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Home My WebLink AboutZ-20728 -r 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-20728 Date MAY 14, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5875 PECONIC BAY BLVD, LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 1 Lot 3 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-20728 dated MAY 14, 1992 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 ACCESSORY METAL STORAGFI SHED" The certificate is issued to. JOHN J. & AMELIA. M.. MARTIN (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. 1 //uiyding Inspector Rev. 1/81 TO'.•ii-1 OF )CUTIJOLD, i1. Y. HOU Ii:G CODE Il'iSPECTION Z;:?ORT Location 5875 PECONIC BAY BLVD. LAUREL, N.Y. lr:u,:.ocr 6c 6-creec) Viun-, cipalicy) Subdivision tiiap I`10 . -Lot(3) Name of Owner(s ) JOHN & AMELIA MARTIN Occupancy A- 1 RES . OWNER (type) o%iner- ce—nanz) Admitted by: JOHN MARTIN Accompanied by: SAME . Key available Suffolk Co. Tax No. 128- 1- 1 .3 Source of request JOHN MARTIN ' "' . Date MrELLI�,TG: 'Type of construction WOOD FRAME ' ;'`stories ONE Foundation CEMENT BLOCK Cellar 3/4. FULLCrawl space 1/2 Total rooms , lst. Fl 5 2nd. Fl 3rd. Fl 2 FULL BATHS Bathroom(S) Toilet room(s) Porch, type FRONT ENCLOSED Deck, type YES -.Patio, typ e_ Breeze ray Garage Utility room Type Heat OIL Warm Air T. ter xx Fireplaces) ONE No. E:cits 3 A.ircor_ditioni ng Domestic hotlaater YES Type heater OFF, BOILER Other SHOWER STALL ATTACHED TO WEST SIDE ACCESSOP`r STQTTrTTM73. Garage, type const. Storage type 1 � yp c c n s L . METAL SHED S"imming pool Guest t Other , type const. V!OLATIOITS: CIIAPTER 45--N.Y. STATE U. 'IIFO[il`i FIRL' PREVENTION & BUILDING CODE - Lnc:ati on DPs - - cl io t,?cn Art Sec . I I Remar'cs: BP #9324 CO Z-8029 FOR ADDITION, BP #20619Z-CO Z-20727 FOR DECK In.;pected by: - .- Date of Insp. APRIL 30, 1992 GAR FIS Time start 9:00 end .9c30 � Form No. 6 T014N OF SOUTHOLD g BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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 2/10 of 17 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. Q Certificate of Occupancy on Pre-exi.stin� 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 . ./?CJC . .2.b . . .4 .?,9 v. . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building.. . .. . . . . . . . . . Location of Property.fir. ".7:J. . ��GCS!./.r G . .Ra-, V . F 1 Y d . . . . . . .4 cz, L) (!F! ( . . . . . . . . . . House No, ' Street -Hamlet Onwer or Owners of Property. . . �? n. County Tax Map No 1000, Section. . /';�&P, ;. . . . .Block. . . . . . !. . . . . . . . .Lot. .'a . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . .. . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. Date Of Permit. ., , .Applicant. . . . . : r; . . . 7. . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $,11�9 Lj . . . . . .. . . . . . . . . . . . . e�-C �-a APPLICANT f 1 CONSENT TO IN PECTION Owner(s) Name(s) may-+" • the undersigned, does) hereby state: That the undersigned (is)epthe owner(--) of the premises in the Torm of Southold located at �j 7 which is shown and desi.rl:ated on the Suffolk County tat map as District 1000, Section �, � Block � Lot 3 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld To«n Building Inspector Is Office for the folloviing: 'l=a Cz, l 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 lags-, 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: �. (s i ature) In7a, Li 4 l V7 (print name) (signature) (print name) oQe` e� Go 120% �Ot < Qo �g �' 3 s — O - - co `A p o� o- tol�e Doi O p _ r � sjr O^ C' ` Yo Cry 2. a _ 7 � O c p' ` .\ �7 37p�i o y �Z 3 O Day A o , ILIN v ` c 1 Q a60 3 `13 e ,\o s \6�yo0y GO NOTE �. �9, �° 8 = MONUMENT Q ,�0 <01 REvisioNs YOUNG do YOUNG JUNE7,, 1977 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR, N.Y.S. LIC. NO, 12845 N.Y.S. LIC. NO. 45893 UNAUTHORIZED ALTERATION OR ADDITION TO -SURVEY FOR. ' 9 SURVEY IS A VIO 72 LATION OF SECTION ✓OHN �. MARTIN AMEL/A M. MART/N 7209 OF THE NEW YORK STATE EDUCATION LAW. OF NEW YO COPIES OF THIS SURVEY MAP NOT BEARING 5� 1J W. THE LAND SURVEYORS INKED SEAL OR � ' EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. AT �. • L A UREL GUAR TQ: J� q o GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE TOWN OF �/ r.' •..�•�;� SURVEY IS PREPARED,AND ON HIS BEHALF SOUTHOLD TO THE TITLE COMPANY,GOVERNMENTAL - � .�'-'�.z�.�:.:i«,{�„•," h ' AGENCY AND LENDING INSTITUTION LISTED BY HEREON,AND TO THE ASSIGNEES OF THE SU FFO LK CO., N.Y. LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL SCALE: q DATE: `+INSTITUTIONS OR SUBSEQUENT OWNERS. = 40 ✓UNE1, 1977i7 ,7 K&E 17 5153 9-74 40913• - - - '- - - - -.