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Home My WebLink AboutZ-33367FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 33367 Date: 10/31/08 THIS U~TIFIES that the building DWELLING AND ACCESSORY Location of Property 2085 SHIPYARD LA (HOUSE NO.) County Tax Map No. 473889 Section 038 subdivision EAST MARION (STREET) (HAMLET) Block 0001 Lot 023 Filed Map No. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,mnt to which CERTIFICATE OF OCcuPANCY NI~IBER Z- 33367 dated OCTOBER 31, 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 AND ACCESSORY ONE CAR GAPQ%GE WITH APARTMENT.* The certificate is issued to RICHARD J & SUSAN ROSSETTI ( OWNER ) of the aforesaid building. N/A N/A N/A ~/ut ~o i/z~ed~S ignat ur e Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION P~EPORT ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P.~%RES: BP34250 ACCY C0Z33366 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT xow 765-1802 8 7 iE 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 cerlificate 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. Ifa 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 Date. New Construction: Old or Pre-existing Building: LocationofProperty: 2-0q5~ ~:>~'x\¢~&~,,-~ Lg,.~Xl~_ , House No. Street Owner or Owners of Property: ~O,_Cx ~O..F_~\~.z~ (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Block Filed Map. Applicant: Lot Z'~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: v/ Lot: (check one) Applicant Signature CONSENT TO INSPECTION {~tk- ~,~)~:~a~ ~ ~. ~'~a~ the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned/ho (are) the owner(s) of the premises in the Town of Southold, located at ZO$CD ~Blp~r~ U&c~t.. l~&~,-i- t'~xd or~ which is shown and designated on ~h~ Suffolk County Tax Map as District 1000, Section O3~ ,Block [ ,Lot Z~ That the undersigned (~) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's O,ffice for the f. ollo,wing: c.o. bm am5 That the undersigned do(.~) 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, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(~ 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, roles or regulations of the Town of Southold. Dated: (_Signature) ('gi~nature) (Print Nme) TOWN OF SOUTHOLD PROPERTY RECORD CARD ~-3? OWNER STREET VILLAGE LOT RES. ,~.,~. 0 SEAS. VL. FARM LAND IMP. TOTAL DATE REMARKS DISTRICT SUB. ,4 ACRE/~E TYPE OF BUILDING ¥¢o0 ~' :AGE NEW Farm Value Per Acre Tillable I Tillable 2 Tillable 3 Woodland BUILDING CONDITION NOP, A~AL BELOW Acre Swampland Brushlond "' ~"~ House Plot Total COMM. ~ !IND. CB. MISC. Est. Mkt. Value Value -- F~ONT~g~ ON ~OA~ (nLZ C~ b ~,~ ._ ~ ~,- D~K Extension jinx ~z I~0 f~. /~ Basement ~ 'Floors E~ension Fire Ploce Heot Breezew~ ~,~ · ~ ~ i Patio Rooms 2nd Floor Garage ]~V2~: ~ ~/,~ .~ 0, Driveway Dormer I~A~ILE YF ~i I,,1.67 IO IO E. L.40~, ~?5!t, DATED L.4315, R~li; ~.:-e ~ F2EPO2T OF' MADE N i~AC Z ETT ~.T EAST MARION TOWN OF .~UT HO b [:)¢ N,Y, '? SCAI_E: 30'. I" J/~ ' MOkl Ij H E t',]T Q F~'ODEI~IC~_ VAN Ti