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Home My WebLink AboutZ-29403FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29403 Date: 04/30/03 THIS CERTIFIES that the building DWELLING & ACCESSORIES Location of Property 205 SECOND ST LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0010 Lot 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- 29403 dated APRIL 30, 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 ACCESSORY TWO CAR GARAGE, ACCESSORY SHED ACCESSORY SCREENED GAZEBO.* The certificate is issued to PATRICK ST JOHN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL "0a PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Au oriz d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 205 SECOND ST LAUREL SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): PATRICK ST JOHN OCCUPANCY: SINGLE FAMILY PATRICK ST JOHN ADMITTED BY: PATRICK ST JOHN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 126.-10-2 SOURCE OF REQUEST: PATRICK ST JOHN DATE: 04/30/03 TYPE OF CONSTRUCTION: WOOD FRAME Y STORIES: 1.0 8 EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: IST PLR.: 5 2ND PLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: WEST SIDE ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE BRAT: OIL WARM AIR: ROTHATER: X OTHER: UNHEATED BACK ROOM 12 X 8 (GLASS ENCLOSED) ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR WOOD FRAME STORAGE. TYPE CONST.: WOOD SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: SCREEN HOUSE (GAZEBO) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BPp2303 ADDITION COZ2039 INSPECTED BY: / DATE ON INSPECTION: 04/24/03 GARY J I TINE START: 10:10 AM HND: 10:40 AM 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 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. existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic 1. 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. t i �i Y 1 03 New Construction: Old or Pre-existing Building: 1✓ (check one) Location of Property: d 0 °J Second S{zcet- ( &z Aue) J1 fzC (- House No. Street Hamlet Owner or Owners of Property: FAia ick ST30 4H Suffolk County Tax Map No 1000, Section / a to Block /6 Lot 1:2 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: $ U C, Applicant ignat e uwn do(es) hereby That the CONSENT TO INSPECTION SI ne(s) the undersigned, crsigned (is) (are) the owner(s) of the premises in the Town of Southold located at R 0.ut22 N�-f I which Is shown and designated on the Suffolk County tax map as District 1000, Section /aI6 Block /0 Lot a That the undersigned (has) (have) filed, 'or caused to be filed, an applica- old Town 13uiloing lnspecw. orrae row tha fnllnwing: tion in -the Souti� n a n 4 0 i I 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 i 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 maybe used as evidence in subsequent prosecutions for vio- lations of the laGws, ordinances, rules or regulations of the Town of Southold. Dated: 03 signature) , OH11 (print name) (signature) SURVEYED FOR: PATRICK ST. JOHN PROPERTY LOCATED AT LAUREL LOTS 86 & 87 � MAP OF SECTION ONE OF PROPERTY OF GEORGE I. TUTHILL AND OTHERS FILED: JANUARY 15. 1929: FILE No. 861 TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK / /Er 'r g /o/ ,ap S.C.T.M. a 1000-126-010-2 / D Ij s AREA = 15.362 SF. = 0.3527 ACRES / 0 SCALE: 1"=30' TO / S �, C 8655 0, MON. y NOTE: THE EXISTENCE OF RIGHT OF WAYS. ?m EpF P^N�NENS gyp' E 3 tee Ct WETLANDS AND/OR EASEMENTS OF RECORD Ep0 691I), 15.3' IF ANY. NOT SHOWN ARE NOT GUARANTEED. N COMIC. O,p MON. Q FENCE \ n m= a ' 8.3'/W i �` Q n O � CHIM Z 52.2' 1 STORY 0 Z FR. RES Cn OS eq Li coat. V MON. O3 (F 5`HB GAZEBO % Z q fOAiEiTNE \ GRAVEL DRIVEWAY EAVE 05%E 1.3'/E \\ FRAME o GARAGE \\ q0 i z p ( 1.1 /E D ZA EAVE LAND N/Fm 0.3/E K. 8 N. OENSTON :N ' sHED O SHED 0.7'/E 0 O p ma mot qA a FENCE COR. 61.8' � 1.4'/W 9 0.5'/S CONC, MON. CERTIFIED TO: PATRICK ST. JOHN COMMONWEALTH LAND TITLE INS. CO. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. ANI] ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. ANO TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS. il/i• -OD FENCE COR. 1.0/S 80.3/W J \ CONC. MON. \ 1 01 ( Zm SURVEYED BY: STEVEN BARYLSKI N.Y.S. Ltc. No. 050453 61 MAIN STREET SOUTHAMPTON. NY 11968 MARCH 27. 2003 LOCATION: 1210-5– (number 210S (number & street) SUBDIVISION: MEP NAME OF OWNER(S):f,�,, OCCUPANCY: / (municipality) LOT($): (fie) (owner -tenant) ADMITTED BY: 4—fP-4c/< �7' Jc»+.� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.1000- SOURCE OF REQUEST: ASL fT. _j ar�.i DATE: P% 3 DWELLING: TYPE OF CONSTRUCTION: # STORIES: 0-*-�_ # EXITS: FOUNDATION: CELLAR: % CRAWL SPACE: TOTAL ROOMS: 1ST FLR:_ 2ND FLR: 3RD FLR: BATHROOM(S): D" TOILET ROOM(S): UTILITY ROOM: ------- PORCH TYPE:4r DECK, TYPE: - PATIO, TYPE: BREEZEWAY: FIREPLACE: �, GARAGE: DOMESTIC HOTWATER:Ye-5' TYPE HEATER: 01L AIRCONDITIONING: TYPE HEAT:.-"-W-ARM AIR: HOTWATER: OTHER: �uG /1.r .P bra r� . G, �� .� i✓� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.:,2C9ti,✓�"�%�l STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST:�� OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION: TIME START: 16' -' IO END: 1O ,*�j