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Home My WebLink AboutZ-26403FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26403 THIS CERTIFIES that the building DWELLING Location of Property 1905 BAY SHORE RD (HOUSE NO.) County Tax Map No. 473889 Section 053 Subdivision Filed Map No. (STREET) Block 0004 Lot No. Date: 04/22/99 GREENPORT (HAMLET) Lot 009 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26403 dated APRIL 22, 1999 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* The certificate is issued to BARBARA E MUTKOSKI (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 INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1905 BAY SHORE RD GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): BARBARA E MUTKOSKI OCCUPANCY: SINGLE FAMILY BARBARA E MUTKOSKI ADMITTED BY: JOHN DER.EEDER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 53_._ -4 - SOURCE OF REQUEST: BARBARA E. MUTKOWSKI. DATE: 04/22/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _ 2 FOUNDATION: CEMENT BLOCR CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: St 2ND FLR.: 3RD FLR.: _Q BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT DECK TYPE: REAR WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LP GAS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX �*WK-1-f=i"ONwr C . GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: OTHER: WOOD RETAINING WALL & STEPS VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _ LOCATION ! DESCRIPTION J ART. i SEC i i i i REMARKS: INSPECTED BY: _Iffl 46- 11" yl� �/� DATE ON INSPECTION: 04/21/99 JOHN M. BOUFIS TIME START: 10:00 AM END: 10:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 C4 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 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 11pre-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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - .25C. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.& c.-Qid;4; �!' 7 . New Construction........... Old Or Pre-existing Building. 1............... I Location of Property... )90 5 . ; �e y, cc� .�atk� ...4�ie "^Pal l...l n.; c 0-t r..21 '�....... House No. ( StreetHamlet Onwer or Owners of Property. 1��6A<ac. G7' "`'�"kdA ;.r ..r� d ..... . County Tax Map No 1000, Section., d SJ....... Block .... ........ Lot. .<f)61............. 11 a y Subdivision s?:-. �. e�' `.'r.........Filed Map ............ Lot .... '.. ,Sa.L...... Permit No................Date Of Permit ................ Applicant ............................. 2. 3. 4. 5. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... 44 100.0 6 Fee Submitted: $............................. oz�' APPLICANT 0-4 00 -2-7aG�03 /aD0-S3-y — 9 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET Q 5 VILLAGE ✓ L l 3 G °i 3 DIST. SUB.