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HomeMy WebLinkAboutZ-29989FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUP/%NCY NO: Z- 29989 Date: 02/03/04 THIS CERTIFIES that the building DWELLING Location of Property 4145 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 137 Block 0002 Lot 009 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- 29989 dated FEBRUARY 3, 2004 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 GEORGE CASSIMATIS & ANO ( OWNER ) of the aforesaid building. SUFFOLK COUNT~DEPARTMENTOFHEALTHAPPRO~-~J~ ELE~-i~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'l~u *PLEASE SEE ATTACHED INSPECTION REPORT. ~/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4145 PEQUASH AVE CUTCROGUE SUBDI~r~SION: ~ NO.: N~ OF OW~ER (S): GEORGE CASSIMATIS & A-NO OCCUPANCY: SINGLE FAMILY GEORGE CASSIMATIS & ANO DWELLING: T~fPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CEMENT BLOCK STORIES: C~: FULL CP.A~LSPACE: ACCESSORY STRUCTURES: VIOLATIONS: CMAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP~4357 ACCY GAR3%GE C0Z3717 DA~'E ON INSPECTION: 01/07/04 Form No. 6 TO~A~' O1~ ~OWFHOLD BUILDING DEPARTMENT TOV~N 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 ~ f,~l~ A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets,.anffunusual 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. 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 lines, streets, building and unusual natural or topographic 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 $25.0/0, Alterations to 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-eyi:,dng Building - $100.00 3. Copy of Certificate of Occupancy/- $.25 4. Updated Certificate ofOccupang'y - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. /- ~C) ¢ New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners ofProperty: .~?_ 114, Gc_ r -ax? Suffolk County Tax Map No 1000, Section /',~ 7 Subdivision Permit No. Date of Permit. Health Dept. Approval: (check one) Block o,Q Filed Map. Applicant: Underwriters Approval: Hamlet Lot Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) ignature UNION SQUARE E. S. KALOGERAS,.... -; ~0~ ~-~--' ' ACEC Member · 727 UNION AVENUE · RIVERHEAD, NY 11901 January 23, 2004 Town of Southold Building Department Main Road Southold, New York 11971 Re: Gennaro Residence, 4145 Pequash Avenue, Cutchogue, NY Gentlemen: I have inspected the structural condition on the basement stairs and floor system at the above referenced residence and certify that they are structurally sound and in compliance with the New York State Building Code, latest edition. lfyou have any questions concerning this matter, please call us at your convenience. Very truly yours, E.S. Kalogeras, P.E. ~ ~. .~ ' ESK:wpwinl0.0 cc: Mrs, Kelly Gennaro TEL: (631) 722-4040 · FAX: (631) 722-4004 ° E-maih Lkalogeras@msn.com CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (ar~ the owner(s) of the premises in the Town of Southold, located at lTll l~ h~ D~at/~rk ~t x/ O-~cJw~je_ which is shown and designated on the ~uff~lk County Tax Map as D~strict 1000, Section /5 '7 , Block Z- , Lot "/' . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town 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 anv. 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: 1-- ~-6/c~/ (Signature) (Print Name) SURI~Y C~ AT CAITCHOGUE TOVt4V OF ~THOLD ~UF~C~K COUNT~. N E AuG ~ 20O3 03 ~ 236