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HomeMy WebLinkAboutZ-27428 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27428 Date: 11/28/00 THIS CERTIFIES that the building DWELLING Location of Property 1380 SIGSBEE RD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 0001 Lot 006 .002 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- 27428 dated NOVEMBER 28, 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 WITH ACCESSORY GARAGE * The certificate is issued to ELEANOR MARCHICA (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. Au prized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1380 SIGSBEE RD LAUREL SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : ELEANOR MARCHICA OCCUPANCY: RESIDENTIAL ELEANOR MARCHICA ADMITTED BY: ROBERT MARCHIA ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF_ CO. TAX MAP NO.: 144.-1-6.2 SOURCE OF REQUEST: ELEANOR MARCHICA 11/9/00 DATE: 11/28/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: 1ST FLR.: 7 2ND FLR.: 0 3RD FLR.: 0 HATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LIPA GAS AIRCONDITIONING: TYPE HEAT: LIPA GAS WARM AIR: HOTWATER: XX OTHER: WALK IN CLOSET ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME - 1 CAR STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 11/17/00 GARY SH TIME START: 9:50 AM END: 10:15 AM Form No. 6 TOWN OF SOUTHOLD i BUILDING DEPARTMENT 0 9 ' 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 supplyand 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25v) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date V .%,Gi7.(?Q.0 New Construction 2 Old Or Pre-existing B ilding A-5 Location of Property A �f�{Sb &/Yd (/7 House No. �J March/ Hamlet Onwer or Owners of Property E/ems.-/' Q/- t12a rch/ 0 County Tax Map No 1000, Section /yy> 0 G Block O1. U C) Lot d V/ Pt cl 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: $ (00, 56668/ "12Gr3� C ,as-P-fozy APPLICANT ed \ (J) \.o' ' 26 \AS. GI \ ,4 ,vs, ‘‘.1..1 ,39-:- ii%n 4 • 01 N 6g b(. s�y'use •0, c.3%AROof r n° O w 2 OtN°. \� tA32I la NO O Ot \- Oar° e °22E. e 0 .p .Frw N69 �0. es -'O HICA 5 °r , ' p 13 9 o22 ARC ' ' 0 o s'6g � ,c\ p 0 T7 lPEf2$ 'Acta OtNo. �_ sY. ) C) tin nie o-i y l S .C. 00 f 41:•"9. hov5e N \ 0 . v mss Ci - / ea°tse %9``�e��3.fltop 5 Z mot o tA3 ?\ G � ps. m c s tP .O 5- _ ra9� ''' •S CP S•6-0 ' 30 Lo • tNo \ P P� CP SURVEY FOR EDWARD F LITCHHULT MATTITUCK TOWN OF SOUTHOLD SUFF. CO. , N. Y. SCALE I u = 40' MAY 9, 1969 NOTE •2 MONUMENT LOT NOS.REFER TO AMENDED MAP OF PROPERTY OF MATTITUCK PARK PROPERTIES PROFESSIO ENGI R AND INC. ,FILED IN THE SUFFOLK COUNTY LANDSURVEYOR,N.Y. LIC.NO. I284. CLERKS OFFICE. RIVERHEAD, N.Y. CONSENT TO INSPECTION • / , 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 / 3 8- S 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: i ALM Of 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, 'rrules 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: ✓ 9 o2.0 v � o signature) PO G I . 1206 €4NT /L_I� rLc / ( Uli (printname) (signa ure) ivwa ur SUU'ftWLU HOUSING CODE INSPECTION REPORT LOCATION: 47 number. street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY • (type) (owner-tenant) i ADMITTED BY: (1644.- f�DG�1 (.4ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. //' ©v- ( -64 SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION W �. ,e U STORIES, U EXITS FOUNDATION ay.z - CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 7 2ND FLR. 3RD FLR. BATHROOM (s) Ute-. TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER c7fes TYPE HEATER h,'4 6-plg AIRCONDITIONING —' TYPE HEAT ifikr ZJ ( S WARM AIR HOTWATER !� OTHER: 1 /4(�t la) ryr9J4-- ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. ti/(/ 446t_ STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: • VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION . DESCRIPTION ART. SEC. - / i���_► e . . i.. i / • REMARKS: • INSPECTED BY: /72 44 DATE ON INSPECTION 4( /V Z, TIME START 9, E