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Home My WebLink AboutZ-30093FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30093 Date: 03/17/04 THIS CERTIFIES that the buildin~ DWELLING Location of Property 410 JACKSON ST (HOUSE NO.) County Tax Map No. 473889 Section 117 subdivision NEW SUFFOLK (STREET) (HAMLET) Block 0010 Lot 003.003 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 OCCN3PANCYN~3MB~ Z- 30093 dated 9L~RCH 17, 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 WITH ACCESSORY WOOD FRAME 4 CAR GARAGE* The certificate is issued to JAMES G DILL JR.&JONATHI%N DILL (OWNER) of the aforesaid building. N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~TION: 410 JACKSON ST NEW SUFFOLK ~OT (S) SOIIRCE OF P~ST: ~3%RVEY ARNOFF, 3/4/04 DWELLING: TYPE OF CONST~UC'TION: WOOD FRAME FOI3~TION: CONCRETE BLOCK VIOLATIONS: C~APTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP #1718Z-COZ-1424 (ADDITION) Form No. 6 TOWN OF SOUTHOLD BUII,I~ING DEPARTMENT TOWN HALL 76~-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 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. Approxial of electriead 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to .April 9, 1957) non-conforming uses, or buildings and "pre=existing" laud uses: i. Accurate survey of property showing all prope~y lines, streets, building and unusual natural or topographic features. 2. A properly comple3ed application and a consent tO inspect signed by the applicant. If a C~'rtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C+ Fees 1. C. ertificate of Occupancy- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ' Swimming poo1'$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of 0eeupaney- $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. February . , 2004 New Construoti°n: Location of Property: House No. Street Owner or Owners ofProperty: James G. Dill, Jr, Suffolk County Ta~.Map No 1000, Section 1 1 7.00 Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: X 410 .,Tmekgon .qtro~t: ~w g,,ffnl~ Date of Permit. (check one) & Jonathan Caldwell Dill Block 1 0.0 0 Filed Map. Applicant: Underwriters Approval: Hamlct Lot 003.003 Request for: Temporary Certificate Fe~ Submitted: $ 1 0 0.0 0 co a 300f3 Final Certificate: x (check one) /' t~Al~p lieanfft3'/gnature t,/' JA~ES G. D~LL .~ ~ JON~' CALDWELL DILL CONSENT TO INSPECTION JAMES G. DILL, JR. & JONATH~IN CALDWELL DILL , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 410 Jackson Street New Suffolk , ~vhich is shown and designated on the Suffolk County tax map as District 1000, Section 11 7.00, Block10.00 , Lot 003. 003. That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following:. application for a certificate .of occupancy for a 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, Sn 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regUlations of the Town of Southold. Dated: February ~/ · 2004 '!~/ y (s~gn~ure) JAMES G. DILL (print name) (signature) JONATHAN CALOWELL DILL (print name) SUI~'~r~¥ OF PROPrieTY N~ SU~O~ TOWN ~ $OU~OtD SUFF~K C~NTY, NEW YORK S.C. TAX No. 1~-117-I0-5.5 SCALE 1 FEBRUARY 2, 2004 AII[A" ~,015.12 IINI, ff. 1.~14 E 83'43'10" 73.20' JONATHAN CALDWELL DILL DECISION 2000 REAL-ESTATE SERVICE CHICAGO TITLE INSURANCE COMPANY ANY, NOT gHOVf~ ARE NOT QUAJ~NTE~). Joseph A. Ingegno Land Surveyor Tifte Su~m - ~dit4m'ons - Sit~ Plane -- Conetructlon Leyou~ PHON£ (6,31)727-2000 OFF'~Cc"~ LOCATED AT 322 RONCOK£ AVENUE ~, New Yon~ 11901 F'ox (651)727-1727 P.O, BOx 1951 Riverheod, New York 11901-0965 24-00{