Loading...
HomeMy WebLinkAboutZ-17477 FORM N0.4 TOWN OF SOUTHOLD BUILDWG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy No. 2.1.74 ~ NOVEMBER 1 , 1 988 Date THIS CERTIFIES that the building . oNE ,FAMILY, DWELLING Location of Property ..335, .SQUTH .DRIVE MATTITUCK House No. ~ Street Hamlet County Tax Map No. 1000 Section ~ 06.......Block ..1. ~ ...........Lot , ...19...... . Subdivision . ,SHORE ACRES , , , , ..Filed Map No. ........Lot No. E REQUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the ppid~tlbYiXQbx~~~N~~GX~#~elEdlfl~i~eX~DF~I$#1~'tlli~~~t~dated ,APRIL 23, 1957 CERTIFICATE OF OCCUPANCY pursuant to which )1LJFiI'c~~'~~ No. . Z ] 7 4 7 7 dated NOVEMBER : 1 , 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. Tlie occupancy for which this certificate is issued is . ONE FAMILY DWELLING AND 2 ACCESSORY STORAGE BUILDINGS. Tlie certificate is issued to VELJKO. J . KRSTULOV IC (owner, /glblr~rl~iii3lrX of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO . . N /A PLUMBERS CERTIFICATION DATED: N/A SEE ATTACHED INSPECTION REPORT L Building Inspector Rev. 7 /87 i BUILDI_:C Dc.P u'~T:iF",iT TO,vi~1 OF SOUTHOLD, N. Y. ' HOUSIidG CODE IiJSPECTION REPORT Location 335 SOUTH DRIVE MATTITUCK ~nL:moer & s~reet) Municipality) Subdivision Map No. Lot(s) Name oi" 0~•mer(s) VELJKO J. KRSTULOVIC Occupancy RESIDENTIAL (type o~•mer-tenant ) Admitted by: VELJKO J. KRSTULOVIC ACCOmpanled by: SAME Key available Suffolk Co. Tax No. 106-11-19 Source of request Date D'^fELLI~?G Type of construction WOOD FRAME rstories ~ Foundation BLOCK Cellar FULL Crawl space Total rooms, lst. Fl 5 2nd. F1 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, t,~pe Deck, type Pa~ioEN~ype3-2 rear --T-'f r o n t Breezeway Garage Utility room Type Heat OIL ~rlarm Air Hot~r~ater BASEBOARD Fireplace(s) l No. E;cits 3 Airconditioning Domestic hot:aater Type heater GAS (PROPANE) Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. 2 S~•~imming pool Guest, type const. Other OUT HOUSE (PRIVY) VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention & Buildiz~g Code Location Description Art.) Sec. Remarks• Inspected by: Date of Insp. l0/za/ss GARY ISH Time start 9:25 end 10:15 a.m. a.m. FORM NO. 6 t! ~ ~ ~ ~ C~ ~ TOWN OF SOUTHOLD Building Department ~ 7 f~ Town Hall Southold, N.Y. 11971 X33 D 765 - 1802 TOWhinFS`/~'I'HOLb APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ eo~~ to the Building Inspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory -$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of Certificate of occupancy $ 5.00 , over 5 years $ ] 0 . 0 0 4.Vacant Land C.O. $ 20.00 10~~.~~ S.Undated C.O. $ 50.00 Date <f' NewConstruction,,,,,,OldorPre-existingBuildin~g//.. V........ Vacant Land Location of Property ..........3~ ~f?~/,~lJ'~.: 7!?P``-v.. ` .a-G1,~`S /1~nr~ House No. Sheet Ham/et Owner or Owners of Property 9. Ye~:`:~ ..~O.~.S~e// ~ . County Tax Map No. 1000 Section (0~ Block .....~l......... Lot ~ . Subdivision e:~.. /~Gf2 ~ ...........Filed Map No. ..........Lot No. . Permit No. Date of Permit ..........Applicant . Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certi~fi/ca$t~e ..................Final Certificate . Fee Submitted $ ~ ~ . Y. J . Construction on above described building and ermit m is all aall pplicab es and regulations. Applicant " . " " . Rey. ~o-ioae iCQ,C, 3(0 /O ~ /'iz.E L'.Q- ~ / 7 y 7 ~ -Il.-ly ~ ~~ot F Job-II-1y ~ ~ 't~ - P f~ ~~l:4ili ti:~ lire ~ _ r~ 3", a Ye r a w~tiy tQ°f 1 v ' i ~ ~ 5 ps ~ loon ~ eb-1~- IJ I ~ _l _ - I . \ a ~ s is ~ l\\°'o ` /r ~ fir, C ` 5 \ ~ i P r \ ~ ~ t,i R 1 a~bv4 u' ~ ~ , ~ ~ A e.. \ _ , ~ -7 m - i J 77~ _ , I~ ~ '4; lo~-Il-~fl - V ~ t.~ 1`t,~.i a~ _.I ~ ~ s~ -.a I F CiytGtvUrt-ty~ ~".A, ~'4 "tl'!+~ nT Vara. T~~~t_ x '~wt.t rc-*eV hf' a ~U?ti'n ?'~€.Y. - .r1 L~ceH~~~ 1-:at~i:i. ~5uv'~ct~cr ~ ,..--...„.~.++-.-....~.-„-.--.~-.--.~.~.`++....y~•w~i ~R ~ ~ '~^yh""7" My ~ CONSENT TO INSPECTION '~y ,the undersigned, er(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town ~a~~~ ' of Southold located at ~~~1'~- 7~ ~ G 'a _ ' ~ ~L"1'Gb+~j S r~ ~ which is shown and designated on the Suffolk County tax map as District 1000, Section-, Block 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: ~ ~~.a~ y2`t°l ~ tau - 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: ~~4./.2 _ (signnnature) ~ bepl' ~ ,(~C~~~,Cddi C (p nt name) 5~~ c ~_~P (signature')/ ~7~~ ~4 yYIC yS yzc~7tz C (print name)