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HomeMy WebLinkAboutZ-33671 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- 33671 Date: 04/24/09 THIS CERTIFIES that the building DWELLING Location of Property 2955 HYATT RD SOUTHOLD (HOUSE NO. ) -. (STREET) (HAMLET) County Tax Map No_ 473889 Section 054 Block _0001 Lot 011 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- 33671 dated APRIL 24, 2009 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 COVERED SCREENED PORCH AND BRICK PATIO.* The certificate is issued to PHILIP E & JOYCE E LAGRECA (OWNER) of the aforesaid building. l SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature 'Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION.REPORT LOCATION: 2955 HYATT RD SOUTHOLD SUBDIVISION: NAP NO.: LOT (S) NAME-OF OWNER (S): PHILIP E & JOYCE E LAGRECA OCCUPANCY: ONE FAMILY DWELLING PHILIP E.& JOYCE E LAGRECA ADMITTED BY: DIANE DUNBAR ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO_ TAX MAP NO_: 54.-1-11 SOURCE OF REQUEST: PHILIP LAGRECA DATE: 04/24/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: BLOCK CELLAR: FULL CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR_: 6 2ND FLR_: 0 3RD FLR.: 0 BATHROOM(S): . 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED SCREENED DECK TYPE: PATIO TYPE: BRICK BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL BASEBD WARM AIR: HOTWATER: OTHER: SEE PERMITS ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: STORAGE, TYPE CONST_: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: ) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE . i LOCATION DESCRIPTION ART. SEC. REMARKS: BP23058 ADD/DECK COZ25712,BP32295 ALTS COZ32189 , F INSPECTED BY: DATE ON'INSPECTION: 04/23/09 GEORGE ILLEN TIME START: END: Form No. 6 i- -- -- -T----- TOWN OF SOUTROLD BUILDING DEPARTMENT gg I+TO L 65-8 G 02 AUG ® M APPLICATION FOR CERTIFICATE OF OCCUPAN bi D`. DEPT, T WN F Ui60—t i 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: I. 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. Conunercial 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) uou-conforming uses, or buildings and "pre-existing" landuses: 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 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, Swimrning pool $25.00; Accessory building $25.00, Additions to accessory building$25.00, Businesses $50.00. if 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, ConuTrercia1$15.00 Date. New Construction: Old or Pre-existing Building: l� (check one) Location of Property: O�Ns 55— Z-&;c X-b S;uWI�5`zj House No. Street Hamlet Owner or Owners of Property: e&/ 4/P /et 62mw Suffolk County Tax Map No 1000, Section $�� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certi icate Final Certificate: (check one) Fee Submitted: $ /p 0 pplica Si ature CONSENT TO INSPECTION Zq the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located atj G� which is shown and designated on the Suffolk C unty Tax Map as District 1000, Section=1,� , Block_�, Lot I/ 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. 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TAX MAP NO. 1 00- 45_ Y _ / " SOURCE OF REQUEST: , DATE: 029 ,;L8 -6 JI DWELLING: TYPE OF CONSTRU ON: # STORIES• #EXITS: FOUNDATION: �- CELLAR: CRAWL SPACE � *TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: -- *`BATHROOM(S): Z TOILET ROOM(Sj: UTILITY ROOM: PORCH TYPE: a.• ) CK, TYPE: �ez PATIO, TYPE: BREEZEWAY: / FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE AIR: HOTWATER: Or'OTHER: v ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: �- VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: Y INSPECTED BY: DATE OF INSPECTION: TIME START: