The URL can be used to link to this page

Home My WebLink AboutZ-27253 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N. Y. PRE EXISTING CERTIFICATE OF OCCUPANCY ~ No: Z- 27253 Date: 08/18/00 THIS CERTIFIES that the building DWELLING Location of Property 3805 ALVAHS LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 0002 Lot 024.004 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- 27253 dated AUGUST 18, 2000 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 PUMP HOUSE* The certificate ie issued to ALBERT DROSCOSICI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. r utty rize Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ••nncrmr rnn IN P TTON RPORT LOCATION: 3805 ALVAHS LA HO 6UBDIVISION: MAP NO.: LOT (S) NAME OF OWNER ?T AFAT ?ROSrn$RI OCCUPANCY: a-T RREIDRNTIAi. ?f ARRT DROS OCRr ADMITTED BY: Ramey FR?SRR ACCOMPANIED BY: S rm? R8Y AVAILABLE: SUFF. CO. TAX MAP NO.: T m -2-24.4 SOURCE OF RHQUEST: ?r RRRRm nRGCrnRRI. 7/28/00 DATE: 08/18/00 DWELLING: TYPB OF CONSTRUCTION: Wnnn FR?MR # STORIES: 2.0 # EXITS: ~ FOUNDATION: rFnmNT Ai T1CR CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: 1ST FLR.: 2ND FLR.: ~ 3RD FLR.: ~ BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPB: cTDF FNCLOCgp DECK TYPB: PATIO TYPE: BREEZBWAY: FIREPLACE: NONE GARAGE: DOMBSTIC HOTWATHR: YHS TYPE HEATER: AIRCONDITIONING: TYPB HBAT: OIL WARM AIR: HOTWATER: HTRLM OTHER: FrmrvFI.T nrrnecngy cTRi7CT2'DPS_ GARAGB, TYPE OF CONST.: STORAGE, TYPE CONST.: SWI[M1ING POOL: GUEST, TYPE CONST.: OTHER: ST.L?T L PUMP HOUSH VIOLATIONS: CHAPTHR 45 N.Y. STATE UNIFORM FIRE PREVHNTION & BUILDING CODE O ?TION DHSCRI PTION ~ A_RT ' SEC. i BASEMENT i EXTERIOR WALLS INCLUDING FOUNDATIONS SHALL BE i NYCRR i VOL 9H MAINTAINED SO TNAT GROUND & SURFACE WATER DOES ~ 1242.5 i (A) ~ i i i NOT PRNETRATE INFO BASEMENTS 6 CELLARS. PORCH-ROOP i SHALL HE MAINTAINED IN A WEATHERTIGHT CONDITION , 1242.5 , (D) i TUB AREA ~ WALLS SHALL BE MAINTAINED IN SOUND CONDITION ~ 1242.7 i (D) EXTERIOR- i EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD , 1242.5 ~ (E) CONDITION. SURFACES NOT INHERENTLY RESISTANT TO D8T8RIORING SHALL BE TREATED WITH A PROTECTIVE INSP8CT8D HY: DATE ON INSPECTION: 08/07/00 GARY J F SH TIME START: 10:05 AM END: 10.25 AM 1 TOWN OF SOUTHOLD f~ ~ 1~• ~ 6; ~ ~I~i.. 2 8 LLD BUILDTOWNDEP~A~TMENT e J ~G~ . J Cam/ ~j"/ a`k N' ~ 4 765-1802 „t! 3~//~- ~6 ~ ~ 6LDG. DePT. TOWNOESOUTHOLD Ifrjf' ~~~5'~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir 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 lZ lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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. 1~ O For existing buildings (Prior to April 9, 1957) non-conforming uses, or buildings a '!pre-existing" land uses: i. Accurate survey of pr er 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 applican 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 Buildine - $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 Z ~ a d Date New Construction....... 2.c~Old Or Prey-}existing BuiJlding....~/.~.....{... [ . Location of Property.... s/.. P.~~... [T ~Y~!~ 5. ..<.R/.`~ e.. .J . G~J.~^ ~y~q~e- House No. ~ ~ ~ Street //Hamlet Onwer or Owners of Property.. ~~-:`~!~-C ...~~a-.5~~~~ . ~7 County Tax Map No 1000, Section.. /DI........Block..~.`. L. j`.1.....Lot.. - . • - - Subdivision ....................................Filed Map............Lot................... Permit No ................Date Of Permit................Applicant.......................... Health Dept. Approval ..........................Underwriters Approval...................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~.... //M TT Fee Submitted: ~ K PS] fl APPLICANT ~-ss3y6 C~n.e w ~ a~ a,5 3 CONSENT TO INSPECTION O~ (L//~~SG'CJS ~e~ ~ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the/owner/(s) o/f the premises in the Town of Southold located at ~j p~ ~Ly/~/~-S L~P~~ ~L~--~~~~~ ~ which is shown and designated on the Suffolk County tax map as District 1000, Section Block ~~2 Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors Office for the following: ~2 C,O 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 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 as evidence in subsequent prosecutions for vio- lations of the laws, o/~rd~i\nances, rules or regulations of the Town of Southold. Dated: ~~2~~[/LJ _ _ nature) ~~~`-~~s~~~.~.~ print names (signature) (print name)