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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. r lop Oy ilding Inspector Rev. 1/81 f. � 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, ■■■■■■■MEMO■■■■■■ENE ■EEEEMMM■M■MMMMMMME■ ■EEMEEMEMEMMEMME■EM■ a I MEMMEMEMMEM MIMMINJ _ Y►V1r11 dtr� � r� ■M■E■IEEE■■EE■Effli■■■ OMEN 01 : . Foundation :. Floors Interior Finish Fire Place ' 14LAM r-y-= • •• • Rooms 2nd Floor i