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HomeMy WebLinkAboutZ-26330FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26330 Date: 03/18/99 THIS CERTIFIES that the building DWELLING Location of Property 2600 SIGSBEE RD LAUREL (HOUSE NO.} (STREET) County Tax Map No. 473889 Section 144 Block 0001 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- 26330 dated MARCH 18, 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 WITH ACCESSORY GARAGE * (HA~ET) Lot 023 The certificate is issued to HELEN M MCDONALD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A ~ui~ing Inspector Rev. 1/81 LOCATION: SUBDIVISION: 2600 SIGSBEE RD NAM~ OF OWI~ (S): HELEN M MCDONALD OCCUPANCY: SINGLE FAMILY ADMITTED BY: TOM LIBR~IO BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LAUREL MAP NO.: __LOT {S) __ HELEN M MCDONALD ACCOMPANIED BY: SAME KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.: 144.-1-23 SOURCE OF REQUEST: WICKHAM. WICKHAM & BRESSLER PC. 2/1 DATE: 03/18/99 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: C~MENT BLOCK TOTAL ROOMS: 1ST FLR.: ~ BATEROOM(S): 1.0 PORCH TYPE: FRONT-SCrEEN PORCE 2ND FLR.: _.~ TOILET ROOM(S) .' 0,0 DECK TYPE .' BREEZEWAY: FIREPLACE: DOMESTIC EOTWATER: YES TYPE HEATER: OIL TYPE HEAT: OIL WARM AIR: XX EOTWATER: OTHER: REAR ENTRY WAY # STORIES: 1.0 # EXITS: ~ CELLAR: PULL CRAWL SPACE: -- 3RD FLR.: ._~ UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: ONE CAR WOOD FRAME STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PP. EVENTION & BUILDING CODE LOCATION DESCRIPTION ART, INSPECTED BY= DATE ON INSPECTION: 03/16/99 TIME START: 10~10 END: 10:40 TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAXCY 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 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. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. 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 .¥~r~¥y.~.~ ....................... New Construction. Old Or Pre-existing BuildingS. dwelliD~ wi~h, qutdopr,s~owe~screenporc~ ................... ~nR'aetacnea frame garage. Location of Property...2600.Sigsbe¢.goOd ......................... M~%%%%P~ .................. House No. Street Hamlet Onwer or Owners of Property ..... g~i~o.M,.M~DpgP%~ ............................................ County Tax Map No 1000, Section..l~,00 ...... Block..P.1..PP ......... Lot...Q~-.QQQ ............ Amended Map of p~o Subdivision..Mattituck. Pa~k.P~Op~%~.%~q....Filed Map ............ Lot..~O~ ................ Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..X. ........ Fee Submitted: $ .1.0.0...0.0 ....................... .~..~d ~..d .~.~.....g.g.g.g.g.g.g.g~~', , / APPLICANT (Agent) o 765-1802 BUILDING DEPT. INSPECTION r *~ FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [.~ FIREPLACE & CHIMNEY CONSENT ?0 INSPECTION Helen M. McDonald , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2600 Si§sbee Road, Mattituck, New York Which is shown and designated on the Suffolk County tax map as District 1000, Section 144 00 01.00 023.00 · , Block , Lot That the undersigned (h'aS) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-existing Use C.O. for dwelling with outdoor shower, screen porCh and detached frame garage. 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 inspec- tions 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: February 18. 1999 ~.~J~~~_ ~ture Ab~a~] A. W~e~hmm. a~ent Print name - Signature Print name k"~l~M ; GILF1ANI~CIOCIA ~ 42~;? HHUNe NU. · 4. i~_~.~.~t..,.~ ....