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Home My WebLink AboutZ-27383 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- 27383 Date: 10/31/00 THIS CERTIFIES that the building DWELLING Location of Property 3050 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 087 Block 0003 Lot 041 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- 27383 dated OCTOBER 31, 2000 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 A LENNON III (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 REPORT. ut rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3050 MINNEHAHA BLVD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : JOHN A LENNON III OCCUPANCY: A-1 RESIDENTIAL JOHN A LENNON III ADMITTED BY: JOHN LENNON III ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 87.-3-41 SOURCE OF REQUEST: J. KEVIN MCLAUGHLIN 10/16/00 DATE: 10 31 00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCKJ & POSTS LI LLAR: CRAWL'SPACE: XX TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: SLATE BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: / r INSPECTED BY: DATE ON INSPECTION: 10 24 00 GARY J SH TIME START: 9:40 AM END: 10:00 AM t`!4'•�r•;._ ..,oU I LS 1r ! Form No. 6 � -S� 40 6 OCT 1 1 ' TOwN OF SOUTHOLD r _ z000 . � �sl�) 358 8 0q _ BUILDING DEPARTMENT TOWN BALL VV 501TOuj 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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. 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. 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. 9properly 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . 1 �? .`O�.. . . : . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building1. . .I.\ , Location of Property. . . .� �, , , f!�� .��1��. . . . . . . . . . . . .vb � : . . . . . House No. ` Street Hamlet Onwer or Owners of Property:�D ,�, `n; .Y\. . .. . . . . . . . . . . County Tax Ma No 1000, Section. . . . J. , , , , ,Block. . .b3 . . . . . . . .Lot. . . . Subdivision. .� �-":. �,'^ ,` � . . � . .� . . . . . . . .� . _ . . .Filed Map. . . . . . . . . . . .Lot. . . . . . :. . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . ..Applicant. . . . . . . . . . . .. . .. . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . .. . . . . Final Cert'cate. . . . . Fee Submitted: $. ..�. .. . . . . . . . . . . . . . . . . . . 333 •LICANT COINSENT TO INSPECTION the un der s i gned, Owner(s) Name(s) do(es) lierebv state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Nrhir_h is shown and designated on the Suffolk County tax map as District 1000, Section O%`7', Block b3 Lot O�f 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: Co I Ao l� S 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 o the T vn o thold. Dated: kCj U.�UU _ t (signature) t526 c !\,1 \�pri�tnaame) (signature) (print name) vi t. • -12 0AL. z. oe Y. 4,u t. W. r. • it W. c. 41 it t • '13 Nt. -1 "T T"E- -NC TA ,D', --',IAfSURA E CO.', or r. rI r . W,OR-.A'-D SURVEY I S �W IVL�ATI N' ON ?f4VU ANY',ALTERATIViz 6' 72,09'--SU ty •TWE. EV ly: .'LAW-; • AfF 0','S. T� N AR PE�� HEREGN%-, P HE EDN-ARE -4,F 67 :.4N D', bbp�ii t4L-r. '-bF TH -SOUTH .HV NATURE. "OPERTY RECdRD CARD �/ TOWN OF SOUTHOLD NER STREET n '" VILLAGE DISTRICT SUB. LOT �12 ;MER OWNER N E ; % ACREAGE S C.. W ,� TYPE OF BUILDING 2. 1� no qNo `trc.l�Sai✓ 10 SEAS. VL. FARM I COMM. I IND. I CB. I MISC. Est. Mkt. Value AND IMP. TOTAL DATE REMARKS 2 Ti AGE( BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER l J 0 Farm Acre Value Per Acre Value FRONTAGE ON ROAD ble 1 BULKHEAD ble 2 DOCK ble. 3 _ dand rpland r. 5 .hland se Plot i iF7 i c `N as. � I �� I' ; 1 � j 1 T j � I I i ' �,_1—• i I i I ak , � ! � I•-T I � � 1 I i i. Bldg. -, , ; � F undation e,,,,,�.Y��-p'1 Bath 1 •,/ ; ;tension �� :; _ Basement Floors <tension I �Ext. Walls Interior Finish (tension ! I Fire Place — Heat ! �.. i i Porch Roof Type I r"J,. . ----_- ------ —! ---I-- Porch --_--__� Rooms lst Floor ! -- -eeze,/woy Patio Rooms 2nd Floor --- ---! -- — - -- --- - - - 1 ------ - orage Driveway Dormer a0 2 00 > f iy50B. I 1