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Home My WebLink AboutZ-27470FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27470 Date: 12/15/00 THIS CERTIFIES that the building DWELLING Location of Property 10305 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 054 Block 0008 Lot 008 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- 27470 dated DECEMBER 15, 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 ALFRED GESZCZYNSKI (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. tho zed ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 10305 SOUNDVIEW AVE SOUTHOLD SUBDMSION: MAP NO.: IAT (S) NAME OF OWNER (S): ALFRED GESZCZYNSKI OCCUPANCY: RESIDENTIAL ALFRED GESZCZYNSKI ADMITTED BY: ALFRED GESZCZYNSKI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 54.-8-8 SOURCE OF REQUEST: ALFRED GESZCZYNSKI,10/23/00 DATE: 12/15/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK PIERS CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOKS: IST PLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED & HEATED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTNATER: YES TYPE BEATER: OFF BOILER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTWATER: XX OTHER: OUTSIDE SHOWER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: SWIMMING POOL: OTHER: STORAGE, TYPE COMST_: GUEST, TYPE CONST_: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART SEC. 73Z-COZ-27469 INSPECTED BY: DATE ON INSPECTION: 10/26/00 GAR J FIS 9TIME START: 9:50 AM END: 10:15 I Form No. 6 TOWN OF SOUTHOLD 2 3 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 o� Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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: 1. Accurate survey of property 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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25%p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date OCTyo.. of . 3....00a ............. . New Construction........... Old Or Pre-existing Building.!` .............. Location of Property..103bS:...$O0tic) Ew. .A.QE .. L()....... Hou . seNo. •. Street �/ Hamlet .• Onwer or Owners of Property..A L F R E D...� E,S Z C'Z ! q S K , County Tax Map No 1000, Section... ..'.......Block.. 6............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........... Fee Submitted: $...F ...................... Qom• 5 Svc .................. gfj� COy%O APPLI m, ., 1&, �O 21 b .1 iM %&T° 44' Sm W Z d J MAP OF LAND SURVEYED FOR ALFRED GESZCZ`(NSKI AT SOUTH O LD SUFFOLK COVr+TY, N.Y. Scale . 2O _ p c Monument O = IYOh pipe Quavahteed t° the ihteY- County TLtLe Guaranty 4 Mo-rt9a9e CO. as surveyed N overn ber 24,k971 VAN TuYL- A SoN - LILt. nsed Land Sayo-'5 Greenpott, New Yoyk CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (}mss) (are) the owner(-*) of the premises in the Town of Southold located at ! o.3os,- S Q u N D1(It'W A ✓C . , which is shown and designated on the Suffolk County tax map as District 1000, Section, Block 8 Lot 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: I r 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, i�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, ordinances, rules or regulations of the Town of Southold. Dated: QC.r, a3—a0040 4�(s aign atu ALKR D G'rszczY�)sk� (print name) (signs ure) -, 'oe-f -3-1 //p7/ass-1802 � BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ]FIREPLACE 8 CHIMNEY REMARKS: DATE llt�OZ6IC'W INSPECTOR �"`.� LOCATION: r & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY municipality MAP N0. LOT (s) type owner -tenant a ' ADMITTED BY: A(lwj, C�ze-z-yyj)t L ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION # STORIES &qM-Q., # EXITS 2 - FOUNDATION JDI CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR. _.. BATHROOM (s) &i e-� TOILET ROOM (s) PORCH TYPE DECK, TYPE UTILITY ROOM PATIO, TYPE BREEZEWAY �--.. "` FIREPLACEG ADA- DOMESTIC HOTWATER TYPE HEAT �.t,P OTHER: J ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: GE TYPE HEATER AIRCONDITIONING_ WARM AIR HOTWATER STORAGE, TYPE CONST. , GUEST, TYPE CONST. ----------------------------------------------------------- ------------------------ - -- ----------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: `G�+�a 7 ? INSPECTED BY: DATE ON INSPECTION % TIME START END