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Home My WebLink AboutZ-34250FORM NO. 4 TOWN OF SODTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34250 Date: 04/02/10 THIS U~d(TIFIES that the building DWELLING ~ocation of Property 50415 MAIN RD (HOUSE NO.) C~ty Tax ~mp No. 473889 Section 070 Subdivision SOUTHOLD (STREET) (HAMLET) Block 0001 Lot 010 Filed Map No. Lot No. confo~ns substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCcuPANCY ~ER Z- 34250 dated APRIL 2, 2010 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 COVERED FRONT PORCH, ENCLOSED SIDE PORCH, AND DECK.* The certificate is issued to DIANA & MARY ZANGANAS (OWNER) of the aforesaid building. SUFFOLK COUI~I"/DEPART[~gNTOFIflt~J~THAPPROIrAI, ELEt-rK£CAL CERTIFICATE NO. PLI~qBERS c~TIFICATION DA'r~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A d Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MAP NO.: LOT (S) ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP35365 PORCH REP COZ34248,BP34249 ACCY GAR COZ34249 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMEN TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE This application must be filled in by typewriter or ink and submitted to the 1: 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. Commemial 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 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. New Construction: Location of Property: 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 2 $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. ¢~: ~/'~) No. Owner or Owners of Property: Old or Pre~existing Building: Street (check one) Haml&' Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Pennit. Health Dept. Approval: Block / Lot /(..9 Filed Map. Lot: Applicant: Under~vriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check ope) Appl- a~nt Sign t~ure~--~>~' 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, located at 5-~3 t-t//l-~ ~ ~ lt~ ~ev4d ,~c~ gS/0~/ which is shown and designated on the Suffolk County Tax Map as District 1000, Seotion ]tO , Block / , Lot /D That the und~migned (has) ~ave) filed, or cause to be filed, an application in the 8outllold Town Buildin~g_Inspector s Office for the following: ~ ~ 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 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, roles or regulations of the Town of Southold. Dated: . (Sigl/atur~e). ~, (Print Name) '(Signfifi~re) (Print Name) Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMEN TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE This application must be filled in by typewriter or ink and submitted to the 1: 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. Commemial building; industrial building, multiple residenccs and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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,, tand 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 ot~Occupancy on Pre-existing Building - $100.00 3. CopyofCertificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0~3, Commercial $15.00 Old or Pre-existing Building: /<'-. (check one) House"No. ' Street Haml~ New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit, Health Dept. Approval: Block / Filed Map. Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Appllant S.&re dp OWNER TOWN FORMER OWNER SEAS. VL OF $OUTHOLD PROPERTY RECORD jW cOMM. c.. M~CS. //,~ b [ TOTAL DATE AGE NLm`/'/ NORMAL FARM Acre T~llable ~/oodland Me~__,~z~. land J VILLAGE House Plot CARD ACR. j TYPE OF BUILDING SUB. LOT MEt. Value REMARKS BUILDING CONDITION BELOW ABOVE Value Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK TRIM t,u ~4 ~-7"G 3/66 · 'M,. Bldg. Extension Extension · Extension Porch Porch ~reezeway Garage Patio Total Foundation Basement /7 ~ JExt. VCails ' jFire Place ,~) !Type Roof j Recreatio-n Room ,~2, q-~ JD°rmer Bath Floors ~t~or. F~hish Heat Rooms ]st Floor Rooms 2nd Fbo. r Driveway MAP OF' P£OPEI~TY ~OUT-HOLD ~o ~, ............ .- ~Ode~[c~ Van Tull, -'~, C.