The URL can be used to link to this page

Home My WebLink AboutZ-30230FORE DIO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30230 Date: 06/04/04 THIS CERTIFIES that the building DWELLING Location of Property 3805 OLE d -ULE LA P+L=.TTITUCK. (HOUSE ISO.) (STREET) (I-LAMLET) County Tax Map No. 473889 Section 122 Block 0005 Lot 026 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAPHILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 30230 dated JUNE 4, 2004 was issued, and conforms to all of the requirements of the applicable pro•risions of the law. The occupancy for which this certificate is issued is ONE F'_AMILY DWELLING WITH ATTACHED OISE CAR GARAGE AND SLATE PATIO.* The certificate is issued to ZIGMOND PYLKO L WF (OS^a4ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t ho;4zed Signature Rev. 1; 81 BUILDIIIG DEF.7F.T6IEUT TONIi OF SOUTHOLD HOUSIIiG CODE I2ISPECTIO17 REPORT LOCATION: i80S OLE SULE LA F£.TTITUCK IUBDx:ISIOm: IULP NO.: LOT (S) kJAME OF OaAYER (Si : iIGMOYJD PYLFG L WF OCCUP?.UCY: SPOOL FR.'IIE ZIGMOUD PYLYC E WF HUTTED B3: KRISTEN F.ISCH =!OHPZiMIED BY: SAME XEY A';AIL:-.BLE: SUFF. CO. TX MAP NO_: 122.-5-2E SOURCE OF REQUEST: P-= CF14IUITI, :_TTY DATE: 06%04;04 TYPE OF CONSTRUCTIOR: WOOD FR -14E # STORIES: 2.0 9 EXITS: 2 FOUMDATTON: CEMEUT BLOCK CELLAR: FULL =',?L SPACE: TOTAL ROOMS: IST FLR_: 3 2ND FAR.: - 3RD FIR.: 0 B=-aTHROCH(s): 1.0 TOILET ROCK(S); 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: SL,;TE BREEZEWAY: FIREPL-CE: GARAGE: OIiE C?F. RTT CEED DO14ESTIC HOTU'ATER: TES `TYPE HEATER: ELECTRIC AIRCOADITIONING: TYPE HET: OIL 'rv:Raf ',IR: HOTWATER: Y M UM -CCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: •DIOL_TIONS: CRTPTER 45 Y.Y. STAIF UNIFORM FIRE PP.EVENTIDU L BUILDIITC CODE LOC=TIDII I DESCRIPTIOII I ART. SEC. REA7-RYS: INSPECTED BY: GARY DATE 044 MSPECTIOIT: 05;24;04 TIME START: 5:35=14 EIM: 10:00:'N Form No. 6 TORN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1302 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1 ° o lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect Ye 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 S25.00, 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-existing Building - $100.00 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. New Construction: _ Old or Pae -existing Building: (check one) Location of Property: Cj e k e LQL�_ I&°C k House No. Street Hamlet Owner or Owners of Property �E \ p Z �µ� 77- Suffolk County Tax slap No 1000, Section 17 Z Block s Lot t Subdivision Filed Map. Lot: Permit No. Date of Perm t. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board .approval Request for: Temporary Certificate Fee Subtrtted: S I on( _ CJ( {v0 h C% (z) Final Certificat ---------------- - - - �nr);; --7-�� ;- TOW1V-OF SOUTHOLD PROPERTY RECORD CARD f ,, OWNER STREET� .5 VILLAGE DIST. SUB. LOT a,�,�.y� �`�, `... f z2 n OR0 EP. OWN S W TYPE OF BUILDING ZES.� 1� I SEAS. VL FARM JCOMM. CB. MISC. Mkt. Value------------------- — LAND IMS-� P, TOTAL DATE REMARKS 0 oo AGE BUILDING CONDITION — NEW NORMALBLE OW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 tillable 3 Noodland � iwampl.and FRONTAGE ON WATER fi" —' w B Ga irushland FRONTAGE ON ROAD - -IOUse Plot � _Y DEPTH - --�� BULKHEAD -- -- Total DOCK M. Bldg. 1 COLOR d Foundation m — l��L1 Extension y Basement �. !, Floors 6 �, K. Extension TRIM Ext. Walls Interior Finish z LR. Extension Fire PlaceHeat �i{ �fl, DR. Type Roof ��) ; Rooms lst Floor �s BR. Porch Recreation Room Rooms 2nd Floor M. Bldg. d Foundation m Bath Dinette Extension y Basement �. !, Floors 6 �, K. Extension Ext. Walls Interior Finish z LR. Extension Fire PlaceHeat �i{ �fl, DR. Type Roof ��) ; Rooms lst Floor �s BR. Porch Recreation Room Rooms 2nd Floor r FIN. B. Porch Dormer Breezeway Driveway Garage Patio -- — - Total 765-1802 BUILDING DEPT. [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL —pre, C40 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ' DATE INSPECTOR CONSENT TO INSPECTION the undersigned, Owne (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 c),\ which is shown and designated on the Suffolk County tax map as District 1000, Section l7—L .; Block , Lot That the undersigned (has) (have) filed, 'or caused to. be filed; an appllca- tion in the Southold Town Building Inspector's Office for the following! That the undersigned do(es) hereby give consent to the Building Inspectors I 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 tnay deem necessary with respect to the aforesaid application; incitiding inspections to determine that said premises comply with all. of the laws; ordtiiances, )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 iri the conduct of such inspections may be used as evidence in subsequent prosecutions for Vito- lotions of the laws, ordinances, rules or regulatioof tiip5Wn o�outhoid IJ Dated: signature) (P name) r nt (Sigha1Ure') - ._ f S..C:� TAX UAP rye. DIST. SECT «z_ 3LOCK os --� LOT VO. OBS [ PROJECT NO. ,a��vFJ 7-•e- .e=oiea �.vo w.✓ ,c�.3' /',(�./.o.�T Liv .✓G--_ /c/ G/--sts"3o� d0" c� BBQ ✓' , J rry� t Parr v Q 3r � Nlwx \ b v! f t E� j fI r✓D t _S i�� /Z7 O'r rICW VC Stotts Eda4'diINl L3W. WCOI' w this Qp(;-ne 158 V101a1IW1Oi CenQ:cations fntlirut Sectlon Ttlg o" ih. terew�baha}t to dre r„a C.anPen7�taommewal arson^ ft is praparetl antl. to copies ottiii•aesig>�aes of the tendo irrsytvfio CanN�o Iendfnq inatitvt{on tistatl Copies H this dr crsoSseyuent onners. hrsae++s ars nwtansterahle not pe sansidare orulnentno[Cearirg tpa Poo taesioraes inketl saa(w ampossea seal spall The on da VatiQ hue cagy. ser for ynrensions) shown hereon trc,n s:raotwes to the r spe�:H-,o Pt-rlwse Sod vsa and £hare Fore are nw Iritan + 'stainme; watts, pools. da -to poperty ones are torn tw!5rrurtion pa1!os, pFaK.ing areas. addition gto pulls ere�On of ienoss, Cings o: any other CERTIFIED Ot4vf 6ti: K yarLT�a^v;.-NYS LIC :Y4rrbS: DESIGNED t7RAVlh �_ �� ry CKD. T;T C le s� 4 6 p 'I Q 3r � Nlwx \ b v! f t E� j fI r✓D t _S i�� /Z7 O'r rICW VC Stotts Eda4'diINl L3W. WCOI' w this Qp(;-ne 158 V101a1IW1Oi CenQ:cations fntlirut Sectlon Ttlg o" ih. terew�baha}t to dre r„a C.anPen7�taommewal arson^ ft is praparetl antl. to copies ottiii•aesig>�aes of the tendo irrsytvfio CanN�o Iendfnq inatitvt{on tistatl Copies H this dr crsoSseyuent onners. hrsae++s ars nwtansterahle not pe sansidare orulnentno[Cearirg tpa Poo taesioraes inketl saa(w ampossea seal spall The on da VatiQ hue cagy. ser for ynrensions) shown hereon trc,n s:raotwes to the r spe�:H-,o Pt-rlwse Sod vsa and £hare Fore are nw Iritan + 'stainme; watts, pools. da -to poperty ones are torn tw!5rrurtion pa1!os, pFaK.ing areas. addition gto pulls ere�On of ienoss, Cings o: any other CERTIFIED Ot4vf 6ti: K yarLT�a^v;.-NYS LIC :Y4rrbS: DESIGNED t7RAVlh �_ �� ry CKD. PROJECT: Zi SITUATE AT: DATE: SCALE: SURVEYCO. O. ti ui� TTrrs �lfNCF3 QIQTTfIjty TS1J T1CIa S --Y., Land Piannjn$ f!�( t Concl:yctGnn Lxyeaq 3 I 3 Enovid ♦1�". ! � ' 9a a'—' -w ! Ppono-(„tt)>Sab35 Faz;:�)17�'-SWI SURVEYDATE: FILED MAP NO..u_ - AREA FIELD BOOK S=�✓-.T�6 —_ DATE FILED FND. --p DATA DISC _ UND. CONST. IQ �r r: nn� 1 �+ Z jVN_f 1 /Y PROJECT: Zi SITUATE AT: DATE: SCALE: SURVEYCO. O. ti ui� TTrrs �lfNCF3 QIQTTfIjty TS1J T1CIa S --Y., Land Piannjn$ f!�( t Concl:yctGnn Lxyeaq 3 I 3 Enovid ♦1�". ! � ' 9a a'—' -w ! Ppono-(„tt)>Sab35 Faz;:�)17�'-SWI SURVEYDATE: FILED MAP NO..u_ - AREA FIELD BOOK S=�✓-.T�6 —_ DATE FILED FND. --p DATA DISC _ UND. CONST. IQ LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner -tenant) C ADMITTED BY: P..IS /'�I .J't35E ACCOMPANIED BY: CJC� KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: c� FOUNDATION: fir- CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: _ 3 2ND FLR: _ 3 k 3RD FLR: BATHROOM(S): TOILET ROOM(S): P,lXe— UTILITY ROOM: PORCH TYPE: 7' DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: Alcj✓�,. GARAGE: lc -IX-_ j DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONINGy TYPE HEAT: If - Y WARM AIR: _HOTWATER OTHER: '- �� -s� %+�/.FiL c z?t?/ ACCESSORY STRUCTU S: GARAGE, TYPE OF CONS SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE OF INSPECTION: d TIME START: �' 3JEND: