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HomeMy WebLinkAboutZ-29997FOP.~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspecuor Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUP~NCY No: Z- 29997 Date: 02/04/04 T~S CERTIFIES ttu~t the building DWELLING Location of Property 280 YOUNGS AVE HOUSE NO.) CoUnty Tax Map NO. 473889 Section 141 Subdivision MATTITUCK [STREET) [HAMLET) Block 0001 Lot 031 Filed Map No. __ LOt No. ~onforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCEP~C~£1qI~BER Z- 29997 dated FEBRUARY 4, 2004 was issued, and conforms uo all of the requirements of the applicable provzsions of the law The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITE ACCESSORY CEMENT BLOCK SHED.* The certificate is issued to DANIEL H WALOSKI (OWNER) of the aforesaid building. ~3FFOI~KCOUIqTYDEPAR~EA~T OF ELECTRICAL CERTIFICATE NO. PLI~BERS CERTIFICATION DATED ~PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN DF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 280 YOUNGS AVE MATTITUCK MAP NO.: LOT (S) DAlqIEL H WALOSKI ACCESSORY STqlUCTURES: S'h~OP~E, TYPE CONST.: EEMENT BLOCK SHED GDEST, RqfPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART, SEC. Pa~3~m~s: BP~13799 Accy garage C0~;Z13685; BP#30047 Deck & Window C0~;Z29994 BP~;300,48 "~ built" deck C0~/Z29995 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICA~ON FOR CERT~ICA~ application m~t be freed ~ by t~e~t~ or i~ and ~b~tted Ac 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 fearures. 2. Final Approval from Health Dept. of water supply and sewerage-d/sposal (S-9 form). 3. Approval of electrical installation firom Board ofF/re Underwriters. 4. S~orn staremeut from plranber cm'tifyirtg that the solder used in system contains Iess than 2/10 of 1% lea& 5. Commerc/~I b~lding, hldustr~al b~.i~ding, znuit/ple residences and s/m//ar buildings and i~tallafions, a certificate of~'Code Compliance from archite¢~ or engineer respo~ible for ~:~ullding. 6. Subr~t Planmr~gBoard Approval of completed s~te plan reqmrem~t~. For existingbffildings (prior to April 9, 1957} non-conforming uses, or buildings and "pre-existing" land uses: 1 Accurate survey of property Showing all property Frees, streets, building and unusual natural or topographic features~ 2. A properly completed application and consent to inspec~ s~gned by fne applicant. If a Certificate of Occupancy is deaied, the Build/ing Inspector shall state the reasons therefor in err/ting to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw/mmmg pool $25.00. Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certiffcate of Occupancy on Pre-existing Building - $ t 00.00 3. Copy of Certificate of Occupancy - $.25 4. UpdatedCertificate of Occupancy- $50.00 5. Temporary Certificate o£ Occupancy - Residential $15.00. Commercial $15.00 Date. ,z[a l New Construction: Location of Property: o'5 Old or Pre-existing Building: b// Icheck one) S~eet H~et Filed Map. Lot: Applic~t: Unde~fiters Approval: / F~al Certificate: ~ (check one) Applic~t Sizable House No. Owner or Owners of Property: ['~ ~ [ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subm/tted: $ [ 0 O- O r~ Date of Permit. 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 SouthoId, lo~ated at ~O x/0~.1 ~ G,$ ~c~ ~ which is shown ayld designated on the Suffolk County Tax Map as District 1000, SecfionlOO~ ,Block]~l ,Lot O1- %( That the undersigned (has) (have) filed, or cat, se to be filed, an application in the Southold Town Bui, lding Inspector's Office for the following: C,~R.¥t ~tc &--~-'~ ~cc~ tJ~cq~ ~0~ ~&~ ~$rr--'G rb~ ~ u-Cb~ ~ e That the undersigned do(es) hereby g~ve consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and ali buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includ~'~ inspections to determine that said premises comply with all 0fthe la~s. ordinances,/ales 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 subseq~em prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~ ~ (Signature) · "5 . tit (Signature) c~ (... t4. ~--*~r~c~r. (Print Name) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING [ ~ ' ~ [ ] FIREPLACE & CHIMNEY ' REMARKS: ~rr F*-~ ~'~_~ ~ INSPECTOR Z~ X / / / k© / ~ /