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HomeMy WebLinkAboutZ-24107FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIN~ C~RTIFICATE OF O~Ju~ANCY No z-24107 Date JANUARy 5, 1996 THIS CERTIFIES that the building. ONE FAMILY DW~.LING Location of Property 2455 NEW SuFfOLK A~E. M~TTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 9 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24107 dated JANUAry 5, 1996 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 DWR~.ING WIT~ACCEESORY GARAGE * The certificate is issued to ROBIN DOROSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *P?~%Sg SEE ATTA~o INSPECTION REPORT. Rev. 1/81 H/A N/A N/A // Bg~lding Inspector I.OCATION: 2455 NEW SUFFOLK AVE. (number & street}- SIIBDIVISION NAME OF OWNER (.~) ROBIN W. DOROSKI Ill/ILl)lNG I)EPARTMENT TOWN OF SOUTIIOLI) IIOOSING CODE INSPECTION REPORT NATTITIICK ) N.Y. {m~{pality J MAP NO. LOT(s) OCCUPANCY A-I RES. (type) ADMITTED BY: DOLORES KREITSEK KEY AVAILABLE SOURCE OF REQDEST: ROBIN P. DOROSKI (owner-tenant) ACCOMPANIED SUFF.CO. TAX MAP NO. 1000-II4-09-1~,1 DWELLING: TYPE OF CONSTRUCTION 'WOOD FP~ I STORIES FOUNDATION CE~IENT CEI,I,AR FULL CRAWL SPACE TOTAl, ROOMS: IST FLR. 6 2NO FLR. 3 3RD FLR. BATHROOM (s) 3 TOILET ROOM (.~) I UTILITY PORCB TYPE BECK, TYPE PATIO BREEZEWAY F [REPI.ACE ..... ONE GAEAGE I)OHESTIC IIO'I~ATEB YES TYPE IIEATER OFF BOILER A[RCONDITIONING TYPE IIEAT OIL WARM AIR IIO'I~ATER XX OTIIER: 2 I EXITS 2 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.___ 2~C~R__C_E..~._NT__EL_OCK.' STORAGE, TYPE CONST. SWIMMING POOl, , (,Ill,SI, *rYI'E. CONS'F. OTIIER.' VIOI.ATI.ONS: CIIAI~'IF.R 45 N.Y. S'rATI: IINIFUIIN FlliE I'IIIWIr. N'I'ION & II II,I)IN(; COI)E I)I~SCI{I F'f ION ART. SEC. REMARKS: BP 13371Z - CO Z-3050 (Addition) INSPECTED IIY DATE OF INSPECTION Jan. 3, 1996 'FINE START 9:30 END 9:50 0 TOWN OF SOU~nOLD BUiLDiNGTO~765-i802 DE~ .~?.~N ~ FL~-L L ~PLiCATiON FOR CERTIFICATE OF This application musu be filled in by ~ypewriuer OR ink and submiuued uc the building inspecuor with the following: for new building or new use: 1. Final survey of property with accurate locauiou of all build~ugs, property lines, s~reeus, 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 insua!lauion from Board of Fire Uuderx~riuers. d. Sworn statement from plumber certifying =ha: the solder used in system coutains less than 2/10 of 1% lead. 5. Commercial buildLug, ~_ndustrial building, multiple residences and s~m~iar buildings and installations, a ceruifica~e of Code Compliance from architect or engineer responsible for the building. 6. Submit Flan~ing Board Approval of comp!etad site plan requirements. For existing build~ugs (prior ~o April 9, 1957) non-conforming uses, or buildings and ?pre-existing" land uses: 1. Accuraue survey of property show~ug all property lines, streets, bu-'~ding and unusual natural or uopographic features. 2. A properly compiered application and a consenu ~o inspect sit-ced by =he applicant. If a Certificate of Occupancy is denied, the Building inspector shall state uhe reasons therefor in w~i=ing ~o the applicant. C. Fees i. Certificate of Occupancy - New- dwelling $25.00, Additions to dwelling $25.00, ~l~era[ious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions ~o accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-~xis~inZ Bui!dinm - $100.00 3. Copy of Cer;i£icate of Occupancy - $20.00 4. Updated CerEifica~a of Occupancy - S50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial S!5.00 / / New Construction ........... Old Or ?re-existing Building ................. House No. F ~ Stree~ ~m]et Onwer or Owners of Froper=y...~0~&~-.-~..~.~...~.~ ......................................... Counry T= No 000, ...... ........... no .. .......... Subdivision .................................... Filed Map ............ Lo~ ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Rea!un Dept. Approval .... Un~a ....... s Approval ......................... Board Approval ........................ Reguesz for: Temporary Certificate ........... Fin~ Cerulcace ........... S omiu:ed: .... ................ .~D p L l C A~N~f CONSENT TO INSI)IDCTI©N Ownerfs) do(es) het'eby state: the andcrsigned, That the andersigned (is) (are) the owner(s) of thc premises irt Ihe. Town of Southold located at ~ ~3~ ~ ~~ ~. ~.~ff That the undersigned (has) (have) filed, ov caused robe filed, an applica- tion in the Southold Tox~qa Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Bt, ildi_ng Inspectors or the Town otSoathold to enter upon the above described p(operty, including any and all buildings located thereon, to conduct saeh inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that ~aicl premises comply with all,of the laws, ordinances, rules and regnlations of the Town of Southold. The undersigned, in consenting to such hlspections, do(es) so with the knowledge and anderstanding that any information obtained In the condact of such inspections hmy he used as evidence ia subsequent prosecotions for rio- lations of the laws, ordinances, rnles or regalations of the Town of Soathold. (signature) (print name) (sit:nature) (print name) no~v t~ Pork/)~ SURVEY FOR GEOrGe' L PENNY, ~T Md TTI TUCK TOWAI OF SOUTHOLD SUFF. CO, N.Y. S~LE I "= ~0 ' OCT ~, 1977 YOUNG ~ YOUNG, I~IVCI~NEAO , NOVI~*O VI YOUNG, N. ~,S. L.$.LI~.NO. ~ ?00 , ~tor$.. ~ ~V~/V['/~ · MONt. IM~Nr ~ JOB NO. 77- 775