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Home My WebLink AboutZ-25519FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING CERTIFICATE OF O~CUPANCY No Z-25519 Date FEBRUARY 4, 1998 THIS CERTIFIES that the buildin~ Location of Property 1220 House No. ONE FAMILY DWELLING PIN~ T~EE DAD Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 23.1 Subdivision 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-25519 dated F~BRUARY 4, 1998 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 SINGLE FAMILY DWELLING* The certificate is issued to ROSLYN BERMETEIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 *PLEASE SEE ATTACHED INSPECTI~~insp~tor~ B~JILI)I RG I)EPARTHENT TOM OF SOUTIIOI,U ]lOUSING CODE INSPECTION REPORT LOCATION: 1220 PINE TREE ROAD (number & street) SUBDIVISION NANE OF OI~NER (s) ELLIOTT BERNSTEIN HAP NO, CUTCNO~UE (municipality l.Or (s) OCCUPANCY SINGLE FAHIL¥ (type) ADHITT~D BY: DONNA LOZADA KEY AVAILABLE SOURCE OF REQUEST: PAUL GANINITI ESQ. (owner-tenant) ACCONPANIEO BY: SANE SURF. CO. TAX NAP NO-1000-98-1-23.1 DATE: 1/12/98 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAl. ROONS: 153' FLR. BATIIROOH (s) 2 PORCI1 TYPE BREEZEWAY - DO[ffiSTIC I1OT~ATER X WOOD FRAI~ GINI)ER BLOCK 2NO FI.R. TOILET ROON DECK· TYPE - FIREPLACE ONE TYPE IIEATER ELECTRIC TYPE I1EAT ELECTRIC WARN AIR - O~IER: Olrr~lBE EHOI~R STAIJ. - EILCO CELLAR DOOR ACCESSORY STRUCI~RES: GARAGE, TYPE OF CONST. 2 CAR WOOD SWI}~ING POOL OTI1ER: # STORIES I~ # EXITS 3 CEI,1,AR FULL CRAWL SPACE -- LOFT 3RD FI,R. UTII. ITY PATIO, TYPE SIDE TERRACE GARAGE - AIRCONDITIONING - IIOTWATER STORAGE, T~PE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE 1.OCATION DESCRIPTION ART. SEC. I. Hoisture stains in ceiling - Could be lack Of proper ventilation REHARKS: Building permit 6140Z- C.O. Z5856 - ACC~. GARA~ DATE ON INSPECTION 1/20/98 TINE START 10:30 END 10:50 Form No. 6 TOWN OF SOOTHOLD 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 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 unnsnal 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 buildiqg, industrial building, multiple residences and similar b~lldtngs and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Snbmit Planning Board Approval of completed site plan requirements. F-r 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 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. ~ Certificste of occupsucy on ~re-e~ietin~ Bui~di.~ -~o~._o~ 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - ~50.OO 5. Temporary Certificate of Occupancy - Residential $15.OO, Commercial $15.00 Date .................................... New Construction ........... Old O~-~re-extstlng Butldtn~.....~..... , I, ocation of romty../. .... ...... House No. Street Hamlet Cuunty Tax ~ap Ro 1000, Section ...... ~ ...... Block ..... ~ ......... Lot ....... S~)division ............................ ... · .... Filed Map ......... ... Lot ..................... . Permit No ................ Date Of Permit ................ Applicant ............................. llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate... . ...... in ........ Final cate ........... Fee Submitted' .1~' ,~;~5~fl~' ?' APPLICANT CONSENT TO INSPECTi~'N do(es) hereby state: · the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section ~", Block / , LotC~3. / , That the undersigned (has) (have) filed, 'or caused to be filed, an applica- .~,io.n in the Southold Town Buildi?g Inspector's Offi~ce for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail 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, ordtnances~ 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 as evidence in subsequ/~ prosecutions for vio- lationI ~[ the___Town of SoutholdI o[ the laws, ordinances, rules or regulatio~/s 0f (print name~ ~ A ~ (signature) ~ OqOok, q~J~f_.~',--...~ (print name) 2OO. 2, P/o Lot 58 Lot 57 PINE TREE ROAD '20"E 200.10' Fd Lot 59 Lot 58 TM~ 1000 098-01-0025 TM~ 1000-098-01-0022 PlO Lot 57 S 66'21'00" W P/O Lot 57 200' ~Lot 59 P/O Lot 58 P/o Lot 57 FM~ I 179 FTLED' 28 March, 1935 '// See Above GUARAN?EED TO Malgo/ ;'ath Stosiok F/del/t? Notional Tdte /ns EINy Mortgo9e Co ~.~wn of Southold SURVEYED: 15 December, 1997 SCALE 1"=40' AREA- 42,51J. 562 SF OR 0.976 ACRES SURV~r' Of' LOTS 57, 58, 59~r IN MAP OF NASSAU FARMS SI TUA FE PECONIC, TOWN OF SOI. UHOLD SUFFOLK COUN~ NEW YORK SURVEYED FOR: MAL GORZA TH STASIAK York State Edu~c~lion Law. SURVEYED STANLEY d. I. TAK'SEN, Jr. P.O. F]OA' 294 New Suffolk, N.K I 1j56 97 R ~ 77