � . ;J, , . �/�� . • ,I , unty Tax Map No 1000 Section. ; , , . � . . . , , • .Block. . . . . .- . . .Lot. .� .� . . . bdivision. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . �.�. . . . .Lot . . . . . . . . . . . . . . rmit No. . . . . . . . . .Date Of Permit . . . . . . . . . . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . .. . . alth Dept. Approval. . . . . . . . . . . . . • . • • • . - • • • • • . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . anning Board Approval. . . . . . . . . . Iuest for: Temporary Certificate. . . . . . . . . . . Final Ccrticlte. . . .Y\ , , , , , -. Submitted: $. . . C�d„ . . • . • . APPLTCA\*,T . . . . . . . . . . . . . . . . . . . . . . 1 i } t 1 I M;n\P OF `%12O - E'E i`�:', „ Yam..- Ll 1' T OpY�,n h1rt✓ :t12t`Erz 0 3i} _ CS; /1f.`` r•' f-1—!„ s •, t iL� ►--�_ n , 1 � �r0`rJER � F' I •r... i rIfl 71 CA fs.6f I rrGK V,q'IV APR 131993 LZ a�� CS 2✓�� <Y�(GF —�r_=`^f�i'`+t}\� ` `J SuI`._!= i {�i' r, --� � __ ' � '�� `r_ -^'�.,_ ��• i��i�.7� .�� I !7 }L U✓i_-.}+ �\�` ��/''`�i ti } },of} 'J. V 1��J •.i i BUILDING DEPARTMENT. TOWN OF.SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: /J`��S /�r/�i�///t'�/fig. �L�.d• cU'iy6 G/S (number & street)_ municipality SUBDIVISION 'MAP NO'. LOT (s) NAME OF OWNER (s) OCCUPANCY / �'Es DG✓/y�2 (type) (owner-tenant) ADMITTED BY: . /f.�JE Ak/l/e_1ly4"1A_1 ACCOMPANIED BY KEY AVAILABLE SUFF..-CEOO. TAX MAP NO. SOURCE OF REQUEST:C✓""/,d_ /L/✓�y �lf2Sf✓ 9��IOH��i 64-?/Zji,q .DATE: /�j DWELLING: TYPE OF CONSTRUCTION ` j� . /�•2 � # STORIES ®�,� # EXITS FOUNDATION CELLAR G CRAWL SPACE ! TOTAL ROOMS: 1ST FLR. S 2ND FLR. — 3RD FLR. BATHROOM (s) 0,4/4 LG TOILET ROOM (s) �All,_'_ UTILITY ROOM PORCH TYPE DECK,. TYPE — PATIO, TYPE ST-O,-,E Jf d BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER k TYPE HEATER Q/::� AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER OTHER: Qt47'ZF b f _S'yowt C /^/ E ^C F� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST,- TYPE CONST. OTHER: �j • /�_ . ------------------------------------------------------------- -------------------------------------------------------------=------------------- VIOLATIONS: CHAPTER 45 ' N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START p.'SS . END :/0 c o iy S r: T APB? 1 31993 Ut�rrrcr(s) Namc.l:;) � �U�� 1 the, uncle rsi�nc.d, do(es) hereby state: That the undersigned Zre) the owner(s) of tilt rernisc: P . to the To;,,"n Of Southold located at /MMY-H e r3L.V , -,,S.o07-Wc;,`ppc�A i whicli is sho;vn and desir*n;ited on the SU(iol:i County tat map as District 1000, Section g� Block 3 Lot That the undersigned (has) (Have) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the follo;:-ir : 0� CDCc �-\� - G� � e �cmi-7 ; That the undersigned doKet,)-hereby give consent to the Building In spectors ctors of the Town of Southold to enter upon the above described property, iricludincr any and all buildings located thereon, to conduct such inspections as the y :nay deem necessary with respect t. +h., a.Gi`Siid appiicaiio:r, including inspec:;o::s to dote='mine that said premises comply ;:•ith all of the laws-, ordina^ces, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so V.-ithh the kno;vledge 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 regulations of the Town of Southold. Dated: (signature) (print name) ' (si�n/Inturc) ._..%t>Nd►U L A GUI.-�/��i�,F� (print nartie) f _ TOWN ®F SOUTHOLiOPERY RECUR® CAR® OWNER t h STREET VILLAGE DISTRICT SUB. LOTZz FORMER OWNER N - � E ry ACREAGE S /. W W,z� OF BUILDING RES.— �6 SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS o G—J — L _ r r 4- -�-- AL - AGE BUILDING CONDITION /o NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland _. 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