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HomeMy WebLinkAboutZ-31834FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31834 THIS CERTIFIES that the building DWELLING Date: 09/22/06 Location of Property 570 THIRD ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0009 Lot 021 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- 31834 dated SEPTEMBER 22, 2006 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 DWELLING* The certificate is issued to JOSEPH POLASHOCK (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. uthorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 570 THIRD ST NEW SUFFOLK SUBDMSION: NAP NO.: IAT (S) MAKE OF OWNER (S): JOSEPH POLASHOCK OCCUPANCY: ONE FAMILY DWELLING JOSEPH POLASHOCK ADMITTED BY: JOSEPH POLASCHOCK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 117.-9-21 SOURCE OF REQUEST: JOSEPH POLASCHOCK 9/8/06 DATE: 09/22/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: IST PLR.: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: RADIATOR AIRCONDITIONING: TYPE NEAT: GAS WARN AIR: HOTWATER: XX OTHER: SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: *THIS PRECO DOES NOT INCLUDE ACCY GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS; BP #29478-COZ-29628 (ADDITION TO DWELLING) INSPECTED BY: /ol of z�. )DATE ON INSPECTION: 09/15/06 GEORGE GILLEN TIME START: END: � n_l 73`/- 670 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 I% 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. (/ ts. r'or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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 $25.00, 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 �p Date. 5.0off U JOoee New Construction: .y Old or Pre-existing -Building: (check one) j Location of Property: < Q l y C� t5 2� pS4 alk House No. ((Street /% / Hamlet Owner or Owners of Property: � s � Q"ry [ 4_,b. 4CY B Suffolk County Tax Map No 1000, Section ' ` Block Lot a Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subm tted: $ �.R.,e... 7 ►G Q 6 (TACO-& 3)83 `l Final Certificate: (check one) A licant Signature /Ooa- I/7-9-' / TOWN OF SOUTHOLD kOPERTY CARD .2 OWNER STREET-/ VILLAGE DISTRICT SUB. LOT _.. ,c ' //��L /� ©4(7 V �� 1-/{- / /// %Gi U {-'22 r (, �i✓ (/ �/ �1a JI\/J IVc. ✓C, rJ y� �il2-0 _ FORMER dWNER NE ACREAGE //j� l Z 43S6D� �— S W TYPEOF BUILDING 2ES. 'ILe) SEAS. VL. FARM COMM. IND. I CB. MISC. ( Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS- z9 . ;6'/ 9 f� s. add -i, a"-,C%✓'ao 366 IY66 2<d o .f� 3 . ' .8f C sew app 2-)1-06y's-0 CA 3 Y� b Y- �3 Q•P z i a��. `� �G Se !3!'Nv 00,j o oa - Las► &� - P t tb P c 3 BPS a6l r lac _. Q6 9/66 3 d as d 3OGE 4WRMAISE x AB E FRONTAGE ON WATER Farm 6o Acre lue Pe Acre 2 �V lue FRONTAGE ON ROAD f" 6 4'17t, Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 106-'ftlJe/pMi Woodland Swampland Brushland House Plot Total I M. Bldg.C , 4:s) Foundation - - C 1 01 Bath 1 i ExtensionPiGO Bospment Floors Extension xt. Walls j Interior Finish Fx�tansion Fire Place Heat 9- r Porch >,5/ Roof Type elPorch l, 2�a Rooms Ist Floor Breezeway Patio Rooms 2nd Floor 3a 30 e b Driveway Dormer eANW- 314/ CONSENT TO INSPECTION --5 QED rre 4 the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District Section [ L"7,, Block � _, Lot a 1 1000, 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 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. d"'e# (Signature) (Print Name) (Signature) (Print Name) NEW SUFFOLK AVENUE (MAIN STREET) �— W, rpt �ci l(. BENJAM] '0/F / MOLENSKI S 85°40'30" E FENCE \ 11.5'N22 5'w' )UN )NC MON. \ M DIRT @ GRAVEL DRIVEWAY - 129 i 3 1-112 STORY FRAME HOUSE N 86°03'50" W GATE CoNC. h SLATE 4 STOOP 3 CHAIN LINK FENCE NF RICHARD E. SULLIVAN ANTHONY C AfATS MATSON FOUND 102.0' CONC. MON 1.0'N, O6C0W- 0.8'5, 1 2 STORY FRAME GARAGE n 0.4'S. Q.L. E%YI III J 102.00' 03 0 Z!iUKVhY Ur PEUPEN'tY SITUATED AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-117-09-21 SCALE 1 "=20' MARCH 28, 2006 SEPTEMBER 7, 2006 ADDED BUILDING COVERAGES AREA = 5,317.71 sq. ft. 0.122 ac. BUILDING COVERAGE DATA DESCRIPTION AREA % LOT COVERAGE HOUSE 1,001 sq. ft. 18.6% d• W �^ 12.2% TOTAL O 31.0%. w U d w M N 12.s' w)REs U), O FENCE [� OA'S. 0 J'F 1-112 STORY FRAME HOUSE N 86°03'50" W GATE CoNC. h SLATE 4 STOOP 3 CHAIN LINK FENCE NF RICHARD E. SULLIVAN ANTHONY C AfATS MATSON FOUND 102.0' CONC. MON 1.0'N, O6C0W- 0.8'5, 1 2 STORY FRAME GARAGE n 0.4'S. Q.L. E%YI III J 102.00' 03 0 Z!iUKVhY Ur PEUPEN'tY SITUATED AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-117-09-21 SCALE 1 "=20' MARCH 28, 2006 SEPTEMBER 7, 2006 ADDED BUILDING COVERAGES AREA = 5,317.71 sq. ft. 0.122 ac. BUILDING COVERAGE DATA DESCRIPTION AREA % LOT COVERAGE HOUSE 1,001 sq. ft. 18.6% GARAGE 650 sq. ft. 12.2% TOTAL 1,651 sq. ft. 31.0%. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIA.LS AND APPROVED AND ADOPTED FOR SUCH U;jE ,Sk1E.LEWj;&K STATE LAND TITLE ASSD ��MII �� :N A 1 N.Y.S. Lic. Joseph A. Ingeg Land Surveyo Title Surveys - Subdivisions - Site Plans - Construe PHONE (631)727-2090 Fax (631)7. OFFICES LOCATED AT MAILING A 322 ROANOKE AVENUE P.O. Box RIVERHEAD, New York 11901 Riverhead, New Yo LOCATION: 5 7o TJUAk .1-t, (number & street) SUBDIVISION: NAME OF OWNER(S): _ OCCUPANCY: OAI E ; 9t (municipality) LOT(S): _ lc C 5 j p Eu c -C a W /Vc (fie) (owner -tenant) ADMITTED BY: �o �¢ ACCOMPANIED :BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- - - a - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: ula�y F1144 �� # STORIES: # EXITS: FOUNDATION: CELLAR:' CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): I TOILET ROOM(S): — UTILITY ROOM: PORCH TYPE: 4/V C Lb DECK, TYPE: _ *-- PATIO, TYPE: BREEZEWAY: — FIREPLACE: d GARAGE: DOMESTIC HOTWATER: ✓ TYPE HEATER: AIRCONDITIONING: TYPE HEAT: 6 A- S WARM AIR: `-" HOTWATER: OTHER: -5Ql-kil a )lf),7`" ACCESSORY STIttCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: rl-ld� STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION- ART. SEC. VA LZ REMARKS: �/�"� 7 %uC C 0 01 INSPECTED BY: DATE OF INSPECTI TIME START: bio; VW END: _ END: 0 0 0 q- h-3' Fil 2�o G 6t.