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Home My WebLink AboutZ-29761FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29761 Date: 10/09/03 THIS CERTIFIES that the building DWELLING Location of Property 1475 FOURTH ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0007 Lot 004 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- 29761 dated OCTOBER 9, 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 SINGLE FAMILY DWELLING & ACCESSORY ONE CAR GARAGE WITH STORAGE SHED The certificate is issued to PATRICIA GARSIK (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. a tho zed S'gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1475 FOURTH ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): PATRICIA GARSIK OCCUPANCY: SINGLE FAMILY DWELLING PATRICIA GARSIK ADMITTED BY: PATRONELLA ROM ACCOMPANIED BY: SAME EEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117.-7-4 SOURCE OF REQUEST: PATRICIA GARSIK 9/18/03 DATE: 10/09/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: 1ST FLR.: 3 2ND FIB.: 2 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT COVERED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTKDATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE BEAT: OIL OTHER: MARK AIR: HOTHATER: XK ACCESSORY STRUCTURES: GARAGE, TYPE OF COMST, 1 CAR WOOD FRAME STORAGE, TYPE CONST.: ATTACHED TO GARAGE SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: / ( -A _ DATE ON INSPECTION: 09/22/03 GARY JF SH TIME START: 9:40 AM END: 10:05 AM SEP 12 '03 10:52RM SOUTHOLD BUILDING 631 765 9502 P.2 Form No. 6 TORN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1902 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or fttk and submitted to the Building Department with the following: A. For now 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 Deptof water supply and sewerage -disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4 Sworn statcxnett( from ph.lmber certifying that the solder used in system contains less than 2/10 of 1% load. 5_ Commercial building, industrial building, rmrlliple residences and s)milar buildings and installations, a'pertiBcate of Code Compliance fronr architect or engineer responsible for the building. 6. Submit 1'laruring Liomd Approval of couxplotod site plan requirements. B..)'For existing buildings (prior to April 9, 1957) uou-conforming uses, or buildings and "pre-existing" l#ud uses: 1. Accurate survey of properly showing all property lines, Streets, building and anusual natural or topographic f¢atwes. 2. A propurty complctcd applicalion and consent (o iuspcc( signed by the applicant. Ira Ccrtiliea(e of Oecupnncy is (1ciried, (hc Building Inapcctol shall stale the masons thcrcfor in writing to the applicant. C. Vc" I. CCrtlfleaLC of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming Poul $2500, Accessory building $25.00, Additions to accessory building $25.00, Businesse $50.00. Z. Certificate of 0ccupturcy on Prc-cxisting Building - $100.00 3. Cup), of Ccriifi arc of Occupancy - ,$.25 4. Upd1kliCctlilicotcofOceupaucy- $50.00 5. Teruportiry Cerlifien(c of Occupancy-Rcsirlcwttial $15.00, Commercial $15.00 Date. _y. /F. 03 — Ncw Construction: ---..-.- Old or Pre-existing Building: —._. / —._ (elxcek one) rr- Location of Property MEW w _.___._...__..,..,. _..------..--- -- --.— `f jrb k -- House No. Street n 1 Haml t Owner or Owaq 2�etR Owners oFProticrty: , �2ScKL1'/}-'- QoNECc g_jV�. Suffolk County Tax Map No 1000, Section ___.[(7 ---Block _0 Lot O cam__ Subdivision__— _.—— —— Filed Map.Lot:_ Permit No..—_ .. _....---- Date of Permit..---..-__—__. Applicant;_ Health Dept. Approval; — „Underwriters Approval: Planning Board Approval:._______-__.____ Request for: Temporary Certificate.__ Pinal Certificate: — (check ogre) Fee Submitted; $ 64,<- G`46-25 Applicant ignature Ap-- w 710 - 7srb600 73`1--57 ,3 y SEP 12 '03 10:52RM SOUTHOLD BUILDING 631 765 9502 CONSENT TO INSPECTION P.3 -JL�� 1'h-2 ItoNt , the undersigned, do(es) hereby state: O,kner(s) Name(s) l% %4zv - That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District Section I t'1 Block o�_, Lot _ Oj. That the undersigned (has) (have) tiled, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: &-e ri rziof OCCOPA amc_ 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) (Print Name) „7_ 7—V TOWN OF SOUTHOLD PROPERTY RECORD CARD ,-,_.1 OWNER STREET i_ ``, VILLAGE DISTRICT SUB. LOT Pa -yl b\a , i J•-6af I 1/� a 1 r Y FORMER OWNER N hG.�id��'. f7r E n �✓wt�, �irs,�e� ACREAGE ,�,5 j7 7 rit(I0. v� S W TYPE OF BUILDING RES. p SEAS. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2IreD ?66 60 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD SAO ' e ' of3 -�n J 1, Fo'fA Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland - - Swampland Brushland House Plot Total s, "'01, M.a IdS a yl 1a n Extension �� X �/ _ = rr� �`' 2r S4 Nd �undation - d Basement � ��r (7 v Bath j v/l Floors � I Extension15,x.9 I4 6 _ /6 Ext. Walls �/ % Interior Finish n/ 7P_Y Extension Fire Place h Heat i� -- - - - _ r�� [} 3 D y6 e o /J .. - / 6hC� /Porch Ja _( v� Roof Type YP j _ Breezewa patio -- -- Porch A�� C� Rooms 1st Floor 'Rooms 2nd Floor 3 /L/ Garoge / 7 X % = �(�� 1 F - -- s Driveway Dormer o. B./o � I s ORCHARD S. 83.47'20- E. Pwe _ fEDW Big W tf 0.3' h = Pipe by 83.4720 w AREA = 10,213 sq. ft ASPNAL T STREET IN/O/F ASA. dr RL. TERRY ANY ALTERATION OR ADDITION TO TMS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTFICATIONS HEREON ARf: VALID FOR TMS MAP AND COPES THEREOF ONLY IF SAID MAP OR COPES BEAR THE MIPRESSED SEAL OF THE SURVEYOR WHOSE SM,NATUIW APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' ALTERED BY MUST BE USED BY ANY AND ALL SLRVEYORS UTILIZM A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH ' INSPECTED ' AND ' BROUGHT - TO - DATE ' ARE NOT IN COMPLIANCE WITH THE LAW. Z STY. HSE. aar 0RIVENAY 10!.34' 3 h SURVEY OF PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NY WOO- 1W- 07-04 SCALE 1" = 20' SEPT. 2, 2003 raEw �o� ��oF1. METZ o Fp Y.S. LIC. NO. 49618 ON S , P.C. 3 h SURVEY OF PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NY WOO- 1W- 07-04 SCALE 1" = 20' SEPT. 2, 2003 raEw �o� ��oF1. METZ Fp Y.S. LIC. NO. 49618 ON S , P.C. 3i' ,. 5 49 AX ('6 765 1797 123 R STREET SOUTHOLD, N.Y. 11971 03-219 LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner -tenant) ADMITTED BY: q �},J� %/,Q g,)In ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: , 11 TYPE OF CONSTR CTION: t�AAM4 # STORIES: a-2 # EXITS: FOUNDATION: a/7- �cr� CELLAR:.'<g. CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: cg- 3RD FLR: BATHROOM(S): _7i�Jo TOILET ROOM(S): - UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: DOMESTIC HOTW TER: TYPE HEATER: AC Le.C TYPE HEAT: WARM AIR: OTHER: GARAGE: AIRCONDITIONING- HOTWATER: ACCESSORY STRUCTURES: `CI+'t-- GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: TIME START: END: