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HomeMy WebLinkAboutZ-32886 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- 32886 Date: 02/13/08 THIS CERTIFIES that the building DWELLING Location of Property 5610 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 0002 Lot 010 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- 32886 dated FEBRUARY 13, 2008 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 1 CAR GARAGE WITH STORAGE & APARTMENT* The certificate is issued to BRIGITTA C ROSIN (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. Aikhorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5610 GREAT PECONIC BAY BLVD LAUREL SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): BRIGITTA C ROSIN OCCUPANCY: SINGLE FAMILY DWELLING BRIGITTA C ROSIN ADMITTED BY: JOHN DE REEDER ACCOMPANIED BY: SAME KEY AVAITABLE: SUFF. CO. TAX MAP NO.: 128.-2-10 SOURCE OF REQUEST: BRIGITTA ROSEN 5/18/07 DATE: 02/13/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: PIERS & CONCRETE CELLAR: PART CRAWL SPACE: YES TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 4 3RD FLR.: 0 BATHROOM(S) 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): NO PORCH TYPE: DECK TYPE: WOOD FRAME PATIO TYPE: BREEZ41AY: FIREPLACE: ONE GARAGE: NO DOMESTIC HOTWATER: YES TYPE HEATER: OIL BURNER AIRC MITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: OUTDOOR SHOWER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1-1/2 STORY-1 CAR* STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: *WOOD FRAME WITH STORAGE & APARTMENT, KITCHEN, BATH & LOFT. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. I I I REMARKS: 41 INSPECTED BY: DATE ON INSPECTION: 05/30/07 GEORGE GILLEN TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY', This application must be filled in by typewriter or ink and submitted to the Buildin g Depaitm� en� t withh the following'.-3 A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property .topographic features. lines, streets, and unusual natural or 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 " 1. Accurate survey of property showing all property lines, streets, building and unusual nau ralesting orrtopographduses: features. ` 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector sliall 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. iAI 1 � New Construction: Old or Pre-existing Building: y (check one) Location of Property: , Ly�r.e t House No. Street —� Hamlet Owner or Owners of Property: *1 et Q Suffolk County Tax Map No 1000, Section_ E� Block. 0-2. Lot Subdivision riled Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Plaruiing Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r A ic nt Signature 6q Cow 32��� TOWN OF SOUTHOLD f ..OPERTY RECORD CARD OWNER. STREET VILLAGE DISTRICT SUB. LOT 40 FORMER DIVNEW N E ACREAGE S t W U TYPE OF BUILDING ? �;:we RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value; LAND IMP. TOTAL DATE REMARKS �..•�, /��) � 100 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER f Farm Acre Value Per Acre . Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 En , Woodland Swampland, 3rushland.-.. -iouse Plot Total I all _ Jo V` 1ch A t I I A. Bldg. Jr p I o Foundation Bath ': e..<. At ® y •�jD Basement Floors :xtension Ext. Walls Interior Finish14 :xtension Fire Place Heat 70 i T�� j �fo � / ; Porch Roof Type j r%�" / Porch Rooms 1 st Floor 3reezeway ,x ? � �, �� �2 la Patio Rooms 2nd Floor • T , ;arage i Driveway Dormer I B. f CONSENT TO INSPECTION .8/f/61/7A C• ©S�� , the undersigned, do(es)hereby state: Owner(s)Name(s) That the and ' ed(is)(are)the owner(s)of the premises in the Town of Southold, located at SGIO which is shown and designated on the Suffolk County Tax Map as istrict 10002 Section_[19-1 Block 0-21 ,Lot 0 16 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 con§ent 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 in.subsequent prosecutions for violations of the laws,ordinances,rules or regulations of the Town of Southold. Dated: ` �U®� ,(Signature) (Print Name) (Signature) (Print Name) s� 10. LOCATION: (number & street) (municipality) SUBDIVISION: M NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: �'D (type) (owner-tenant) ADMITTED BY: ��'�"�'` �J� — ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- — O SOURCE OF REQUEST: DATE: .vr 3 G- DWELLING: TYPE OF CONSTRUCTION: ° ' .�-� # STO E #EXITS: FOUNDATION: CCwcJL CELLART4 CRAWL SPACE: !�S TOTAL ROOMS: 1ST FLR: 2ND FLR: =_ 3RD FLR: BATHROOM(S): / TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: Cep PATIO, TYPE: BREEZEWAY: FIREPLACE: ofjt— GARAGE: )✓IC DOMESTIC HOTWATER: -5 TYPE HEATER: �/�'jt1v�/c��C' AIRCONDITIONING: TYPE HEAT: CJ L WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES. 6J` STOc4le v)� s✓�� GE V GARAGE, TYPE OF CONST.: �� f� E STORAGE, TYPE CONST.: SWIMMING POOL: _ - GUEST, TYPE CONST: OTHER: -- VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. on AlLo'L AAI J REMARKS: 9 INSPECTED BY: J'isG DATE OF INSPECTION: / TIME START: END: 5URYFY OF PROPERTY 51TUATF: LAUREL N TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 10-20-2006 REVISED 0I-22-2007 5UFFOLK COUNTY TAX # %C S 1000-126-2-10 C)3RTwnw TO: Brigitta C.Rosin IS' �® 0 0 0 o / co o J ° q� \ � \O 0 �9 F0�'W'E o � O \� 0a, F % Z 2 O 3 \ 9 Zm sue ° O 165' v O y \ vkoso?��PS \ V N \ \ \ \A. m ` 't 0 0\%<Jo p, OP 6 Of \y Of\ \ Of \O z:_:0P O _` _ I \ \ � lhwthorized alteratlori or oddltlon to a vwvey • map tx klq a Ikemed lad x veyor§seol b a New York 5ta'..Ed .V-at. . .' -O y..pled Fran the orlgF ;of this giwvey marked wIn an agn�aI of r�W ea veya§ stamped seal shall t c leerod to to valkt hve NOTES: ' �_ \ \ \ aoplee• ' '� •cernfkatwre u,dlaaree mroon sgny ttn!Mis '' � t _ ey was opaee N aeoremee wrn tna ex- MONUMENT FOUND b wee a st. a fo Land 5uveys o-I-1 [�o - Na Nw York State Assoclatbn of Prolesslanl Lw t S.veyas.Sold cerliFlcatlae sMll run only to Ne perwn for whom tM x.vey b pre�pur-ed. .1 t �^�-' ` � and at hls behalF to ti:e lltle calpay,ccppvv � .. tal agency ord brdirg Iretlwllon Ilsled hereon,and AREA = 21,533 SF or 0.4a43 Acres ', `:., .:4` ,, to the asskjiees of tM lending WlIWLion.Lertlflaa- Nan ae rot o-a,sFeranle w aamlw�al tstlwtlonv NOTE A: 10 FOOT R.O.W. SHOWN A5 PER DEED - JOHN C. EHLERS LAND SURVEYOR L.5522 G.P. 60 AND L.4586 G.P. 70 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPH I G SGALE I t'= 301 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compagserver\pros\06\06-253.pro S/16 6�:19AM Wsbb-]59