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HomeMy WebLinkAboutZ-32886FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32886 THIS CERTIFIES that the building DWELLING Date: 02/13/08 Location of Property 5610 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 0002 Lot 010 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- 32886 dated FEBRUARY 13, 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 1 CAR GARAGE WITH ST & APARTMENT* The certificate is issued to BRIGITTA C ROSIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. u a� *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A AlAhorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5610 GREAT PECONIC BAY BLVD LAUREL SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): BRIGITTA C ROSIN OCCUPANCY: SINGLE FAMILY DWELLING BRIGITTA C ROSIN ADMITTED BY: JOHN DE REEDER ACCOMPANIED BY. SAME KEY AVAILABLE: BUFF. CO. TAF: MAP NO.: 128.-2-10 SOURCE OF REQUEST: BRIGITTA ROSEN 5/18/07 DATE: 02/13/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 Y EXITS: 3 FO@IDATION: PIERS & CONCRETE CELLAR: PART CRAWL SPACE: YES TOTAL ROOKS: IST FLR.: 6 2ND FLR.: 4 3RD FLR.: 0 BATHROOM (S) 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): NO PORCH TYPE: DECK TYPE: WOOD FRAME PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: NO DOMESTIC HOTWATER: YES TYPE HEATER: OIL BURNER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTfATER: YES OTHER• OUTDOOR SHOWER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1-1/2 STORY -1 CAR• STORAGE, TYPE CONST.: SWTPU4 NG POOL: GUEST, TYPE CONST.: OTHER: •WOOD FRAME WITH STORAGE & APARTMENT KITCHEN, BATH & LOFT. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: �ii"��/ "`f/� DATE ON INSPECTION: 05/30/07 GEORGE GILLEN TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 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 ! llotwing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, s topographic features. treets, and unusual natural or 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% 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. 13. 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. —&1 A4' --4 -- -- - New Construction: _--_ Old or Pre-existing Building: —V"'I (check one) Location of Property: House No. Street I— �u~T---- Hamlet Owner or Owners of Property: • �� ( h Suffolk County Tax Map No 1000, Section �i_�__—_— —Block _—��— Lot Subdivision - Filed Ma - — p' ---- Lot: _ Pernut No. Date of Permit. Applicant: Health Dept. Approval: - Underwriters Approval: Planning Board Approval �— Request for: Temporary Certificate_ _ Final Certificate: _ (check one) Fee Submitted: $ i e. A rc nt Signature 13)1 `=^a C0-73.;z(�'at, 0 /00o - -a -I o TOWN OF SOUTHOLD INOPERTY RECORD CARD M/ M- 7 OWNER STREET 56 VILLAGE DISTRICT SUB. LOT �q it Aa C FO ER OWNE N E _ ACREAGE SWSa4 LJH NowH Own�v- TYPEOFBUILDING RES. 2 / p SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND!j IMP. TOTAL DATE REMARKS /fj� =- 13 6-0 J U\ 1) / /Cg �� v%a� iF i[.E yl-ee ,C. t `). %,lt TJf` t,•�'.-, 8 Q-7 % �✓ l r.-:... t. r ' 41 Jvo S- L 1 3y9- 'A "c0 -F Vis,: e. C- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER �.r X Farm Acre Value Per Acre Value FRONTAGE ON ROAD �G p C 13 E- Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 vVoodlond swampland 3rushland. -louse Plot Total A. Bldg. S% p m`�� �� o /� FoundationY--� ' Bath ixtension Z 5D f; k a 3 9 996 Basement Floors Xtension Ext. Walls ---111 Interior Finish _x -.—r- = :xtension Fire Place j Heat„ 7 U / / "X �6_ �Z Porch Roof Type Porch Rooms 1st Floor ` Sreezewoy ro / Patio � Rooms 2nd Floor - ;aroge Driveway I Dormer j 1 B. -.� 8- CONSENT TO INSPECTION 431e/&1 /Ti4 C A©SIXI , the undersigned, do(es) hereby state: Owner(s) Name(s) That the under, jped (is) (are) the owner(s) of the premises in the Town of Southold, located atb(Q16L- which is shown and designated on the Suffolk ounty Tax Map as Section Block 0-2, , Lot 0 b That the undersigned (has) (have) filed, or cause to be filed, an applications in the Southold Town Building Inspector's Office for the following: (�-pY •}��•Ig,�j 6 CL U 'D6h CL, 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: Mlxz . e (Signature) iGiriA I&S/tiJ (Print Name) (Signature) (Print Name) SURVEY OF PROPERTY SITUATE: LAUREL TOWN: SOUTHOLD SUFFOLK COUNTY, NY 5URVEYEDI0-20-2006 REVI5ED 0I-22-200'7 SUFFOLK GOUNTY TAX a 1000-128-2-10 Briglft C. Rosin NOTES: Is \000 Ftp Fa�°e W0\�/ \ WpOd � 5 9. 9 N W E S 2 5e No 5e u \/ �eOK 00to EPS tea- &0N" . 30 MONUMENT FOUND AREA = 21,533 5F or 0.4943 Acres NOTE A: 10 FOOT R.O.W. SHOWN AS PER DEED L.5822 G.P. 60 AND L.4586 G.P. '10 GRAPHIC 5GALE I"= 30' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. I.K. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compagserver\pros\06\06-253.pro LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: 61 -10 - NO.. (municipality) (type) (owner -tenant) ADMITTED BY: 90� 1 ACCOMPANIED BY: KEY AVAILABLE: r---" SUFF. CO. TAX MAP NO. 1000- — O SOURCE OF REQUEST: DATE: v DWELLING: TYPE OF CONSTRUCTION: # STOI #EXITS: 3 FOUNDATION: �� CELLAR:YY'' CRAWL SPACE: _ /�S TOTAL ROOMS: 1ST FLR: 2ND FLR: _ F 3RD FLR: BATHROOM(S): / TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: Gb j PATIO, TYPE: BREEZEWAY: FIREPLACE: 0A/E_ GARAGE: A/C DOMESTIC HOTWATER: �5 TYPE HEATER: d/4 AIRCONDITIONING: TYPE HEAT: 0/4 WARM AIR: HOTWATER:� OTHER: �. ACCESSORY STRUCTURES: I 41 —STORY , I c4k W/d- GARAGE, TYPE OF CONST.:'�� fE STORAGE, TYPE CONST.: SWIMMING POOL: — , GUEST, TYPE CONST: _ OTHER: ------ v- VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. J _0 REMARKS: INSPECTED BY: .,'�r DATE OF INSPECTION: �—,,?o— 0 7 TIME START: END: