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HomeMy WebLinkAbout34464-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33774 Date: 06/12/09 THIS CERTIFIES that the building ADDITION Location of Property: 1820 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 I~)t 29 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in th/s office dated FEBRUARY 27, 2009 pursuant to which Building Peri,it NO. 34464-Z dated FEBRUARY 27, 2009 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELINOR G & CHRISTOPHER J JAGEL (OWNER) of the aforesaid building. SU~'MOLK COUI%]TY DEPAR~qT OF }~ALTH APPRO~KAL N/A RV.R~£KICAL c~KTIFICATE NO. 09-3159 06/04/09 PL~3~B]~i~ U~U(TIFIC3~TION DA-r~ N/A ure Rev. 1/81 Form H~. 6 TOWN OF SOUTItOLD BLrl]LDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OO ~ application must be filled in by typewiter or !nk and submitted to the Build FOr new baild{.~ or'new use: 1.. Final survey of propm'ty with accurate location of ali buildings, prope~. , 20o9 BLDG. DEPI. TOWN OF $OfiTHOLD, topographic features.. . Z Fiaal Apgm~ from Health. Dept. 0f..w~ supply and ~nve~g~-diSposal.(S-9 form). 3. Approval of electricalimtallation ~om Board of Fire Underwriters.. 4. · Sworn statem. ~nt ~rom plumber c~'fifyiag that the solde~ used in sysmn oontalnn'!ess than 2/10 of 1 ?~ lead. 5. Comm%~ial building~ industrial buiklln~'m~ltipl~ t~idenca~, and similar buildin~ and'~ons,a ~ff~ ofCOde Complianc'a fr0~ amhitest or enabler rcsponaible'for the building. 6. ~ubmit ElanninE Beard Approval of completed site plan requitem~nlz;. 1~ For ~isting'buildings (pti01; t° Apl~l 9, 1957) n0n-~onforming ns~, o.r bufldlngs and "pre'elisting~!and ~: 1. ' Ac~arate sm.veY of prope~y s~howing all property lines, str~t~,.building and.unusual natural or topographic features. 2. A.pr~p~ly completed'application and conseat to inspect signed by the applicant. If a Certificate of Oecupaucyis deiiied, the Building Inspector shall state the re~ous therefor in writing to the applicant. C. Fees ' L Certifieateof Occupancy - New dwelling $25.00~ Additions to dwelling $25.00, Alterations to dwctling $25.00, Swimming pool $25.00, Acc~sory 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, TL'mP°rary Ce~'dficate o~' Occupancy - Residential $15.00, Commercial $15-00 New Construction: LOeation of Propeay: Oid or Pre-existing Building: HoUSe No. / Street Date. d --//- O~' (check one) H~et .owner or Owners of property:. Suffolk COunty Tax Map'No 1.000, Section Subdivision Permit No..'~ q L/~/./Z Health Dept. Approval: Date of Permit. Fried Map. 'Lot: AppliCant: /'/~ c~ e-. [ ,.d Unders~iters Approval: Planning Board Approval: , R~quest for:' Temporary Certificate Fee Submitt~xt: $ ~ _~ o.~.~ . ~.~ /"~ Finai Certificate: (check one) Electrical Inspectors, Inc. 308 East Meadow Avenue East Meadow, NY 11554 Office: (516) 7944)400 (631)396-7474 Fax: (516) 794-5854 Website: www.elecUicalinspectors.com Emaih in fom~el~ch-icalin spectors.com Mail To: East County Electric, Inc. William Oster/Brace Oster PO Box 2620 Aqueboque, NY 11931 Certificate Number: 09-3159 Muni¢¢ality: Oreenport, Village of Inspector: 124 Issue Date: 6/4/2009 Property Address: Jag¢l 1820 Bayshor¢ Road Grecnport. NY1 4~) Licenseg: 100SE ELECTRICAL APPROVAL _ RTIFICA TE AREAS LISTED BELOW ARE APPR~SURVEY No visual defects were found for the electrical inspection provi~d. No obvi~i~nsatis fac tory conditions w~re found in the areas herein below only. ~ 7 Residential Survey/Maintain Existing Conditions ~ Basement: 2 Storage Rooms f ~ 1st Floor: Bathroom. Bedroom, Decl~ Dining Ro~, Family Roo~, Kitchen. Laundry Room 2nd Floor: Bathrootr~ 2 Bedrooms, Hall J ~ ] 2.5 Car Detached Garage / f ] ] 200Amp Single Phase Service/CB/17~7~e Main Panel/2 4Ckts/22 Used. * Richard M. Bivone President Philip F. Goehring Chief Elec~ical Inspector Not valid unless signed by an authorized Eli Agent i. ELECTRICAL INSPECTORS, INC. is not responsible for the existing conditions at the subject premises. 2. ELECTRICAL INSPECTORS, INC. is not responsible for corrections, upgrading or replacement of existing electrical violations at the subject premises. Any corrective work shall be solely the responsibility of the property owner. ELECTRICAL INSPECTORS, INC. DOES NOT WARRANTY OR UNDERWRITE THE ELECTRICAL CONDITIONS AT THE PREMISES. 3. ELECTRICAL INSPECTORS, INC. only recognizes the National Electric Code, Building Code of the State of New York all Volumes and Local Municipal Codes, as Authorized by The Department of State Codes Division, via Village, Town or City Board Resolution. 