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Home My WebLink AboutZ-26127FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26127 THIS CERTIFIES that the building DWELLING Location of Property 1955 BAY SHORE RD GREENPORT (HOUSE NO.} (STREET) County Tax Map No. 473889 Section 053 Block 0004 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- 26127 dated NOVEMBER 23, 1998 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 * Date: 11/23/98 (HAMLET) Lot 010 The certificate is issued to STEPHEN A & PATRICIA MUTKOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. / Rev. 1/81 N/A N/A N/A B~ilding In~ec~ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1955 BAY SNORE RD GREENPORT SUBDIVISION: MAP NO.: LOT (S) -- NAME OF OWNER (S) : STEPHEN A & PATRICIA MUTKOSKI OCCUPANCY: SINGLE FAMILY STEPHEN A & PATRICIA MUTKOSKI ADMITTED BY: CHRISTINA NESSEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 53.-4-10 SOURCE OF REQUEST: STEPHEN MUTKOSKI - 10/30/9S DATE: 11/23/9S DWELLING: TYPE OF CONSTRUCTION: WOOD FP3/4E FOUNDATION: CEMENT BLOCK TOTAL ROOMS: lST FLR.: __~ BATHROOM(S): 1.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL WARM AIR: OTHER: # STORIES: 1.0 # EXITS: CELLAR: PART CRAWL SPACE: 2ND FLR.: __~ 3RD FLR.: ._~ TOILET ROOM(S): O,O UTILITY ROOM(S): DECK TYPE: SIDE TO REAR PATIO TYPE: FIREPLACE: ONE GARAGE: ONE CAR TYPE HEATER: L.P. AIRCONDITIONING: HOTWATER: XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: BP $13074,~ COZ-124S9 (DECK) BP $23535-Z-COZ-24699-(RENOVATION) JM. BOUFIS E ON INSPECTION: 11/06/98 T~ START: 10:45 AM END: 11:15 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo 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. Co Fees I. 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-existinR Buildinm - $100.00 Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ ~ ............................... New Construction ........... Old ~r Pre-existinz Building ................. Location of Property.. ~?..~.....~.~..~..~.. ~/...~. ~. ~Y...~..~. ....................... House No. Street Hamlet nwer or O=ers ? 'UZ County Tax Map No i000, Section ..... ~.~..~. ..... Block. ~ .Lot. /O Subdivision...~.~...~.. 3~...~..~...~.~ .~...~.. ........ 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: $ ~-- ~~~ .... ................ q CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section --~ , Block /~ , Lot /O 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:.__ 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 Iaws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) (print name) (signature) (print name) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL LOCATION: KEY AVAILABLE SOURCE OF REQUEST: ~:..~J> " ~ BUILDING DEPARI~fENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT (number (muni~A~allty NAP NO, LOT (s) (owner-tenant) ACCOMPANIED BY: ~4~L~.-- S~F. co. TAX ~P NO~.'~ --, ~- TOTAL ROOMS: I ST FI,R. /7/ 2ND FLR. BARROOM (s).. ~///~_ PORCIt T~PR BREEZEWAY DO~STIC .O~A~R ~/-.~-~ TYPE HEAT ~// OTHER: -' STORIES ~,~. # EXITS TOILET ROOM (s) ---- DEC~, TYPE FIREPLACE TYPE UEAI~R WARM AIR 3RD FLR. UTILITY ROOM '~- PATIO· TYPE AIRCONDITIONIN~ HOTWATER .. ~-.~ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OIH~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRiPtION ART. SEC. TIME STARTh,.~ ..END