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HomeMy WebLinkAboutZ-27428 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- 27428 Date: 11/28/00 THIS CERTIFIES that the building DWELLING Location of Property 1380 SIGSBEE RD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 0001 Lot 006.002 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- 27428 dated NOVEMBER 28, 2000 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 GARAGE The certificate is issued to ELEANOR MARCHICA (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. Autfaorized Signature Rev. 1/81 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1380 SIGSBEE RD LAUREL SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S) : ELEANOR MARCHICA OCCUPANCY: RESIDENTIAL ELEANOR MARCHICA ADMITTED BY: ROBERT MARCHIA ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 144.-1-6.2 SOURCE OF REQUEST: ELEANOR MARCHICA 11/9/00 DATE: 11/28 00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: 1ST FLR.: 7 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LIPA GAS AIRCONDITIONING: TYPE BEAT: LIPA GAS WARM AIR: HOTWATER: XX OTHER: WALK IN CLOSET ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME - 1 CAR 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: ti INSPECTED BY: DATE ON INSPECTION: 11 17 00 GARY SH TIME START: 9:50 AM END: 10:15 AM =` - - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT NO �' �,�`" TOWN HALL 765-1802 W. ` BLDr.DEFT'. •S�'OT��►., _ - 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 o� 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 use 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25,q_) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .�a.00 . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing B ,"Iding. . Location of Property. .��. . . . .. �. � :C� !-f� . . . . . . . . . . Q. l G . . . . . . . . . . . . . . House No. " Street Hamlet Onwer or Owners of Property. . j?e�-�Q,� , , , / Q,/'mod// 6V_�1 County Tax Map No 1000, Section. . '?_'7410 k, , ,Block. .��.��.0 Lot. . Subdivision. . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . o . .Date Of Permit, . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . .. . . . . . . . . . . . . . . . . . . . —Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary /Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . .ram.. . . . . . . . . . . . . . . . . f, APPLICANT � . 6 , 1 2,E) 0t00 \A el- o 0 rGO9 Cp .0 hoes A I'l D 0 ra- o %'o 0 o0 0 4- ol 0 Aft GHICA -)3 ro 9 J. O 0 91 0 .PET Zia dot XAO. a" /Sfy �\ /S Q ra 0 0 hOt'se 0 29 ? 'eave" Ot .- o el, cp a f. e ro SURVEY FOR EDWARD F. LITCHHULT MATTITUCK TOWN OF SOUTHOLD SUFF CO. , N. Y. SCALE ; l 11 = 40' MAY 9, 1969 NOTE w=MONUMENT LOT NOS.REFER TO AMENDED MAP OF PROPERTY OF MATTITUCK PARK PROPERTIE. R�OF E S Sel'0��E TIN�G Vjlt�R A N D INC. ,FILED IN THE SUFFOLK COUNTY LAND SURVEYOR,N.Y.S.LIC.NO.1284f CLERKS OFFICE. RIVERHEAD, N.Y. CONSENT TO INSPECTION az2 the undersigned, Owner(s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 12 &-0 J j Gi s which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 41 ALI 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. _ 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.:��� � t1000 � �— (signature) s 66 CATT AI LC-11( 0 v •� (print name) (signature) (print name) lvwa ur SUUTHULU HOUSING CODE INSPECTION REPORT LOCATION: 3f-© A4L number street municipality SUBDIVISION MAP No. LOT (s) NAME OF OWNER (s) OCCUPANCY type owner-tenant o ADMITTED BY: Afhl-iti CA ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAR MAP NO. _ xW— SOURCE OF REQUEST: DATE.- DWELLING: TYPE OF CONSTRUCTION •� # STORIES / # EXITS FOUNDATION ' CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FtR. BATHROOM (s) t TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE t BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT ;-Y-A (�S' WARM AIR HOTWATER OTHER: - WA iC_ ; rf 9 r ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. f.✓ � �c,�,z. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------------ --------------------------------------- VIOLATIONS CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. LOCATION DESCRIPTION ART. I SEC. I 1 REMARKS: INSPECTED BY:_-A..., DATE ON INSPECTION �ZP}'• TIME START �',,s?�' E