4. AN ELECTRICAL SURVEY consists ora visual examination of the premises ONLY: Electrical Inspectors Inc. will comply with the requirements of NFPA 73, latest edition Chapter 1, Section I-1, t-2. If violations exist, a Notice of Violation (NOV) will be issued requiring correction by a licensed electrical contractor. After the violation has been corrected, a re-inspection will be conducted and if approved a certificate shall be issued. 5. A SURVEY CERTIFICATE does not examine the actual wiring or devices unless all v~alls are opened and wires and devices are exposed prior to the survey being conducted. 6. A CERTIFICATE is non-transferable. 7. AN ELECTRICAL INSPECTION consists of an examination of wiring and installations during the rough stages of construction. After completion of the construction a final inspection will be conducted at which time a certificate will be issued provided no violation exist. In the event no inspection is requested during the rough stages of construction ELECTRICAL INSPECTORS, 1NC. will perform a CLOSED WALL SURVEY that consists of a visual inspection of the wiring and installations only. Since access is limited, ELECTRICAL INSPECTORS, INC. shall bear no responsibility for any defects or violations at the premises. 8. ELECTRICAL INSPECTORS, INC. shall not be responsible to remove any walls in order to conduct an elecixical inspection. 9. ELECTRICAL INSPECTORS, INC. will only release information, certificates and reports to the applicant atter payment for services rendered have been paid in full. 10. ELECTRICAL INSPECTORS, INC. assumes no liability for the results of its inspections. 11. The agreement may not be changed orally. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34464 Z Date FEBRUARY 27, 2009 Permission is hereby granted to: ELINOR G JAGEL 1820 BAYSHORE RD GREENPORT,NY 11944 for : CONSTRUCTION OF A NEW ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR THIS REPLACES BP#9136. at premises located at County Tax Map No. 473889 Section 053 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 15.00 1820 BAY SHORE RD GREENPORT Block 0004 Lot NO. 029 27, 2009 and approved by the 27, 2010. ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29663 Z Date AUGUST 22, 2003 Permission is hereby granted to: ELINOR G JAGEL 1820 BAYSHORE RD GREENPORT,NY 11944 for : CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1820 BAY SHORE RD County Tax Map No. 473889 Section 053 Block pursuant to application dated JULY 30, 2003 Building Inspector to expire on FEBRUARY 22, GREENPORT 0004 Lot No. 029 and approved bythe 2005. Fee $ 408.30 Authorized Signature ORIGINAL Rev. 5/8/02 ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL CC~MPLETION OF THE WORK AUTHORIZED) N0. ~ Z Date ...................... ~ ............~ ......... , 19..;.~ Permission is hereby granted to: ...... to .a~l~l-..ee..e~l&~t,~.em.. ~..ex~.-s ~n~ .. dve~ ~1 .............................................................. at premises Iocoted at ...],0.~,~. ....................... .~ol;~.e.J~,lr..Z&t,....,l~lllllllill~ ........................ ............................................ h~u~e..~:~4 ........ ~a, ee~po~l~ ..................................................... pursuant to application dated .................. ~......~l. .................... , 19....~, and approved by the Building Inspector. Fee $..~J.~.lJ:~O .......... TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] ~JJ.ATION [/.,,*]"FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION ~rl~.l,D INSPECTION REPORT'1 DATE'1 COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING ~S~ATION PER N. Y. STATE ENERGY CODE FO~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned ........ ...... , ............... '.: .......... ....... , ' .......... Approved Disapproved a/c ........................................................ .............................~~~';;~i ................................. Application No. ~ /'~ ~ . APPLICATION FOR BUILDING PERMIT Date ~,4~'~/ ~, ........ , ..................... ............. , ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ ........................................................ ~.~.:~ ..................................................................................................................... Name of owner of premises ........ d.~./.4f.-.~. ...... ..~......&..C.~..~..;.~w.......~.~.~,, ..................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number .......... ~..,..;~....~.~.~../.~.~-~.....a~Z~. .............................. .~,~a~a~,/~.,~,Tt7.. ......................... ~unicipaliW 2. State exi~ing use and occupancy of premises and intended use and occupancy of propo~d construction: a. Existing use and occupancy ............ ~.{.~.~/.~ .................... . .............................................................. b. Intended use and occupancy .......... ~ ~.¢.~6 ~.~...~.~ ......................................................... 3. Nature of work (check which applicable): New Building ....................... Addition ...... ~ ...... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost ............ ..~....~...,0.. ?...O....~ ...... Fee ...... !.:~.'~..~...~ ........................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... Z. ...... Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front ....... ~ ....... Rear ....... .."~.~. .............. Depth .......... ..~..~., .................. Height ........................................................... Number of Stories ............... ./.. ........................................................... / . Dimensions of same structure with alterations or additions: Front ........ ..'~.~.. ........... Rear ........... ~,~....'. ................... Depth .............. ~.,'""7 .................... Height ......................................... Number of Stories ............ .~ ....................... 8. Dimensions of e-~'t~ee new construction: Front ..................... ,... Rear ................. 2,$, $ ~ ....... Depth ........ ~',,,~'2: ..... /' ........... Height ................................................. Number of Stones ..............~, ....................................................................... 9. Size of lot: Front .................... ~:'7 ............ Rear .............. ~..~ ................... Depth ........... ~:~,4,~..I. ......................... Height .................................. Z~ ............ Number of Stor~e~ ...................................................................................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ........ ~ ........................................................................................ 1~. Does proposed construction violate any zoning law, ordinance or regulation: ......... ..~:~ .......................................... 13. Will lot be regraded ......;~7,~ ....................... Will excess fill be removed from premises: [ ] Yes [ ~No 14. Name of Owner of premi~'...~. .................................. ~, ......... , ........... --~ ....... ~ ............................................................. ~/o~/3 ,~ ~ ,A~=.~d~/e~ ~... (Phone No.) Name of )/. ~ ,' .................~'~,"~.'"'~ (Address) (Phone No.) Arc~te~t ..~ .,~ ~ = .......................... Name of Contractor ........ "~[-2/~g' ~'~ ~/~ °'~'/ ",~'~'""~;';:;': ;:';; ~'~ .......~"~';"~:~"i~;~'~'~;:i/,. ............... Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner Int. /Z~/. STATE OF NEW YORK, ) COUNTY OF .........~'~lk .......... ' ............... ) ................................ ~ILDo~'...~I'&~. ......................................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) ~rle is the .............................................................. ~..~..g'.. ..................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ............... ,~J~:~,~, ........... day of ......... ~'..~.h , 19 77 ................................ ELiZA~iV'i'~"~ffi~ NEVILLE / RY PUBLIC ~ate 0 New~, ~/~/,~o[~ /~ ~ I t' / NOTA f ' . , 5~0 Suff0)k Cou If, UotaryPubhc ...................................... *,~l~f~O~....~..,v.l~o ~ "!.,' -.,.-3B-..l~j~<.-~x.. ................................. , ..................................... /,~ / ..,~..~ / ,,' · %~ /z/ Term [x~ir.s ~rc ' ~0 (Signature of applicant/ APPLICATION FOR BUILDING PERMIT ~ Dote ....... .~'. ,~. ........................ , 19~..: .7...,.~ INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, withg~l 3 sets of plans, accurate pict plan to scale. Fee according to schedule. b. Pict plan showing location of Jot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application· ~ c. The work covered by this application may not be commenced before issuance of Building Permit. Y'l d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work· e. No building shall be occupied or used in whole or in part for any purpose whatever untiJ a Certificate of Occupancy shall have becel granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zen? Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ~ c (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................ ..................................................................................................................... Name of owner of premises ..-~.~.l..~ .