HomeMy WebLinkAboutZ-26128 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- -26128 Date: 11/23/98
THIS CERTIFIES that the building DWELLING
Location of Property 1095 GOOSE CREEK LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 078 Block 0008 Lot 007
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- 26128 dated NOVEMBER 23, 1998
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 ONE CAR GARAGE UNDER
The certificate is issued to STEPHEN & JEFFREY LAYMON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION ORT.
Building Inspe or
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1095 GOOSE CREEK LA SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : STEPHEN & JEFFREY LAYMON
OCCUPANCY: SINGLE FAMILY STEPHEN & JEFFREY LAYMON
ADMITTED BY: JEFF LAYMON ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 78.-8-7
SOURCE OF REQUEST: JEFFREY LAYMON - NOV. 9. 1998 DATE:, 11/23/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : 6 2ND FLR. : 0 3RD FLR.: 0
BATHROOM(S) : 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: SIDE COVERED DECK TYPE: . PATIO TYPE: ENCLOSED
BREEZEWAY: FIREPLACE: ONE GARAGE: UNDER - ONE CAR
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
OTHER: NOTE: 1/2 STORY IS BASEMENT GARAGE WITH EXIT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST. : WOOD STORAGE BUILDING
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION { DESCRIPTION ART. ! SEC.
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REMARKS:
INSPECTED BY: ATE ON INSPECTION: 11/12/98
IN M. BOUFIS TIME START: 10:15 AM END: 10:45 AM
Form No. 6
a TOWN OF SOUTHOLD
BUILDING DEPARTMENT (,J
TOWN HALL
765-1802 n
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be. filled in by typewriter OR ink and submitted to the buildint
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.
5. Commercial building,: industrial building, multiple residences and similar buildin
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. - 1
B. For existing buildings (prior .to April 9, 195- on-conforming uses, or.-buildings *an
re-existing" .land uses: ,
Accurate survey' of property showing all property lines, streets, building and
unusual matural. or topographic features.
2. ..A properlycompleted 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.
20'. Certificate of .Occupahcy on Pre-existing Buildine, - $100.00
3. Copy of Certificate of Occupancy -
4. Updated_ Certificate •of Occupancy - $50.00
5. Temporary Certificate of'-Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction. . . . . . . . . .. O1d,,.Or Pre-existing Building./✓. . . . . . . :.'. . . .
Location of Property. . .. . . . . . . . . . . .6A(:OS!!F.Cgs-e k
House No.
,J J Street Hamlet'
Onwer or Owners of Property..SYe1��(,P^�
County Tax Map No 1000, Section—N . . . . . :Block. . .? . . . . . . . . .Lot. . .0 7 . , , , . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map. . . .Lot. . . . . . . . . . . .
Permit No. . . . . . . .. . . . . .Date Of' Permit. . . . . . ... . . . . . . . .Applicant. .. . . . ... . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . .
Request for: Temporary Certificate: . .. . . . . . Final CerticaGe. . . . . . . . ... .
Fee Submitted: , $. . . . . . . . . . . . . . . .... . . . . . . ...
S ..
Q; I 8' •AP •LICANT G� -
4
CONSENT
TO-
INSPECTION
the undersigned,
Owner(s) Name(s) L,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at z(,
which is sh`own and designated on the Suffolk
County tax map as District 1000, Section Block Lot 07
That the undersigned (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 regulations of the Town of Southold.
Dated: l AX, _
si nature)
' 12ev V LQ VeLOZAJ
(print ame)
(signature)
(print name)
BUILDING DEPARTMENT .
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: C._.�
number street municipality
SUBDIVISION c MAP NO, LOT (s)
NAME OF OWNER (s)
OCCUPANCY st—40
(type) owner-tenant
ADMITTED BY: ACCOMPANIED BY: '
KEY AVAILABLE SUFF. CO. TAR MAP NO 44W
SOURCE OF REQUEST: ,� �yj � DATE:
DWELLING:
TYPE OF CONSTRUCTION Uy 0 STORIES / EXITS
FOUNDATION �L�� CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) " UTILITY R0
PORCH TYPESlQ2—" DECK, TYPE PATIO, TYP
BRUAREM FIREPLACE Qr� GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT WARM R HOTWATER
OTHER: `
ACCESSORY STRUCTURES: u `
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. �
SWIMMING POOL GUEST, TYPE ,CONST.