------------- Q�b r a X -i,, Owv�ER OWI lG ER ,1... u I QSki N E ACR. a 0 ` SW TYPE OF BUILDING RES. $AS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS , o 3166 i2 78' ZZd, l�r�P ioos�s� �Lo, A�a,Ta,✓ c a0000. �300 "A�5D(7 q 0 0 a- -2 e73ao `�� a �'$ o o / S//7/7? dza (i r 15b919� 9S— L 1) 3 7 7 5- �tkc�ski � Mutkrs�r iyus� ale AGE BUILDING CONDITION N NORMAL BELOW ABOVE Fr Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER 3 _ 5� o Brushland FRONTAGE ON ROAD House Plot DEPTH 4A .... �r BULKHEAD Of 41R) P� Total DOCK .:__ :.ra. I I... - ral CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 11(3,5 4 which is shown and designated on the Suffolk County tax map as District 1000, Section O$3 , Block Lot 00j That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors Office for the following: �i y �Y I Cti�c ( )GG N / QnGy T(✓ �. /L eXirl l e i�.f, hcrG That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,frules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated�� (signature) � �ba.a G- 11 4 (print name) (signature) (print name) ED INSPECTIONS:' UNIfA- t.. BE%oRE'BACKFILLING. FO. TION OR START; - ION FMMING 2.;,FRAMING 114E 1C►N ,3 3. BEFARE' COVE06 RING pt, ANY KIND 4.- FINAL .WHEN JOB COMP.- • aI{ Y NOT RESPONSI$LE. FOR - Olt' CONSTRUCTION ERRORS 5. ALL CONSTRUCTION MUST id1mfl REQUIREMENTS OF N Y. STATE CQDE AND TOWN HOUSING CODE & ZONING ti`d,Ck,�4tij r0 4200, �® FLAN®�� AIA7'gR PES O 24 %J P, pES Ca76.70 GoNc! ,PET. WALL 0. 8,A). T/T'L E A/0. 304, - S- 0 7/.5P M 75.3 O0� '4 o vj v N �y N W EPS N 3ZA W 23 iV. 0.5*AJ r woo o ,ee T w.l �c- N WOOD META L CCILA p D6CX Doo) S y3.3- lS.On, %?Z. 14.7" � � �t/-1905' Q /0. a` /5.0• 14.4' z w000 PL.f T $TFPS O0� O ULE N N N 3ZA W 23 iV. N 3 � � Q :75. 00' N. 44'/240 "W cove N 0 N "Z-FAA1 H/Gg cry M / WA7-,-e 4//o1199� v Z0 5 Nea'DE Iro..tio v )ObL E A5*A/. BAySHORe- (5o' w'oE) ROAD SUS VL_ Y OF C o r 3/ &, SoUThl /Z 1-07- 30 - AA,45NOEO MAP A ,,=-IL EC> :/,/,4 Y /9 /933 -F/4E # 1124 R.5CC?AJZ FA YESTA TE. -S SiTuA TEo ATARSf/A0OA/AquE, ToG✓ry OF SoUTNoZo/SU/FFBG.rC C�UivT�; �t/. Y G'UA,pA�vTEEo TO F/ 2S T A/V1EiP/GAfJ T/TLE- /NS U,P,4/�IGE L'OMP�N yDF/VE�tI ye GAMY and 1<-,4 T•yLEEA/ ZIJA F? • FLEET M0RTGAG E OAIAJK To w/v OF Sou i NOLO �.ASEMEMTS AND/08 SU.>9AURFACE STRUCTURES, RECORDED OR UNRECORDED ATE NOT GUARANTEED SURVEYED : APRIL /0, 19 cJ 9 UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY. ^/ HE OFFSETS OR DIMENSIONS SHOWN HEREON FQW4 , p �CJ� dF PROPERTY LIHES 70 7-'I?E STRUCTURES ARE F0 SPECIFIC PURPOSE AND USE. THEREFORE, THrY SCALE * I"=50 RE NOT INTENDED TO MONUMENT THE KiOPERTY .,XES OR TO GUIDE THE E,4.'C ,"•, OF 'EV, ,-3' -HARRY P. MIL L EBRA ND - ,DDITIONAL STRUCTURES Oil AMY !T:iES ,MPROVEMEPaT. LAND SURVEYOR SUFFOLK COUNTY TAX MAP 11 CHURCHILL LANE - SMITHTOWN, N.Y. DISTRICT SECTION BLOCK LOT TEL. 543-5139 i- --- /000 53 4 9 NASSAU SUFFOLK BLUEPRINTING `/LE 64/5; 5 BUILDING DEPARTMENT TOWN OF SOUTHOLD ING CODE INSPECTION REPORT LOCATION: r,& street SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY:0�, KEY AVAILABLE SOURCE OF REQUEST: DWELLING: lvlfA i�Cr7i municipality LOT (s) ACCOMPANIED BY: TYPE OF CONSTRUCTION !(/� 4(/� _ # STORIES # EXITS FOUNDATION Com, A — CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPEiDECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER 25 TYPE HEATER -4r1 Cis AIRCONDITIONING TYPE HEAT !l WARM AIR HOTWATER OTHER: t z l'w Cay ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: /, J4,141 STORAGE, TYPE CONST. GUEST, TYPE CONST. ®$4- ® , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE REMARKS :C*44r*'nl V 15-;z- - N) -2� YL (� (Z $-k LAI -A i INSPECTED BY: (^, DATE ON INSPECTION TIME START END