HomeMy WebLinkAboutZ-22256 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-22256 Date APRIL 13, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 900 BAYVIEW AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 52 Block 5 Lot 45
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.722256 dated APRIL 13, 1993
was. issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancyifor which this certificate is
issued is ONE FAMILY DWELLING
The certificate is issued to PETER & LORETTA LIEBLEIN
(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.
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lop
Oy
ilding Inspector
Rev. 1/81
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� BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 900 BAYVIEW AVE. GREENPORT, N.Y.
number & street _ municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) PETER H. & LORETTA LIEBLEIN
OCCUPANCY ONE -FAMILY DWELLING OWNER .
type (owner-tenant)
ADMITTED BY: . LORETTA LIEBLEIN, OWNER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 52-5-45 .
SOURCE OF REQUEST: OWNER DATE: Ai'RIL 2, 1993
DWELLING:
TYPE OF CONSTRUCTION FRAME STORIES 1 # E%ITS 2
FOUNDATION CEMENT BLOCK CELLAR CRAWL SPACE Kg
TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR.
BATHROOM (s) I TOILET ROOM (s) UTILITY ROOM
PORCH TYPE CLOSED IN UNHEATED .DECK, TYPE PATIO, TYPE FLAGSTONE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER Kg TYPE HEATER ELECTRIC AIRCONDITIONING
.TYPE HEAT OIL WARM AIR Kg HOTWATER
OTHER:
ACCESSORY STRUCTURES: _
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST,- TYPE CONST.
OTHER: GARAGE WITH ROOF DECK PERMIT # 10931-Z CO Z-1052.7
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
WOOD BURNING STOVE HAS UNSAFE INSTALLATION - TO BE REMOVE
WOOD STOVE HAS BEEN REMOVED 4/9/1993
REMARKS:
INSPECTED B s DATE ON INSPECTION APRIL 7, 1993.
THOMAS . FISHER TIME START 9:30 END 9:50
Form No. 6 ..
. -• ! TOWN OF SOUTHOLD
c
BUILDING DEPARTMENT
TOWN HALL AM 21993 ;I
765-1802 �� ,��,,
BLDG. DEPT,
APPLICATION FOR-CERTIFICATE OF OCCUPANCY. -TOWN OF SOU7'HOLD
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 2110 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. 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 $25.003,
Additions to accessory building $25.00. Businesses $50.00.
'1. Certificate of Occupancy on Pre-existing Building - $lnn nn
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . Old Or P -exist.ingi Building. . .\I . . . . . . . .
Location of Property. �:� . . . . . . .U. . ��. . .Ao.c.. . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property : . . . �;-��,[ J;;, , 1��J;�,1 . . . . . . . . . . , . . . . .
County Tax Map No 1000, Section. 01!A. . . . . .Block. . . . . . . . . . . . .Lot. . . . .
Subdivision.du-�. ��. . � . . . . . . . . . .Filed Map. .l.`.Z3. . . . .Lot. .L .�.� . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit... . . ... . . . . . . . . . .Applicant. . . . . . . . ... . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request. for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
$. .!Q�?.`�_ . . . . . , . .
Fee Submitted: v-
B.+P�C 1576 - APPLICANT
/u C 0. as�
CONSENT APR M-.2 1993
TOI `
INSPECTION al.cu. DEFT ..��..� i
TOWN OF SOt1 T�iOLD
�� ( � e the undersigned,'
Oivner(s) Names)
do(es) hereby state:
That the undersigned (is) (are) the owher(s) of the premises in the Town
of Southold located ate A
which is shown and designated on the Suffolk-
County tax map as District 1000, Section Block Lot .
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: _
(signa ur )
(print name) 1--�---
(signatu e-)
(print name)
S-
BUILDING DEPARTMENT
.TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 960 elaw,
(nueler & street . muni pa ity
SUBDIVISION 'MAP N0. LOT (s)
NAME OF OWNER (s) / pp a
OCCUPANCY �rr,C [Z t" �—n -
(type) ? --Co—wner-tAdhant)
ADMITTED BY: lB f.�/`�'I l�G[ / ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO.
SOURCE OF REQUEST: DATE: 2 93
DWELLING:
TYPE OF CONSTRUCTION # STORIES I # E%ITS Z
FOUNDATION j,��,� CELLAR CRAWL SPACE
T
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. �-
BATHROOM (s) TOILET ROOM (s) ,--- UTILITY ,ROOM �-
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER ,�� AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER :�—"-
OTHER:
ACCESSORY STRUCTURES: .
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL -/ GUUE-ST, TYPE CONST. /
OTHER: c�' w c3�ltAes/� �yA.mr�z49/
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
d
REMARKS:
INSPECTED B . DATE ON INSPECTION 1-7
TIME START .`,3O. END q' S�
i4
TOWN OF SOUTHOLD PROPERTY RECORD CARD -
OWNER STREET VILLAGE DISTRICT SUB. LOT
(?� � �/. �Lv�etfa �:_. L►e�ler'r� d �/ cri ve, C �. /d r ,
V i �l �ct
FORMER OWNER I_ N E ACREAGE
c.
�r/C' �� N ��` S W TYPE OF-BUILDING
T K/f� • � 2�'- -jr-:ll-'1iC:� ,
RES. f/0 SEAS. VL. FARM COMM. I IND. I CB. J.' MIS.C.
L //
LAND IMP. TOTAL DATE REMARKSs� ? �?�GQQ r /6Zk
ad 1., 66 yd 6 /6 -2191a 8LD. P f /0 93/
/moo o2�-ov 3- Go /� G -L-i D� I- -� . lcrn ��- �-►.�b�e��, �/so o��v -
� �� a vo boo 3 a
2-00 3700
2 do 3 Boo 500o S $ gEL)
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value r°
Tillable 1
Tillable 2
Tillable, 3
Wcodland .
Swampland
Brushland
House Plot. .
Total,
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