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Home My WebLink AboutZ-22916FOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ EXISTING CERTIFICATE OF OCuumANCY No Z-22916 Date MARCH 24, 1994 THIS CERTIFIES that the buildin~ Location of Property 4475 NEW SUFFOLK AVE~u~ House No. Street County Tax Map No. 1000 Section 115 Block 4 Subdivision Filed Map No. ONE FAMILY DWelLING MATTITu~K~ N.Y. Hamlet Lot 33.4 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-22916 dated MARCH 24, 1994 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 DW~.INGWITHACCESSORY 2 CAR GABA~E &CHICKEN COOP* The certificate is issued to CHA~T.~S MISKA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~qSE SEE ATTAuH~,J INSPECTION REPORT. Rev. 1/81 N/A N/A N/A Building I n spect~'r LOCATION: SUBDIVISION NAHE OF O~NER.(s) OCCUPANCy BUILDING DEPAR~'MENT TOWN OF SOUl'fOLD HOUSING CODE INSPECTION REPORT 4475 New Suffolk Ave. (number & street) CHARI. ES MISKA SINGLE FAMILY D~LLING Mattituck, N.Y. (munic-~pal it y MAI, NO. LOT (n) .CltARLRS MISKA (type) ADMI%r~D BY: CARL MISKA KEY AVAILABLE ' SOUKC~ OF REQUEST: CBARLES MISKA (O~er-tenant) ACCOHPANIED BY: CARL MISKA SUFF. CO. TAX MAP NO. 115-4-33.4 DATE: MARClt 15, 1994 DIALLING: IYFE OF CONSTRUCTION FOUNDATION CEMENT BLOCK WOOD FRAME TOTAL ROOMS: IST FLR. · 4 ' BATHROOM (s) PORCH TYPE BREEZEWAY D0}~STIC H0~4ATER YES TYPE HEATER TYPE HEAT OIL 2ND FLR. 3. ONE TOILET RO01'.! (s) FRONT FULL ENCLOSEDDECK' TYPE FIREPLACE NONE OFF BOILER ~ STORIES 2 CELLAR FULL 3RD FLR. UTILITY ROOM PATIO· TYPE GARAGE AIRCONDITIONING HO~ATER XX-' ~ EXITS 2 CRAWL SPACE PARTIAL ACCESSORY STRUC£uKES: C,M~GE, TYPE OF cONST. S~ING POOL O~R: 2 CAR WOOD FRAME WiT'~ ~-L~C~iC STORAGE, TYPE CONST. WOOD CHICKEN COOP · GUEST, TYPE CONST. VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATI ...... ~u~' DESCRIPTION ,'CRT. SEC. REHARKs: DA'I'E ON INSPECTION I~_ARCH 17, 1994 TIME START 9:40 END 10:00 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. 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. 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. 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-existinA Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property... ff~.~. ...... ~.~.~....~ ~.~..~. A ~...~.~.~. ...... .~. ~.~ .~..(~. - ..... House No. Street Hamlet Onwer or Owners of Property. ~7~ /w~..~,... County Tax Map No 1000, Section .... //.~. ..... Block ..... ~ .......... Lot..~l Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... CONSENT TO INSPECTION ~/-]/~t,~ /V]]jt~.~q , , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the pr~rnises in the Tow~ ¢ , which is shown and designated on the Suffolk County ia× map as District ~000, S~tio~ ~, mo~ ~/ , Lo~ %2.~. That the undersigned (has) (have) filed, or caused to be filed, ~an applica- tion in the Southold To~ Building Inspector's Office for the follow'g: 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 thai 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. (signature) (print name) (signature) (print name) 271.70' ],~,o, W ~ .~ 224.16' S 8,7'34'57" W ..... NEIN sUFFOLPC A\;'EN'ISE