~.. If applicant is a corporate, signature of duly authorized officer. ..................... i ..................... I (/- I 0 6 1. Location of land on which proposed work will be done. Map ~o.: ........... .7..../... Lot No .............................................. ............ ............................- .......... Street and Number 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................~.....~?.../...~...~...,~../~.../..~...,.2~.. ................................................................................. occupancy ........... ~"~ ''// '.~......~.../.. ,~...'~...~/.~/. i .~... ~... ~/~.. ~....Z~~ ................................................... ~c , b. Intended use and 3. Nature of work (check which applicable): New Building ....................... Addition .....~. ..... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work (Description) 4. Estimated .............................................. Fee... (t o 'i~'~ '1~'~ i~l' ~ ~' '~i'li~ ~' ~i ;' ~'l~ii'~;'t'i'~ ~i ................................. 5. If dwelling, number of dwelling units ...... / ....... Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... ! 7. Dimensions of existing structures, if any: Front ....... ...-~...~.... Rear ...... ...~.~ ............... Depth ......... ..~..~....~ .............. Height Number of Stor es L. ........................................................ ........................................................... Dimensions of sa~e structure with alteratiops or additions: Front ....... ..'~.~, ............. Rear ............. ~ ......................... ~'-- ! ' ' f ~tor es Depth ............ .~7~..~ ......................... He iht ......................................... ~umDer o ~ ........................................ 8. Dimensions of entire new construction: Front ...... .Z...~.~..~.../..... Rear ......~...~.~..~ ............ Depth ....... ..~.~..~. ................ Height ................................................. Number of Stories ............. ~ ........................................................................ 9. Size of lot: Front ............ ~...~..-'~-..!. ............. Rear ........... ~..~....z. ..................... Depth ......... /.~..'~...../. ........................... Height .................................................... Number of Stories ...................................................................................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..... /~...~...Z~..~...~.~./.~.~. ......... .~ ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ..~/...1~.. ............................................ 13. Will lot be regraded --~---/~.~-.~. ..................... Will excess fill be removed from premises: [ ] Yes [~j No 14. Name of Owner of premises ........... ..~..~...~.~..~.....-~...G-~,.,/.,,~.-~.''r~''-.-'~'~'''~''''~' .......................................................... (Address) (Phone No.) Name of ~kl~~' ~, V~ ~..~.~' ................. ~..., ............... ................................................................. ~,'~l~J ~'~';'; i' ' ~, (Phone 04 Name of Contract¢ ................................... 7' ......... :~'"'"i~j~l'r~ssi' ............... ~" .... (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, ) SS COUNTY OF ........ ~ ........................... ) .............................. .~.~;~[t.Q~?....~...a,.~T.~..l.. .......................................... being duly sworn, deposes and says that he is the applicant above named. {Name of individual signbzg contract) SHe is the ............................................................ ..0....1~....~...~. ....................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all .;tatements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. _'lOth .~,, ,,~ March tu4~ .~.~ m ~.~v,~tt , ...................................... Notary Public .......................... ± , 11, /Id~ROVED AS NOTED DAm ~-~o /F~'? .... ~ / b";.~ s,r: ~ _ NO~ BUILDING DEPARTMENT AT 76S-2~0 9~ M fo 4PM FOR REGUIR- ~ II~SPECTIONS: ~ B[FORE BACKFILLING FOUNDA- T. ,~ O~ ST~.RT ~AMING 2. F: ~NG 3. ~E~Z~ COVERING PIPES O~ ANY KIN~ 4, F',:%~L W~N JO~ COMPLETED KOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5. ALL CONSYRUCTION MUST ME~ REQUIR~Et:T~ :~F N.Y. STATE AND TOWN HOUSING CODE & ZONING .l DATE, /~6-,,- ~.o ~7 NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQU[~ ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TION OR START F~A~NG 2. FRAMING INSPECTION 3. BEFORE COVERING PI~S OF ANY KI~ 4. FIF/AL WHeN JOB COMPLETED NOT RESPONSIBLE FO~ DESIGN OR CONSTEUCYION ERRORS 5. ALL CONSTR~JCTJON MUST ME~ REQUIREMENll, ~F N.Y, STATE CODE AND TOWN HOUSING CODE & ZONING