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Home My WebLink AboutZ-26242FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26242 THIS CERTIFIES that the building DWELLING Date: 01/28/99 Location of Property 3140 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 087 Block 0003 Lot 040 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- 26242 dated JANUARY 28, 1999 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 ATTACHED GARAGE AND ATTACHED BRICK PATIO.* The certificate is issued to DENNIS & RITA GALLAGHER (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. Buil ng Inspec or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 3140 MINNEHAHA BLVD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): DENNIS & RITA GALLAGHER OCCUPANCY: SINGLE FAMILY DENNIS & RITA GALLAGHER ADMITTED BY: CRISTINA HESSEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 87.-3-40 SOURCE OF REQUEST: JEAN XUSTES DATE: 01/28/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CONCRETE BLOCK CELLAR: 1/4 CRAWL SPACE: 3/4 TOTAL ROOMS: 1ST FLR.: -A BATHROOM(S): 1.0 2ND FLR.: -1 TOILET ROOM(S): 0.0 PORCH TYPE: BRICK FRONT STOOP DECK TYPE: BREEZEWAY: FIREPLACE: 3RD FLR.: _j UTILITY ROOM(S): YES PATIO TYPE: BRICK GARAGE: ONE CAR GARAGE DOMESTIC H07WATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL/RAD WARM AIR: OTHER: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: HOTWATER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION f DESCRIPTION f ART. f SEC. f f f f i i f f f i f f I f I f I I I 1 s s s f s s s s s s s s s s s s s f INSPECTED BY: MICHAEL J. VERITY and 1-22-99. DATE ON INSPECTION: 10/05/98 TIME START: 11:05 END: 11:45 • Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Z. A properly completed application and a consent to inspect signed by the applicrtii 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 $25.0C 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 - .25e,. 4. Updated.Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...September,23,,1998............... New Construction........... Old Or Pre-existing Building .... X............ Location of Property.... 3144 jRijrjhaha Blv,,d...................Southold . House No. Street ••••.••.Hamlet Onwer or Owners of Property......... Jean Kustes ................................................... County Tax Map No 1000, Section ...... 87 ...... Block ........ 03.....Lot.. 40....... .... Subdivision....................................Filed Map ............ Lot ........ ... .... Permit No................Date Of Permit ................ Applicant ................. ... Health Dept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: \1 Temporary Certificate........... Final Fee Submitted: $........100 ................ Q"10 -'�- "a("ayes Certicate......4 ... t APPLICANT APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buil( inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lir streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 ''BJ For existing buildings (prior to April 9, 1957) non -conforming uses, or -buildings •pre-existing land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. Z. A properly completed application and a consent to inspect signed by the applicrtii 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 $25.0C 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 - .25e,. 4. Updated.Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...September,23,,1998............... New Construction........... Old Or Pre-existing Building .... X............ Location of Property.... 3144 jRijrjhaha Blv,,d...................Southold . House No. Street ••••.••.Hamlet Onwer or Owners of Property......... Jean Kustes ................................................... County Tax Map No 1000, Section ...... 87 ...... Block ........ 03.....Lot.. 40....... .... Subdivision....................................Filed Map ............ Lot ........ ... .... Permit No................Date Of Permit ................ Applicant ................. ... Health Dept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: \1 Temporary Certificate........... Final Fee Submitted: $........100 ................ Q"10 -'�- "a("ayes Certicate......4 ... t APPLICANT 1V3 J Ir •f. 0 .)rfi 906 g3 •fl° 2.0d, W 91011140)4 III JOFiI p. FllP111E0 N AOOOIO i17CE 111!1 „E mmAm A S4Mb11b6 A9R t1RF lOIrEK ps ESMAJ NED Or 1!E LAA" me APi1mm AM A00PEED F0* 11E AER "M STATE LAD SURVEY OF PROPERTY SITUATED AT LAUGHING WATER TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-87-03-40 SCALE 1"=20' SEPTEMBER 4, 1998 AREA = 8,494.71 sq. f#. (FO nE Lam) 0.195 ac. CERTIFIED TO: PECONIC ABSTRACT TITLE No. 641—S-00036 ASTORIA FEDERAL SAVINGS AND LOAN DENNIS GALLAGHER RITA GALLAGHER UNOWHOOM ALM mm" a< Am mm 10 MS SURIOLY 6 A NOLAWN OF EM7M 7 0 OF 11E OWN IM SATE OF IM KWNf VAP WN GEWM fiE LAO SWRIEV M ROM WEAL = Eh� Im lMiL NOT E Comm= 10 EAV"TWE 00". cull*mnnc tOmmm )OWN 91ALL wr ONLY 10 nE PERON ,wN WNW ME "m 6 PPI PMM ANO W NN WiRAF ,O VIE mu 00~. WA M MUL AlINN NO LDO1M' s MFM &O ARIL AND It THE As110EES OF DE LOOM Nsn- nd*L CER M 9CM ARE 4M 1MMWUVMkL T1K Ex15:EMCE OF MWIS OF WALT wro/aR usniEms of a�oowo, r nAer. n1oT s►ieLNnrt ,LLE wnF o1AA1u1t1EEn Joseph A. Ingegm Land Surveyor mw &WNW — s — S11a ftm — ca.avice" t"tet PII K (316)727-2m Fam (516)722-50Z aFW= LOOTED AT NWAW ACORM OINK L%im S*mm P.A Bm 1931 Aquoawd. "m Yak 1 t431 Riw tM4 sm Yank 11 Dp M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE G INSPECTOR '% - BUILDING DEPAR111ENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT lL/ � LOCATION: 3 / 7O 1_ 445, r & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY Wunicipality MAP NO. LOT (s) T ADMITTED BY: f-/ ACCOMPANIED BY: KEY AVAILABLE sur -F. CO. TAX MAP N0. OOC) - $ T SOURCE OF REQUEST: DATE: 9 3 a DWELLING: TYPE OF CONSTRUCTION ` � STORIES / 7 # EXITS FOUNDATION CELLAR CRAWL SPACE 3 TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR.— BATHROOM (s) ! TOILET ROOM (s) UTILITY ROOM PORCH TYPE ECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE C-0, DOMESTIC HOTWATER TYPE HEATER (ft:(� AIRCONDITIONING `�- TYPE HEAT �,� �,.�c. WARM AIR HOTWATER OTHER: . ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. — OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: �v �"'"`�/ DATE ON INSPECTIONtoo, if �d TIME START ySEND" "Z CONSENT TO INSPECTION JEAN KUSTES 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 3140 MINNEHAHA BLVD., SOUTHOLD, NEW YORK , which is shovvrn and designated on the Suffolk County tax map as District 1000, Section 87 , Block 03 , Lot 40 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: • r BUILDING -PRE-EXISTING CERTIFICATE OF OCCUPANCY 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 copduct 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, xrules 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 Townof outhold. Dated: 9/23/98 _ f / '� -raiinature) JEAN KUSTES print name (signature) (print name)