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Home My WebLink AboutZ-32257 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No: z- 32257 Date: 03/22/07 THIS CERTIFIES that the building DWELLING Location of Property 4175 GREAT (HOUSE NO.) County Tax Map No. 473889 Section 128 PECONIC BAY BLVD (STREET) Block 0003 LAUREL (HAMLET) Lot 014 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- 32257 dated MARCH 22, 2007 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 ACCESSORY ONE CAR GARAGE. (NOTE:THIS UPDATES PRECO Z-6028 DATED 7/29/74 TO INCLUDE ACCESSORY GARAGE AS PER HOUSING REPORT) The certificate is issued to JOSEPH & LILLIAN VASILE-COZZO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~'~1t&ature Rev. 1/81 . Housing Code Inspection report July 29 1971,. # 1,.175 Great Peconic bay Blvd, Laurel Tax Roll: George DeLisle owner, unoccupied. Upon request of Gary F. Olsen, Attorney, Hain Road, Mattituck, I made an inspection of this one story framed dwelling with detached one car garage, and found the following violation. of Chapter 52 - Housing Code- of the Town of Southold- The building consists of Kitchen, living room, two bedrooms~ full bathroom and sun porch. Heat is supplied from forced warm air furnace located in full cellar. I was admitted to the building by Mrs Rutkowski, and began the inspection about 2:30 PM. Enterance: from exterior - kitchen & sun porch, no light switch at point of entry Art V Sec 52- 56 B2 Cellar: Electric hot water heaterrequires pressure relief valve Art V sec 52-53 I 1 Exterior of building and yard area in good condition. aproximatejy 2:55 PM. Resr??/Y ~:~ 4J<i~derman Housing & building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 MAR 2220'1 .J -r ,~- --:-.-:...,~-.- '}! ~: 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: I. 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 2/1 0 of I % 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: I. 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 ('l) Updated Certificate of Occupancy - $50.00 S'. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location ofproperty: If' ~ PgoMc. ~ 6L.-V D House No. (W~ L.l1~)treet Owner or Owners of Property: -)o.;f{eV'if c:S.. L-/ /...1...1 ,f-tJ I.?-t'i . Date. / S-22-or- (check one) ;t14Tn TVdL. Hamlet Suffolk County Tax Map No 1000, Section Block V 4-'::>1 U2-ev2.:;zO ILf :3 Lot Subdivision Filed Map Lot: Pennit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Celiificate: f'L845'G' L./hT S;C:py\ IN f'rze -c...o . Fee Submitted: $ S-O. - J.A.f~tO-:C-3:<JS 7 f~~.o MT tON 01t~ f" (JNv~ / fJ4::-c. 00 f=~.s15 OfJ .DW8-/.....IN3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z. 6.0.28. ...... Date ...... Jt~y.. _~0...., 19.?.~. THIS CERTIFIES that the building located at .. Pe.c. oz~[.c..B.$y..B.],Vd ....... Street Map No. xx Block No. X~. .Lot No..~:~. Laurel. house_rig code Certificate of oecu~aney datedbKJ, lt. beffora .Apl'..23, 19. ~. pursuant to which ~Ft/~F~To. Z6028. dated .......... .Ap.r.~!.. 20.., 19..~.., was issued, e_nd conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ?.r.~..va.t.e.. 9n.e.. ff...m~..l.y..d.~.q .l~..~.g. The certificate is issued to . .G.e.0:..H.: .D. e.L.~.~!~. .e' .~. ~. ~.ff..e. . . .~. .e. r. .~. ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · l~.e.-, etr~s.t~ng ................... UNDERWRITERS CERTIFICATE No. p.l'e-existlnl~ HOUSE NUMBER ....~.1!?.~ ...... Street . .P.e. ?.o.n.~.e...B.a.y...B.~.v.d. ..................... Building Inspector Housing Code Inspection report July 29 197~ # 417~ Great Peconic Day Blvd~ Laurel Tax Roll: George DeLisle owner~ unoccupied. Upon request of Gary F. Olsen~ Attorney~ ~lain Road~ Mattituck~ I made an inspection of this one story framed dwelling with detached one car garage~ and found the following violation~ of Chapter ~2 - Housing Code- of the Town ~,f Southold- The building consists of Kitchen~ living room~ two bedrooms$ full bathroom and sun porch. Heat is supplied from forced warm air furnace located in full cellar. I was admitted to the building by Mrs Rutkowski~ and began the inspection about 2:30 PM. Enterance: from exterior - kitchen g: sun porch: no light switch at point of entry Art V Sec ~2-~6 B2 Cellar: Electric hot water heaterrequires pressure relief valve Art V sec ~2-~3 I 1 Exterior of building and yard area in good condition. Inspection completed aproximate~y 2:%~ PM. / Res~f~y ~mitted ~Ed~Dd Hinderman Housing A building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. ,5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 19.57), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ....... New Building ................ Additior~ ........... ;... Old o~, Pre-existing_ B,uildj~ng .~.....L ... Vacant Land .............. Location Of Property .......... ~..~'~_~..%,,.......~..~....~ .~.-.~/~..... ~ --1 ~~'""'"'~'"'~--- "' ~"'"'"'""'"'"'"'"'" Owner Or Owners Of Property ..... ~.....~...~..'. -'~"'f..~_,ef~'"~.." ..~./.~...~...~'"'""'"'"""'"'"'- Subdivision ............................................... .'. ............... Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate .................................... ..~.~inal Certificate .~.... ................................ Fee Submitted $ ....~...~.. ................. Construction on above described building an~~_ ,~J~P~b_le c_od~~qul~tions. Sworn exit° before me /tl~is ~,is . ...... day of ........ (stamp or Notary Public ........(-_~.. ......... .f. .......... '.. County