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Home My WebLink AboutZ-33859FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33859 I~ate: 07/29/09 THIS CERTIFIES that the building DWELLING & ACCESSORY I~)catlon of Prc~rty 310 SPRING LA PECONIC (HOUSE NO.) (STREET) (H3%MLET) County Tax Map No. 473889 Section 086 Block 0005 Lot 004 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which u~KTIFICATE OF ~uu~AN~ ~IOMB~ Z- 33859 dated JULY 29, 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 ONE FAMILY DWELLING AND ACCESSORY SHED.* · ~ne certificate is issued to EDWARD CAPOBIANCO (OWNER) of the aforesaid building. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT L~TIf~q: 310 SPRING LA PECONIC MAP NO.: LOT (S) EDWARD CAPOBIANCO ACCESSORY STRUCTURES: VIOLATIONS: CFLAPTER 45 N.Y. STATE UNIFORR FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P.~: BP7692 SHED COZ6556, BP15713 D/DD/DECK COZ19285 DA~E (]9/ INSPECTION: 07/29/09 GOERGE GILLEN TI~ START: ~qD: 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 fYrm). 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. (~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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: Date. New Construction: Location of Property: (check one) House No. Owner or Owners of Property: Suflblk County Tax Map No 1000, Section ~o~ Subdivision Pern~it No. Street Date of Permit. Hamlet Block Filed Map. Applicant: Lot Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant~ Signature ~/ oWNER LAND IMP. TS~lab I~ I Tillable 2 TiJlable 3 Wood[and Swampland ~rushland ~ouse PJot TOWN OF $OUTHOLD STREET TOTAL N NOR~L ~ ~.~)~ Acre V~lue Per ,.,' - I ~7~ ,7 W COMM. DATE RF.~UkRKS ~ING CONDITI PJ~OPERTY RECORD CARD VILLAGE SUB. '-~/',1- / ? LOT - ACR. TYPE OP BUILDING MISC. Mkt. Value , /'*Value ' J---lo-9 o FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK ,-2 nO, '-:Extensff0n .J Porch Porch ~ Bath Basement Ftoors Ext. Walls ~ '~ interior Finish Fire Place i Heat IType Roof Rooms Tst R,e..c reation Rooms 2nd TotoJ /~9) c~ Driveway CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, locatedat ~o ~r~oc~ ~o~ ~rQe<o~. which is shown and designated on the Suffolk County Tax Map as District 1000, Section <g~. ,Block g ,Lot ~- That the undersigned (has) ~ave) filed, or cause to be filed, an applicatioB in the Southold Town Building Inspector s Office for the following: '-~e~. ~.,~, ~,o; 40 That the undersigned do(es) hereby give consent to ~he 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 necessmy 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(es) so with the knowledge and understanding that any information obtained in the cofiduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. (Signature) (Print Name) (Signature) (Print Name)