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Home My WebLink AboutZ-28629FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28629 Date: 07/26/02 THIS CERTIFIES that the building Location of Property 52380 CR 48 (HOUSE NO.) County Tax Map No. 473889 Section 135 DWELLING SOUTHOLD (STREET) (HAMLET) Block 0003 Lot 016 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- 28629 dated JULY 26, 2002 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 GARAGE * The certificate is issued to WALTER, GIL & DENIS AMIAGA (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOF~R~LTHAPPROVAL N/A ELEt-£KICAL cmTIFICATE NO. N/A PLUMBERS c~KTIFICATION DA'l'~u N/A *PLEASE SEE ATTACHED INSPECTION ~RT. Authorize~ ~nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD BOUSING CODE INSPECTION REPORT I&)C~TION: 52380 CR 48 SOUTHOLD SU~DI%r~SION: W2%P NO.: -- L&)T (S) __ ~ OF O~ (S): WALTER, GIL & DENIS AMIAGA OCCUPANCY: SINGLE FAMILY WALTER, GIL & DENIS AMIAGA AD~i'A'r~ BY: KATE MURPHY ACC(]9~PANIED BY: SAME KEY A%5%~I~%BLE: SOFF. CO. TAX ~ NO.: 135.-3-16 SOURCE OF P~LFEST: DENIS AMIAGA, 7/15/02 DA~: 07/26/02 DWELLING: TYPE OF CON~r~uCTION: WOOD FRAME # b~TORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK & POSTS CK~.r~%H: PART. ~ SPACE: -- TOTAL ROO~S: 1ST FLH.: --5 2ND FLR.: ~ 3~D FLR.: __0 BATHRO(]~(S): 1.0 TOII~ET ROOM(S): 1.0 o~rILITY ROOM(S): ** PORCH TYPE: FRONT DECK~'PE: PATIO BREEZEWAY: FIP, EP~ACE: GARAGE: DO~ESTIC H(Y~W~'r~K: XX TYPE HF~%'I'~K: NAT.GAS ~tIRCONDITIONING: TYPE HEAT: NAT. GAS WArM ;tiE: HOTWA'r~K: XX ~I'~U~K: *LOFT AREA **REAR MUD ROOM ACCESSORY STRUCTURES: C~%.(]E, ~"fPE OF CONST.: 1-1/2 CAM STOPpagE, ~"fPE CONe'S.: SWIPING POOL: (~JEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPBt-r~ DA~ O~ INSPEC'TION: 07/23/02 BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depanmm A. 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. 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 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 Date. New Construction: Old or Pre-existing Building: ~ Loeation of Property: 5%c, /,.) crr House No. 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 Building- $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 (check one) Street ~K~ Block ,.~ ('/ Lot Filed Map. Lot: Applicant: Underwriters Approval: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: Hamlet /L (check one) Applicant Signature CONSENT TO " INSPECTION Name(s) Owne~(s) do(es) hereby state: That the unldersigned (is) the owner(s) of the premises in the Town of Southold locaied at )0 ~0~0 ~ , which is sho,~ and designated on the Suffolk County tax mapas District 1000, Section ~BS. Block ~ , Lot I ~ · That the u~dersigned (has) (have) filed. 'or caused to be filed, an applica- tion in'th~ Southold To~ Butlaing Inspects.., o~t~.~ r~ +a, That the unders~ned 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 buil0lngs located thereon, to conduct such inspections as they may deem necessarJ with respect to the aforesaid application, ' ..... mcludmg'mspect~ons 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 ~spee~ions, do(es) so ~th the knowledge and finderstanding that any ~formation obtained in the conduct of such inspections may'be used as evidence in subsequent prosecutions for vio- lations o~ the laws, ordinances, rules or re~lations of the Town of Southold. Dated: ~ print name) (signature) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY