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Home My WebLink AboutZ-32835 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32835 Date: 01/17/08 THIS CERTIFIES that the building DWELLING Location of Property 815 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 0002 Lot 015 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- 32835 dated JANUARY 17, 2008 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 2 CAR GARAGE* The certificate is issued to STANLEY C & FRANCES MICKALIGER (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. thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 815 SIGSBEE RD LAUREL SUBDIVISION: NAP NO.: LOT (S) SANE OF ONEER (S): STANLEY C & FRANCES MICEALIGER OCCUPANCY: SINGLE FAMILY DWELLING STANLEY C & FRANCES MICEALIGER AOQITED BY: STANLEY MICKALIGER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CD. TAX NAP NO.: 143.-2-15 SOURCE OF REQUEST: FRANCES MICKALIGER 1/14/08 DATE: 01/17/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRANL SPACE: TOTAL ROOMS: 1ST FIB.: 4 2ND PLR.: 1 3RD FIB.: 0 BATHROOM(S): 1.0 TOILET ROON(S): 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC BOTWATER: TYPE HEATER: HOT WATER AIRCOIDITIONING: TYPE HEAT: OIL NARK AIR: BOTNATER: YES OTHER: HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SHIMMING POOL: GUEST, TYPE COMET.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: �/p �!E `/� INSPECTED BY: .��_�.. `Yie � DATE ON INSPECTION: 01/17/08 GEORGE GILLEN TIME START: END: Form No.6 TOWN OF SOUTHOLD '? BUILDING DEPARTMENT TOWN HALL 765-1802 JAN 14 thud .J 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. 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 $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building$25.00, Businesses $50.00. X2. 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 N Date. ( / New Construction: Old or Pre-existing Building: ✓ (check one) fi Location of Property: 2 i 6 S q S.bac_ ilipccr t*u House No. J Street Hamlet A Owner or Owners of Property: „Sias, , qr} t a- ces (\N\e,kaA: cet Suffolk County Tax Map No 1000, Section /4-1 Block Lot / 5— Subdivision Subdivision Filed Map. - -- - -- Lot: Permit No. - Date of Permit. _Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /00 Applicant Signature - -73&5 6.ttcoa.3a8 5 CONSENT TO INSPECTION &to,N4 ey ` 4- erra`r\c e5 ti\ Vc kc,(' e V, 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 g IE 5; sbee WA a1cz-h-;{ c_k which is shown and designated on the Suffolk County Tax Map as District 1000, Section 143 , Block a , Lot I S . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following.0 ce - c . O 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: 1114102 4J/', / ] , (Signature) - �r es (Vlick0.1;5 €h (Prnrt ain ) fii2 ISignature)) c *? i/e� /ii'c'Ke 10e�— (Print Name) m\ EKG` , g TOWN OF SOUTHOLD PROPERTY RECORD ORD CARD OWNER STREET dei/ ,5r VILLAGE DIST. SUB. LOT e7 / ICI V 744-74-4( d/ E C L Deet f i i�Z.ctr yi S 'c`, FORM OWNER N E ACRI S W TYPE OF BUILDING !4f V- A ,g--;---)7,0„..___ ,.r Z11) SEAS. L. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3.f. -- S, o Y90c 4-10 13 0 c d 4741. 42 `308o c> 3 r' o o ✓ cf, 14 ' L / (re r a irk,iit' 1/ /3, 7 ccc AGE BUILDING CONDITION NEW NORMAL I BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD e .4- 3 ed House PlotDEPTH At _ BULKHEAD 1 ' Total DOCK COLOR TRIM - k-. lIe d7 li 3e Y � „ 1 i 11 sem., M. Bldg. �/ �3 7 s/6 Foundation C Bath / �/ L Dinette Extension , 1/41,, (i 2 Basement Li Q t K. Extension tE N 1 v ' �xt. Walls Interior Finish LR. Extension L( y 1 1-' 3 b ryl GG Fire Place Heat !`iQ DR. Type Roof f7r..--L-Gc Rooms 1st Floor ,_.)— BR. Porch 1rparCi46 Z�'� 41) f Recreation Room LRooms 2nd Floor / FIN. B. fir` )c Porch tb-G„I, (('-to l C.I. is Dormer Breezeway 024 } y ea A e0 Driveway 1) I Garage y Patio O. B. Total eV d / ( J r______ MAIN R 0A D I r I C S {UI ie i LOT 1 I I 'r'• - ! m in 0'� ' 1 r rra -' N. 69`,. �'OO�°E' 14C.CQ FOVND4 0 o Na LOT' 10 o 1 I!I w xr: U T "` � RY `'AUR. COO ' r iii Sr M1 f� rRM. MO, n Q. 'r) 1 1 0..r" R'T . ' i N / 0 RAIL GE66E 4"N. .�. -.' � 'y .. `R a . .- t,9°2� 00 Tw• - 140.0 0 .__.._. . ;,. i OT 88 J 11 ( MAP OF PROPERTY SURVEYED FOR STAN. LEY C. FRANCES MLCKALIGCR At 5CALEt 4Ott Ir, !.1ATT!TUCK N.Y. CO.I:C. M C",N : w NCI F." LOTS* UMBERS 5H'7t!N, GU A R A.r.i 'r 7., '.' ".': TO THE INTER—COUNTY' 'REFER. TO 'MAI' :IF MA,' - YUC_'-" TiTi- GUARANT r-$ M0PT"G<s i;," CO. 'Alec PR''...) PEI; , 1 ;‘..._..7 AND SOUYHOL U 5?-�;r.,.>', ,ANKJ FIl_ E.` C7 1N UPFC)iK COUNT `1' AS 5URvL`r' EGAPRIL_ a1i'lei 3. RI', S OFFICE A -S MAP NO. 80i C�' +- ' �/Ar rt_ $6?tl CLE LlC c c: D LAN; r _. r.. :^ -'LE. ',I>-;OPT, !•+ EVN ThOR1-.. LOCATION: Y/_ -- t A. �� --4_ (number& street) , (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): '�_— 7C�� /y7 OCCUPANCY: / -/ „� a w. (type) (owner-tenant) ADMITTED BY: S ACCOMPANIED BY: ._. KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- /'73— ?---/3-- SOURCE OF REQUEST: $ DATE: / —/ -0 g DWELLING: TYPE OF CONSTRUCTION: W0'0"4 F.JL , # STORIES: I / # EXITS: GZ FOUNDATION: mak-- S,./A— CELLAR: ,iu-�'-e CRAWL SPACE: —TOTAL ROOMS: 1ST FLR: 44 2ND FLR: / 3RD FLR: — . BATHROOM(S): TOILET ROOM(S): I UTILITY ROOM: —_ PORCH TYPE: 40 DECK, TYPE: +-ve-ok PATIO, TYPE: — BREEZEWAY: FIREPLACE: e'-,--e__ GARAGE: — DOMESTIC HOTWATER: — TYPE HEATER: //b7- 14/4VOAIRCONDITIONING: — TYPE HEAT: -O/Z-- WARM AIR: HOTWATER: S' OTHER: ale Lv . , Baa .liL_ ACCESSORY STRUCTURES: ?- C. _ GARAGE, TYPE OF CONST.: 144-4 TL , STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: a INSPECTED BY: DATE OF INSPECTION: //6 —o 7 TIME START: END: