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HomeMy WebLinkAboutZ-33367 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- 33367 Date: 10/31/08 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 2085 SHIPYARD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 038 Block 0001 Lot 023 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- 33367 dated OCTOBER 31, 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 AND ACCESSORY ONE CAR GARAGE WITH APARTMENT.* The certificate is issued to RICHARD J & SUSAN ROSSETTI (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. ' X utho ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2085 SHIPYARD LA EAST MARION SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : RICHARD J & SUSAN ROSSETTI OCCUPANCY: ONE FAMILY DWELLING RICHARD J & SUSAN ROSSETTI ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 38.-1-23 SOURCE OF REQUEST: RICHARD & SUSAN ROSSETTI DATE: 10/31/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES. 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER. KEYSPAN AIRCONDITIONING: TYPE BEAT. KEYSPAN WARM AIR: HOTWATER: X OTHER: REAR ENTRY WAY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: 1 CAR GARAGE W/APARTMENT OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP34250 ACCY COZ33366 INSPECTED BY: r DATE ON INSPECTION: 10 27/08 GARY J FI TIME START: END: OR Form No.6 ` TOWN OF SOUTHOLD BUILDING DEPARTMENT I TOWN BALL r ` .1 lit APR 1 765-1802 it APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 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 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. 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. �fpn( (O 7,0C)o New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: '2 0`6 5 Ski p.tA La-Ylo. e a G M d n A House No, n Street n Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 03g Block l Lot Z� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V� (check one) Fee Submitted: Applicant Signature t ` CONSENT TO INSPECTION Su 5 aI'\ Rac��CA-`RD554i `��� CaK5:�5`�-I�t, the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned.K (are)the owner(s) of the premises in the Town of Southold, located at Zp85 SiniplAaa Lqy� C S-� �1rcri or'� , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 03',Block ► , Lot Z3 That the undersigned Q> ) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ` J J That the undersigned do(q�)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(W 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: o (Signature) SUSC�1 �etk- os pn e> {gignature) (Print Name) TOWN OF SOUTHOLD -PROPERTY RECORD - CARD OWNER STREET VILLAGE DISTRICT SUB. LOT A/:daeket� ,FORMER rNEP _ per. N , i - E ,� � F ACREAGE j J, t IF IC TYPE OF BUILDING RES. 7.10 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS S 0 0 90 4""5.4, —.1- 44 - 6t2 "4=1 (IC AGE BUILDING CONDITION lD Z 12-L 115657 591 - a 4.,t, �qjkeff- (- NEW NORMAL BELOW AB VFW FR O ER � f h'r_�• Farm Acre Value Per Acre Value FRONTAGE ON ROAD r Tillable 1 BtttiEi'tfE ` 7 Tillable 2 DOCK Tillable: 3 1- ?2 cr � ,'act 1 Woodland Swampland Brushland House Plot Total. ,r A � _ ■■RE■■r■■■■■■■■■■■■■ pi�11!11111111111 111111111MIL www ........... FP Foundation ■■■■■nn■■■nn■■N :. , .. f Interior Finish Fire Place Par . Rooms I st Floor Rooms 2nd I Floor F` PIT 'T- A M F, 67 LD D N.Y, 1-OWN OF 50UT HO c, ( 167 4 Oc3 p 5!1 01j, P /i:3 .43;S, Fill; DA' Fi 5/ 7 4-1 4_1 S U VE, (E TOQ Lj() Lf) I ir c.vtoff",;fm Of cr" cc, '71 true COPO� +1 50ARD FENCE the pe-icon anj r'.r.h.;! b'O sJo _70 ----------- 5,69 3220 j 5 , su C,I cn CO 9 58 u- f SCA LE '- 1 0 9) p. E�o 0 I-101-J U M E Lfi 00 E 0 2ACKETT 5 VY DECKLIj 1 -5 U F F. 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