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HomeMy WebLinkAboutZ-29702 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- 29702 Date: 09/10/03 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 59095 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 056 Block 0002 Lot 010 .001 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- 29702 dated SEPTEMBER 10, 2003 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 FRONT PORCH, FRONT CONCRETE PATIO, REAR DECK, AND SCREEN WITH GLASS PORCH (UNHEATED) AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to CARL D REITER JR (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 EP RT. Authorized S' ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 59095 MAIN RD SOUTHOLD SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S) : CARL D REITER JR OCCUPANCY: SINGLE FAMILY CARL D REITER JR ADMITTED BY: JOAN TYRER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.. 56.-2-10.1 SOURCE OF REQUEST: CARL D REITER, JR DATE: 09/10/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CONCRETE CELLAR: FULL CRAWL SPACE: TOTAL ROOMS. 1ST FLR.: 8 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S) : PORCH TYPE: FRONT DECK TYPE: REAR PATIO TYPE: FRONT CONCRETE BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER. YES TYPE HEATER: SUPER STORE AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: SCREEN W/GLASS PORCH (UNHEATED) NO ACCESS TO LIFT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR WOOD STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: RE-INS CTE 9 8/03 INSPECTED BY: DATE ON INSPECTION: 04/14/03 4 M BOUFIS TIME START: 9:45AM END: 10:20AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: i A. 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 Ior 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 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. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. /� a New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: S © qSR XZ House No. Street Hamlet Owner or Owner,of Property: Suffolk County Tax Map No 1000, Section /p d O Block Lot /Lo . f Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for:, Temporary Certificate Final Certificate: L% (check one) Fee Submitted: $ 160, 2MW3 ,(9 � pi(L y (�J� Applicant Signatur CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town o / Southold, located at which is shown and designated on the Suffolk County Tax Map as District 1000, Section SA, . , Block , Lot 14, / That the undersigned (has) (have) filed, or cause to be filed, an application 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. 4 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 in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: V Sai tore) (Print Name) (Signature) , (Print Name) BUILDING DEFT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS90Gv/p�/� 1 i .1 -! " �-� DATE � � INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHI REM S: e 3 � DATE � D � INSP A T S O UTHOLD J- TO TVN OF S 0 UTHOLD S UFFOLK COUNTY, NEW YORK 1000-56-02-10.1 SCALE: 1 =30 JULY 18, 2002 N/p/F GEpRGE L. GAFFGA 333,78' - N 69 ' .12'35 GAR' vj �R IE 1. FR. 1. ' g GAR. o • GAR 2E.1' ` w Z. ---71.5' ------- i —�-- -- 14.0'90 2nd FLR. 4.8 �? N DECK .311. 1 I ro 19.0' + a 30.4' tz .s' 1 112 STY. STUCCO HSE. v, 12.3' 12.3 � N� / / S CONC ro a w ' f, STEP PATIO 9.6'� PATIO L� 12.4 CONCRETE PATIO �oirrrs .z O C c+ \ CONCRETE CURB 1 � A tn I QD � I ' � I CO►�REtE I II c. 0'59 pit-LA CONCRETE PILLARS I 1� I 6 WALLS I I I S ,o c PILLAR F ¢ PILLAR 210.21' x - IC. r'V\\ $ 72'22'30' W "' .s N.Y, 0. 4 9618 E C S RS P Q� S+.R� ,25� (63 , c, 5�=�2� o- A ,C631) 765-1797 MAIN R C P, o, �o �rA.Tq�rmw ut AnorTmv Tv THrs waver n A vraATmN �q6t �y � 7M 0r THE►EW roar STATE MCATM LAW. 1230 Q/ S E T DMmw VMnx ra""U ML r AREA=1,5253 ACRES T"MP OR CONES" TW DFWSSU erg OF TW S,, VEYM SOU T HOL 19 71 O � — 2 LOCATION: 5 (number& street) (municipality) SUBDIVISION: NO.: LOT($): NAME OF OWNER(S): OCCUPANCY: ,G (t3'Pe (owner-tenant) T ADMIITTED BY: ¢a nt !: ACCOMPANIED BY: KEY AVAILABLE: SURF. CO TAX MAP NO. 1000- SOURCE OF REQUEST: tt DATE: 7� 0 / o DWELLING: 11 � � TYPE OF CONSTRUC N: t�O # STORIES: - #EXITS: FOUNDATION: d-� CELL F-4,71 CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): - TOILET ROOM S): b"Yi-e- UTILITY ROOM: PORCH TYPE: ,J-�1 - DECK, TYPE: L-61 PATIO, TYPE:��:`>� C BREEZEWAY: FIREPLA GARAGE: DOMESTIC HOTWATER:. 09< TYPE HEATER: SAM,_ AIRCONDITIONING: - TYPE HEAT:. // WARM AIR.: ,_..... r HOTWATER: , OTHER: _<Ke-eq,. . 40_,0SJ PA 6- J J i J ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.:oq ( 00 STORAGE,TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE LO N N ART. SEC. r / REMARKS: J� INSPECTED M C c DATE ON INSPECTION: TIME START: i 5�s END:. /'®it