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Home My WebLink AboutZ-33945FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33945 Rte: 09/09/09 THIS CERTIFIES that the building DWELLING & ACCESSORIES Location of Property 4520 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 0003 Lot 030 Su]~division 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- 33945 dated SEPTEMBER 9, 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 WITH ENCLOSED SCREENED PORCH, ENCLOSED OUTDOOR SHOWER, ACCESSORY ONE CAR GARAGE AND ACCESSORY SHED.* · ~ne certificate is issued to BOCCIA, of the aforesaid building. EE & MJ TRUST (OWNER) SUFFOLK COUN~f DEPART~ENT OF HEALTH APPRO%-~J~ ~.RCTRICAL c~KTIFICATH NO. I~L~EP~S CERTIFICATION DA'£~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~rize~ Rev. 1/81 BUILDING DEP~LRTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATI(~: 4520 PEQUASH AVE ~ OF (3~ (S): BOCCIA, EE & MJ TRUST CUTCHOGUE MAP NO.: LOT (S) BOCCIA, EE & MJ ~fRUST ACCESSORY STRUCTURES: GA~, TYPE OF CONST.: ONE CAR WOOD FRAME STORAGE, TYI:E C~h"T.: 9.2' X 12.2'SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. GEORGE GILLEN ~)A~ (~ I~SP~IO~: 09/08/09 START: ~: 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 proparly 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 Date. l,lOq Old or Pre-existing Building: ~ (check one) House No. Street Lot: New Construction: Location of Property: Owner or Owners of Property: GO//Jct~d Suffolk County Tax Map No 1000, Section Hamlet Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $/I~, (.~ Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE CONSENT TO INSPECTION Charles R~ Cuddy. Esq. Ow,~) N~s) _._, t~ ~,a~,~4. do(~) h~y ~: %at ~ ~d~ ~) ~e o~) of~e p~ in ~c To~ of So~ml~lo~ 4520 Pe~uazh Avenue, Cutchogue, ~ which ~ '~o~ ~d~ on ~e Su~& ~ T~ M~ ~ ~fi~t Section 110.~ ~fock0~. 0~ ~ I~ 0aO. 000 8ou~old To~ Building ~or'~ O~ ~the followM~ ~pH¢atlon in To~ of Sou~old to ~t~ ~n ~ ~ ~ ~o~ ~ ~y may d~ n~ c~ply ~ ~l of &e ~ ord;.~n~., ml~ ~a'rcD~l~ofl,.of~o Town ~d und~g ~t ~ ~a~on ob~ ~ ~e ~nd~ or,eh Jn~pe~on~ may ..... 7/17/09 (Si~atur~) --- O~rlot N~) N ~ITt~ ~ATA FLEETIAIOOD TOWN OF SOUTHOLD PROPERTY RECORD CARD LAND IMP. TOTAL DATE VILLAGE COMM. I N D. REMARKS DISTRICT SUB. ACREAGE ,,.0.~ ~ TYPE OF BUILDING LOT CB. j MISC. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value illable illable 2 illable, 3 /oodland */ampland rushlar~ ',,,,~ louse Plot otol Extension / Extension Extension Fire Place _~ /~ ~ ~,~ ~ l/~/~Porch ~~ Attic Porch Rooms 1st Flor Breezeway Patio Rooms 2nd Floor Garage