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Home My WebLink AboutZ-29925 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- 29925 Date: 12/19/03 THIS CERTIFIES that the building DWELLING Location of Property 235 ROGERS RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 066 Block 0002 Lot 023 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 NUMBHR Z- 29925 dated DECEMBER 19, 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* The certificate is issued to MARION M FAVOZNO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTM@TP OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPO Authorized Sign re Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHO LD HOUSING CODE INSPECTION REPORT LOCATION: 235 ROGERS RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OP OWNHR (S): MARION M FAVOINO OCCUPANCY: SINGLE FAMILY DWELLING MARION M FAVOINO ADMITTHD BY: JOHN NICKLES, JR. ACCOMPANIHD BY: SAME RSY AVAILABLH: SUFF. CO. TAX MAP NO-: 66.-2-23 SOURCH OP AHOUHST: PAUL CAMINITI, ATTY 11/5/03 DATH: 12/19/03 DWELLING: TYPH OF CONSTRUCTION: WOOD FRAME # STORMS: 1.0 # GRITS: 2 FOUNDATION: CEMENT BLOCK CHLLAR: CRAWL SPACH: TOTAL ROOMS: 15T PLR.: 6 2ND PLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILB'1' ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPH: DHCR TYPH: PATIO TYPH: ROOFED OVER CONCRETE BRHHZHWAY: PIRHPLACH: ONE GARAGH: DOMHSTIC BOTWATHR: XX TYPS NBATID2: ELECTRIC AIRCONDITIONING: TYPH HHAT: OIL WARM AIR: XX NOTWATHR: OTIUD2: HILCO CELLAR EXIT ACCESSORY STRUCTURES: GARAGH, TYPH OP CONST.: 1 CAR WITH ELECTRIC STORAGH, TYPH CONST.: SWIMMING POOL: GUHST, TYPB CONST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ ART ~ SEC wwyawxc: gp$2992 -CO -29924 ("AS BUILT"AGCY GARAGE) INSPHCTHD BY: DATH ON INSPHCTION: 11/14 03 JOHN M. BOUFIS TIMH START: 9:30 AM @7D: 10:00 AM Form No. 6 TOWN OF SOUTH LD - 6 BUILDING DEPARTIV~ENT TOWN HALL ~ 765-1802 ~I 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 'yY. 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 uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lit,es, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certifcate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to [he applicant. ,C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations [o 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 - $ ] 00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~ V ~ New Construction: OldorpPre-existing Building: _ ~ ~ _ (check one) Location of Property: ~ ~ .5 / t 0~7~~.5 /Q.~ ~ ~ L! y~-~l~ /C? House No. Street Hamlet Owner or Owners of Property: G~~~K)ft= ~ ~ ly7~/c'70I~~ ! 14 (/Oi /711 Suffolk County Tax Map No 1000, Section`s Block ~ Lot ~ 3 Subdivision ~ ~ ~ fCPC~'O/~ ~7s 7- ~ Filed Map. ~ ~ 7 oZ. Lot: 1/ Permit No. Date ofPermit. A Applicant Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ , ~ Applicant Signature ~e-c_. ~ 3 ~f ~7~ S- 5- U C~ (41 CONSi,NT TO INSPLC'I'ION T-- ~ ~ ~ ~ ~C~ V C`7~~~'7 the undersigned, Owner(s) Name(s) do(es) hereby state: That the underalgned (is) (are) the owner(s) of the premises in the Town of Southold locat4ed at 1~ ~ ~ d C' r C~.~ ~ \ ~ t 1 ~ which Is shown and deslghated on the SuCFolk County tax map as District I000, Section ~{'jV, Bloclc ~ , Lot 'T'hat the undersigned (has) (have) filed, 'or caused to be filed, an applica- lion in the Southold 1'oHm Building inspector's Offioe for the following: _ ~ That the undersigned do(es) hereby give consent to the Building Inspectors oC the Town of Southold to enter upon the above described property, including any and all bulldinga located thereon, to conduct such ltispectiohs as they tnay deem necessary with respect to the aforesaid applicafion~ including inspections to determine that said premises comply with all. of the 1aW§, ordluahces,)rules and regulations of the Town of Southold. _ The underalgned, in consenting to such insp¢etlons, da(ea) so with the knowledge and understanding that any hiCormatlon 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~tKe 't'own oy~9outhold. baled:~~CJ 5~~~---'1 (sisnature) 1 1ty • (v,t~I print narne , (sighs Ure) ' F F n..ia.i ~ 802 UILDING DEPT. t SECTION [ ] F NDATION 1ST [ ]ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS l ~1- ~ yt//~d~ ~ o ~ ~ C?. ~ .,~'3~- DATE / 4 INSPECTOR W~ 7Y V>WUIo W V J i i ",.ra~W>I~~ ! ~yO~ao ~ ~ ~ ~ yz~a~ ~ og"g- /~1 _ ~ ly ~ v, ~ " LL y 4~~~ ~ ~ ~ ~ z a ~O ~ ~ O ~ U o ~ X ~ a~,~~ ~j may' U OC]~ }'1 ~ ~ Q O C'~ C'~ ~ W i ~'J p~ Fw~C ? ~ ~ ~ O p ~ ~ ~ zN ~ ~ ~ V n e O ~ O~9 0 V~' o,m ,9u1' se ~ N 2~ rp) N ,Lp"~' Ewe ~ Va W q~~~ ~ m 7ff~ C Sti st ';'A, l~ I- ~c`~ s a r, ~ ~ ~ Y -.a. do ~ ' o s C~ O ,a„ rs ~ 02 w. ~ a O. s t ° figJ a~'y Po p OdJ ~Nby ~ J•! \ a ~~d \ ro 'Y O \ 'A ~`r \ \ `s \ rl S,4 C~ \l \ ~0 io yFP~ \ r~ \ O \5~(~\~,,OJ~ a y \ C~ p0 5~. \ ~'Q \ p0 \b\. .~Yr , o 9aP a~ s ~ \ 00 ~ a c~ 0009 J ti~~~ ~QQ` o3y ~ti~, X45 .40~ _ ~gy ~~~~~~€g 43~Y 4 N ~~~y ~8= g dg 1- ~xO g., ~ ~ ffi~o p M I$ ~gg~g~~~ t+f ~sJw~Y~L~a~ ~ II b~~ ~°g'£84 ` N 4 - O