OTHER:
-----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PR EV N b BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
loo
14
12
REMARKS: 6LQ, - Q14- _C 5-C.2 �Af 3321, '�T, Q1, ,?6/12 -
INSPECTED BY: DATE ON INSPECTION
TIME START,/
END d,
0 0 0 ..� 7� �`:. TOWN OF SOUTHOLD OPERTY - RECORD CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT
ex) Lv
FOR R OWlf, N E ACREAGE
S ' W TYPE OF BUILDING
2E� SEAS. VL. $RM CO". I IND. I CB. I MISC.
LAND IMP. TOTAL DATE REMARKS
d l 7
44 0 0 T 23 -
13
S
.3( o 3 a 3 S Jl'v'1-YPe',/ y I . 3 z.8 7 Z
s AGE Uo BUILDING ND T`0 1���Z L /� La verit7 Jv an- N)cl
_ NEW O MAL G BE�W�� 3 ABOVE �3.
Farm Acre Value Per Acre Value
rillab.le 1
Tillable . 2
tillable, 3
Noodland
swampland
�s
3rushland
House.Plot � ^
Total
a .
Mill-
MEN =11"IN 1■■■■■■■ONE
4 ■■■■��ee■■■e��■■eee■
■■■■■■■■■ ®■■ ■■■■■■
■■■■■■■■■■■■■■■■■■■■
■US R RR
Basement
Interior Finish MkTM
Porch Rooms ist Floor
s
r
,. TOWN OF SOUTHOLDkopERTY'.- RECORD CARD
logo f 7P
OWNER STREET VILLAGE DISTRICT SUB. LOT
FOqAJR OWNER N E ACREAGE
S - ' W .v \ TYPE OF BUILDING ¢E
2ES,i SEAS. VL. qA�RM COM-M I IND. I CB. 'i I MISC.
LAND IMP. TOTAL DATE REMARKS
7d 0 -1z3 4 J '
T 23 ,
4466 gzo06 ?410
16-
0 0--0 - ;
S AGE �. Uo' BUILDING NDIT'`O�I�/>� L 11�,3oa
t. NEW O L G BE�QW U3 ABOVE X .rz>
Farm Acre Value Per Acre Value
rillab.le 1
Tillable 2
tillable, 3
Noodland
swampland
3rushland
-louse Plot
dotal
y1 ■■■■■ill::4ZZ�1■■■i■■i■
- ■■■■■■■i■■■■■I■■■■■■
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. . ,may ��- _ _f{_ .� .: _. _ ■■■■■■■■■■■■■■■■■■■■
NOV
■iL� �■■■■■■■
'Foundation :.
Extension -� Basement Floors
Extension -_ Walls Interior '
Extension
Porch Rooms ist Floor
—Patio —Rooms-2nd-Floor-
Porch Attic
r
/ J
!M` Bldg. I �.7 = ,J: i ,5_ j_�.. `j i Foundation <`{ Bath /a
1 y Basement I i Floors
'-"Extension
Ext. Walls ? .. Interior Finish
Extension i
/51
Extension — Fire Place-- Heat —_ --- -_—_
Attic
Porch
Porch Rooms 1st Floor —
- -- -- Patio Rooms 2nd Floor
.Rreezewoy -'% -------- --- ----------------- -
_.�...------- ----- Driveway..
Garcge J. -- — - ------- —
O. B. r ---- ------'�-------
-
1
T6J'1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
77
DATE INSPECTOR
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SURVEY OF PROPERTY
SITUATED AT
e
BAYVIEW '11
TOWN OF SOUTHOLD N c'o
SUFFOLK COUNTY, NEW YORK o9 .0
J
S.C. TAX No. 1000-78-08-07 w�° �o.
SCALE 1 "=20'
OCTOBER 22, 1998
AREA = 18,436.38 sq. ft.
�2 R�
0.423 ac. cy .0 1's g�+
i' tJJ ++ � E►R�
S p
CERTIFIED TO: 6
BNY MORTGAGE COMPANY, INCORPORATEDI1/OxUNt ACEE
JEFFREY V. LAYMON �ARg N gCKfjv
UNAUTHORIZED ALTERATION OR ADOMON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. I
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY j
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY. GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
f
1
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TFTLE SURVEYS AS ESTABLISHED ) i
THE LI AND APPROVED AND ADOPTED FOR
USE Joseph • e o
FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE �SSOCIATION. ■ and Surveyor
r v e y o r
I
uw 05 ey
� � � Title Surveys — Subdivisions — Site Plans — Construction Layout
PHONE (516)727-2090 Fax (516)722-5093 I
r
�%�` 4 66$ �4 OFFICES LOCATED AT MAILING ADDRESS
E`N� N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931
�TFOF
Aquebogue. New York 11931 Wverhead, New York 11901
1 I
98-556