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Home My WebLink AboutZ-24993FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCcuPANCY No Z-24993 Date APRIL 18, 1997 THIS CERTIFIES that the building Location of Property 200 (aka ~9) MADISON STREET House No. Street County Tax Map No. 1000 Section 33 Block 5 Subdivision Filed Map No. ONE FAMILY DWELLING GREENPORT, N. Y. Lot Lot No. Hamlet 22 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24993 dated APRIL 18, 1997 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 DWEIJulNG * The certificate is issued to JOHN & VICTORIA RELINSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *Pr.RASE SEE ATTAu~D INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTilOI,D HOUSING CODE INSPECTION REPORT LOCATION: 200 (aka fi9) HADISON STREET (number & street) SUBDIVISION MAP NO. NAHE OF OWNER (s) JOHN &'VICTORIA HELINSKI OCCUPANCY SINGLE FAMILY (type) ADMITTED BY: VICTORIA tlELINSKI VICTORIA HELINSKI KEY AVAILABLE SOURCE OF REQUEST: GREENPORT, N.Y. (municipality) LOT(s) (owner-tenant) ACCOMPANIED BY: gAME. SUFF.CO. TAX MAP NO. 1000-33-5-22 DATE:' APRIL 8~ 1997 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM PORCH TYPE WOOD FRAME BLOCK CELLAR IST FLR. 5 2ND FLR. 2 I TOIl,ET ROOM (s) I BRICK & BLOCK-FRONT & BACK BECK, TYPE BREEZEWAY FIREPLACE DOMESTIC HOT~ATER LILCO TYPE IIEATER LILCO TYPE HEAT HOT WATER (FURNACE)WARM AIR OTI1ER: # STORIES I-1!2 I EXI. TS FULL CRAWL SPACE 3RD FLR. UTILITY ROON - - PATIO GARAGE AIRCONDITIONING UOTWATER GAS ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: WOOD FRAME STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUll.DING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~24051Z-COZ-24992 ISSUED FOR ACCESSORY GARAGE "AS BUILT" & AS PER ZBA APPROVAL DATED 4/6/62/ ,., Z/~n ~~/~__.~ DATE OF INSPECTION ~RIL 14, 1997 INSPECTED BY NIC~E~. ~RI~ T[~ START lO:O0 ~ END 11:05 mo Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~---BLDG. DEPY, ~m~_MO~S~/Tq~O____~PLICATION FOR CERTIFICATE OF OCCUPANCY 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead· 5. Connnercial 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 c6mpleted site plan requirements· For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. Co 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-existin~ Buildin~ - $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 New Construction ........... 01d Or Pre-existing Building ................. 200 MADISON ST. GRKESPORT, N.Y. Location of Property ......................................................................... House No. Street Hamlet JOHN HELINSKI & WIFE Onwer or Owners of Property .................................................................. County Tax Map No i000, Section...~ ......... Block ..... ~ .......... Lot ..... Z~ ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... iUnderwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... I00.00 Fee Submitted: $ ............................. · ................. VICTORIA HELINSKI CONSENT TO INSPECTI6N · 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 200 14AI)ISON STREET GREI~N-PORT, N.Y. · which is shown and designated on the Suffolk County tax map as District 1000, Section 33 , Block 5 , Lot 22 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: ~ PPg EXISTING NON-CONFOP,14ING ONE FAI~ILY DI~IgLLING 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, ordinances, rules or regulations of the Town of Southold. Dated: APRIL 8, 1997 (signatu're) (print name) (signature) (print name) sON ' MA[:)I ~, ~. 75.00' 13.§3'2o° · 5. s. ~ i~0.0O' -~ . of Fleelfleld~ subd vislo~ MaP 6: 194~ MaP No. 1~5 ' Flied' Feb.