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Home My WebLink AboutZ-23343FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23343 Date NOVEMBER 10, 1994 THIS CERTIFIES that the building_ Location of Property 485 RABBIT LANE House No. Street County Tax Map No. 1000 Section 31 Block 17 Lot 13.2 Subdivision Filed Map No. ~ot No. O1~ FAMILY ~AST MARION~ N.Y. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23343 dated NOV~fBER 10, 1994 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 DW~.ING WITH ACCESSORY GARAGE * The certificate is issued to PHILIP AGHHTA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION REPORT_._ Rev, N/A N/A N/A LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTIIOLD tlOUSING CODE INSPECTION REPORT 485 RABBIT LANE g~ :' ~kKION~ ~.Y~ (number & street) PltILIP AGUSTA MAP NO. (municipality) LOT(s) OCCUPANCY SINGI~ FAMILY DWELLING (type) ADMITTED BY: DORIS ROFFHAN KEY AVAILABLE SOURCE OF REQUEST: PHILIP P. AGUSTA (owner-tenant) ACCOMPANIE~ BY: SA~ SUFF.CO. TAX MAP NO. I000-31-IY-13.2 DATE: AUG. 9, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRA~ FOUNDATION CONCRETE PIERS CELLAR TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 BATHROOM (s) TWO TOILET ROOM (s) PORCH TIME FRONT COVERED BY A DECK. HONE 3RD FLR. NONE UTILITY ROOM ATTAuU~O BECK, TYPE REAR PATIO BREEZEWAY NON~ DOMESTIC HOTWATER TES TYME HEAT YES ELECTRIC ffrHl~R: FRONTEIf~RY FOTER ~ STORIES 2 ~ EXITS 2 CRAWL SPACE HOWE FIREPLACE ONE G~GE TYPE HEATER ELECTRIC AIRCONDITIONING NONE WARM AIR HOTWATER ACCESSORY STRUCTURES: GARAGE, TIME OF CONST. SWIMMING POOL OT~R: I CAR WOOD FRAMB STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. M. BOUFIS ~Z TIME START 10:30 END Il:00 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. 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: i. Accurate~of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly, completed application and a 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 -~i00.0_0~'~ 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .~...~>.~..~1. ~..~. ..... ~. ~.~.~.~ ............ Location of Property...~.j..:.l.~..~.[').J· ....... -~ ~r.~.l~ .... ... ~..~.r....~..~.~.[~.A? ...... ... House No. Street Hamlet Onwer or Owners of Property ..... ~ ......................................... County Tax Map No 1000, Section .............. Block ............. Lot ....... ! ........... ................................ Filed Map ............ Lot ........... Subdivision .... Permit No .... /..~.~.~. ~7...~Date Of Permit.. ~/j~./~.~j... ,Applicant.. ~).~. ~.. ~:..~.~.~.~ ..... Health Dept. Approval ..................... -- -.- Underwriters Approval ......................... Planning Board Approval ..... /./:/~' /~ f~ , 5.~ , .; ........ / Request for: Temporary Certificate ......... Final Certicate.'¥' ..... ., :... · Fee Submitted: $.. .~... ,' ................ do(es) hereby state: CONSI~NT TO iNSPECTION Numa(s) ~ · the undersigned, That the undersigned (is) (are) the Owner(s) of the premises in the Tovm o Southo dloea eda,__ ? L "e which is shown and desiRna~ed on the Suffolk County tax map as District 1000, Section d~ I · Block 1-7 ? Lot, (~t [ That the undersigned (~) (have) filed, 'or caused ~o be filed, an applica- tion in the South01d Tox~ BuildinE Inspector,s Office for the f'olloxv~g: , ~t t~e ~de~s~ed do(es) he~ebz ~e cO~se~t to t~e ~Ha~ o~ t~e ~ow~ ot Sout~o]d to ente~ ~po~ t~e abo~e described p~ope~t~, any and all buildings located thereon~ to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~clud~g inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the knov:ledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or -' (print uame) ~S~fnature) -------'------- (print name) OF SOUTHOLD P~OPERTY RECORD CARD OWNER FORMER bWNERJ (~ J't i.~rro4 4.5 VILLAGE DISTRICT SUB. ACREAGE TYPe OF BUILDING LOT RES. LAND / L20 7 ~0 ~rillable 1 Tillable 2 s~,,s. 1MP. // ~0 /7~ o ~oo /-/400 ,' TOTAL DATE REMARKS V ~.~ FRONTAGE ON WATER FRONTAGE ON ROAD DOCK Tillable 3 Woodland Swampland BrUshland Ho~e. Total" Extenson' I tO ~ ~o = ~ ~xtensi°?w ) t~~~e~ Fire Piece /p~ Hoot - ' Porch ~ Roof Type Breezeway Patio Rooms 2nd Floor CONTRACTOR 1648 LOCUST AVENUE BOHEMIA, N.Y. 1 1716 §67-4545 FAX (516) 567 6098 October 17,*1994 Phil Asue ta 269-80 Bulldtu8 AYr-SG ¥1oral Park, :t~ 1100.5 RE~ RABBIT IF4N'/ CRAWL / ~T ~ION Submitted herew~h is' our proposal co insulate ~ha above referenced Job as follows: BUILDEr' S STAT~ENT ~D SIGNATURE This is to certify that tho insulation for the above referenced project has been installed in.conformance with the requirements herein to provide an R Value of ~ ~19 in the crawl space ceiling. 10/17/94 DELI~INO XNSULATXON.'CO.,XNC. ~ ~ [~3 DATE ~ CO~ N~ /~PLXCATO[ SIGNATU~