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Home My WebLink AboutZ-30526FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30526 Date: 11/04/04 THIS CERTIFIES that the building DWELLING Location of Property 125 QUEEN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 040 Block 0003 Lot 009.004 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- 30526 dated NOVEMBER 4, 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 TWO CAR GARAGE The certificate is issued to CHARLES & MARY MALINAUSKAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. /;yr'i4d Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 125 QUEEN ST GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): CHARLES & MARY MALINAUSKAS OCCUPANCY: SINGLE FAMILY CHARLES & MARY MALINAUSKAS ADMITTED BY: SUSAN MALINAUSKAS ACCOMPANIED BY: SAME REY AVAILABLE: SUFF. CO. TAX MAP NO.: 40.-3-9.4 SOURCE OF REQUEST: CHARLES MALINAUSKAS 9/23/04 DATE: 11/04/04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT & BRICK CELLAR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: 3 2ND FLR.: 3 3RD FLR.: 0 BATBROOM(S): 1.0 TOILET R0014 (S) 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: HW -OIL WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#9215-COZ-30525 (ADD TO GARAGE) INSPECTED BY: DATE ON INSPECTION: 10/05/04 GARY J SH TIME START: END: Form No. 6 TOWN OF SOUTHOLD -: BUILDING DEPARTMENT 2 TOWN 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 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 or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B, or 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 toporahic features. gp 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 $25.00, 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 New Construction: Location of Property: /17's House No. Owner or Owners of Property: Date. _ �' 2.?- V Old or Pre-existing Building: (check one) &Ltef/? SVre,.e_,1 r_)menwr/ Street ares a,?,l mar girl Hamlet Suffolk County Tax Map No 1000, Section _Py" Block -23.0o Lot o Q 9. Q Q 7 Subdivision Permit No. Health Dept. Approval: _ Planning Board Approval: Filed Map. Date of Permit. Applicant: Underwriters Approval: Lot: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /CIO IUD Applicant Signature 6� - � �) 0 �0 --�, 3052 � CONSENT TO INSPECTION 09-rl e- a f? d IqO P R/a 170 S-Q,S' the undersigned, do(es) hereby state: Owner(s)game(s) That the undersi ed is) (are) the owner(s) of the premises in the Town of Southold, located at /UZ-eA rC� v r -t which is shown and designated on the Suffolk County Tax Map as District 1000, Section 016, 00 , Block 03,00 , Lot 069.Q0 That the undersigned (has) (nave) filed, or cause to be filed, an application in the Id Townuilding Inspector's Office for the following: Cer4 � c a�e or 4 cC u o a -n c -v 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, 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.9 - 'V'? 84eJ�'*-M A;�Z� (Signature) iia rl eS gdlinowsw (Print Name 41 Ma- r (§ /1" a" n 0'U'Skas (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT ERMEk OWNER5, la+i, , t �+� tiC�t t �, N V u E ACR: Y1.QS bttrn IVA Us /7A4/#A ust(As SW lk TYPE OF BUILDING RES. .716 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS A S/17 ,6 rE Coaftf 119P1• AfA411vqejSK 14.1)uvw* OjeS Z UWAIp �z3 346 1 0 / %D4, �' ill -117 r ,500 ad a O0 3/1 13 T 9q—Lll �bg- /'. s �t� Stu efs << a r e In. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value -illable FRONTAGE ON WATER foodland FRONTAGE ON ROAD 143' mdowland DEPTH AV ko ' use Apt ` BULKHEAD 11 wer •► DOCK AAEA=29,185 SQ. FT. a Y Y Y pNf' J. SINT SURVEY OF PROPERTY A T ARSHAMOMOOVE TOWN OF SO UTHOLD SUFFOLK COUNTY, N Y. 1000-40-03-9.4 SCALE 1'=30' JJNE 25, 2004 OF ��O�aT. +uFT2C�Pfi P.C. �! (6.3 ) 7W-17-07 P: ._.....0 — 1230 TRA WtER STREP T ,�' fin/ 11;441 n NJ v i e� �►+