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HomeMy WebLinkAboutZ-29929FORM NO. 4' TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29929 Date: 12/22/03 THIS CERTIFIES that the building DWELLING ~ ACCESSORY Location of Property 1355 BAY AVE (HOUSE NO.) Co~u~ty T~ Map No. 473889 Section 031 EAST MARION Subdivision (STREET) (~LAMLET) Block 0009 Lot 005.001 Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pu~suax~t to which CERTIFICATE OF OCCUPANCY NUMBER Z 29929 dated DECEMBER 22, 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 GARAGE.* l~e certificate is issued to JACK & DORIS SCHIMATZ (OWNER) of the aforesaid building. SUFFOLK COL~qT~f DEPi~RT~ENT OF }~DJ~%~{ APPROVAL ELEC~RICAL CERTIFICA~ NO. PL~EP~g CERTIFICATION DA'r~u3 N/A N/A N/A *PLEASE SEE ATTACHED INSPECTIO~T. ,'/ Authorized Signatu~ -- // Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOUSING CODE INSPECTION REPORT L(F-ATION: 1355 BAY AVE EAST MARION SDBDI%rISION: ~ EO.: LOT (S) NAME OF OW~E (S): JACK & DORIS SCNIMATZ OC~JPANCY: SINGLE FD~MILY JACK & DORIS SCNIMATZ ADMITTED BY: ED THIEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-9-5.1 SOURCE OF REQUEST: PATRICIA MOORE, ATTY DATE: 12/22/03 DWELLING: TYPE OF CONS~UC~ION: WOOD FR~-ME # STORIES: 1.0 # EXITS: 2 ACCESSORY STRUCTURES: C~GE, TYPE OF CONST.: ONE PRE-EXISTING WOOD S~P-qGE, ~"fPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. mm~mxs.. BP#7988 ,~C~ntCOZ7032; BP#8175j9 I/G POOL COZ7031; BP#8784 Accy Gar with porch:'coz7991; BP#29960 r;~l A/C C 28 4 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: For new building or new use: 1. Final sur~'ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health DepL of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement frown plmnber certifying that the solder used in systmn contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, nmltiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plamfing Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) uon-confornfing uses, or buildings attd "pre-existing" land uses: 1. Accurate ,urvey of property showing all property lines, streets, building and dnnsnal natural or topographic features. 2 A properly completed application and consent to inspect signed by the applicant. Ifa Ccrtificale of Occopancy is denied, the Bnilding Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~lterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Bosinesses $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. Temlgormy Certificate of Occupancy - Residential $15.00, Conanercial $15.00 'ate {S I'O3 New Construction: Location of Property: Old or Pre-existing Building: House No. Street (check one) Hamlet OwnerorOwnersofProperty: L.~a.~z.~ '~ DC)¥,3 Suffolk Couuty Tax Map No 1000, Section ,..~1 Subdivision Permit No. Date of Permit. Block ~ Filed Map. Applicant: Lot ~'-, ) Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ lC) O - Underwriters Approval: Final Certificate: (check one) ~. ,t ¢ ,..¢ o, 8 © ~t 0 ~ ~ ~ .~ & 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~/~ CHIMN/~ R£MARKS: ~ -- CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) ~,are) the owner(s) of the premises in the Town of Southold, located at / ~>~5~- t'~./~ ~"a.~/z fJTO-~ re--o which ~s shown and designated on the Suffolk County Tax Map as District 1000, Section ::~/ ,Block ~ ,Lot ~ / That the undersigne~ (have) filed, or cause to be filed, an application in the Southold T,qwn 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. 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) (Signature) (Print Name) SURVEY OF PROPERTY SITUATED AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-51-09-5.1 SCALE 1"=20' OCTOBER 21, 2003 AREA 31,500.00 sq. ft. 0.723 ac. CERTIFIED TO' ROBERT SCHIMATZ MARY ANNE SCH~MATZ PECON]C ABSTRACT, INC. O, fi~ FIDELITY NATIONAL TITLE INSURANCE OF NEW YORK CITIMORTGAGE, INC. COMPANY N¥S L,c No 49668 Josej3h A. Ingegno La~hd Surveyor PHONE (651)727-2090 Fox (651)727-~727 23 zfil