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Home My WebLink AboutZ-27360 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- 27360 Date: 10 24 00 THIS CERTIFIES that the building DWELLING Location of Property 26815 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 0002 Lot 015 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- 27360 dated OCTOBER 24, 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 The certificate is issued to ANTHONY M FASZCZEWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HBALTH APPROVAI, N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized S' nature Rev. 1/61 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT IACATION: 26815 MAIN RD CUTCHOGUE SUBDIVISION: MAP HO.: LOT (S) NHl4E OF OMNER (S); ANTHONY M FASZCZEWSKI OCCUPANCY: SINGLE PAMILY ANTHONY M FASZCZEWSKI ADMITTRD BY: SHELLY FSZCZEWSKI ACCOMPANIED HY: SAME REY AVAILABLE: SIIPF. CO. TAR MAP HO.: 109.-2-19 SODRCE OP RBQUEST: EDWARD V. FASZCZEWSKI, 9/26/00 DATE: 10 24 00 DWELLING: TYPE OP CONSTRIICTION: WOOD FRAME # STORMS: 2.0 # BRITS: 2 FODNDATION: CEMENT BLOCK CBi•TaR; FULL CRAML SPACE: TOTAL ROOMS: 1ST FLR.: 4 2HD PLR.: 4 3RD PLR.: 0 HATHItOOM (S): 2.0 TOILET' ROOM(S): 0.0 UTILITY ROOM(S): POACH T7PE: FRONT OPEN-REAR ENCLOSED DACR TYPE: PATIO TYPH: BREAZEiD\Y- FIREPLACE- GARAGE- DOMESTIC HOTMAT®t: YES TIPS HBATEA: OFF BOILER AIRCONDITIONMG: TYPE SAT: OIL HARM AIR: HOTfU1T®t: XX OT®t: ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: STORAGE, TYPE COMET.: SHIMMING POOL: GUEST, TYPE CONST.: OTBER: ^NOTE; STORAGE BUILDING & OLD BRAN REMOVED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. ~ SEC. nwnnec- INSPHCT6D HY: DATH ON MSPHCTION: 10/16/00 HN M. HOUFIS TIRE START: 9:45 AM END: 10:45 AM _ _ _ _ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APFLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bu inspector with 'the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont. less than 2/10 of 12 lead. S. Commercial building, industrial building, multiple residences and similar b~ and installations, a certificate of Code Compliance from architect or engine responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Iti B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildi~ '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ai unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C. Fees ' 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.OC Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2` Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .?SF. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident/i~al $15.00, Commercial $15.00 Date ...!.G~(O.l New Construction........... Old Or Pre-existing B~uli~lding...,l.~ l) Location of Property. ~~~.~.,5 M~T~1.~..If~.d[i N../. CV.~.C~'{~V~s y..~ .C~~~. House No. pp.o~ S,t~ry~e'e/t Hamlet Onwer or Owners of PropertyF/.~~~1:`:~ ~Z~.~:Wh!1• 4-• • • • • • • • • • • qq County Tax Map No 1000, Section.~~.l........Block.............Lot../J.......... Subdivision ....................................Filed Map............Lot.............. Permit No ................Date Of Permit................Applicant..................... Health Dept. Approval ..........................Underwriters Approval................. Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $....~~0 : = u~a~a+ U. ~ _ ~.~oi ~s-r6 - x/1`0 -~y~a) e"' /1 4'h~- CONSENT TO INSPECTION C~~ V . rrp7CZ[-t,~~lt CT~'t_ . , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold `located at ~ (o~~,~ MQi A) ~OGC~ ~~(',UTC~~~r~ ~ N~1/.~ 1 O~(~- , which is shown and designated on the Suffolk County tax map as District 1000, Section 10~/, Block Lot J.~ That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office 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 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,'trules 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, ordinances, rules or regulations of the Town of Southold. 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