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HomeMy WebLinkAboutZ-29155FORM NO. 4 TOWlq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPA/~CY No: Z- 29155 Date: 12/26/02 I~{IS CERTIFIES that the building DWELLING Location of Property 505 MECH~NIC ST SOUTHOLD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 061 Block 0004 Subdivision FiledMap 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- 29155 dated DECEMBER 26, 2002 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 ATTACHED GARAGE * (HAMLET) Lot 036 · ~ne certificate is issued to DARREN MIGNONE of the aforesaid building. (OWNER) SUFFOLKCOUNT~DEPARTMENTOF~RALTEAPPROVAL ELECTRIC~%L CERTIFICATE NO. PLI~4BERS CERTIFICATION D~£~ *PLEASE SEE ATTACHED INSPECTION REPORT Rev. 1/81 ~ N/A N/A N/A Authorized--SignOre ~ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOfL~TION: 505 MECHANIC ST SUBDIVISION: N~ OF O~ (S): DARREN MIGNONE OCCUPANC"f: SINGLE FA~4ILY ADMI'r£~u BY: DARRON MIGNONE SOUTHOLD MAP NO.: ~ (S) DARREN MIGNONE ACCO~PANIgD BY: SA24E F.]~f AVI~ILABLE: ~3FF. CO. TAX ~ NO.: 61.-4-36 SOURCE OF P~EQU~ST: DARREN MIGNONE 12/09/02 DATE: 12/26/02 DWELLING: FOI~DATION: CEMENT BLOCK BAT~OOM (S}: 1.0 WOOD FRAME 2ND F~.: 1 S~)RIES: FULL PORCH TYPE: FRONT VESTIBULE BKEEZ~FAY: DONESTIC TYPE HEAT: 0IL TOII~T ROO~(S): 0.0 DECK TYPE: FIP. EPLACE: XX TYPE HEA'r~K: NAT.GAS WARM A~IR: HOTWA'r~U(: OT~IER: 2ND FLR. OLD UNFINISHED BATH 1.5 # EXITS: 2 CRAWL SPACE: 3P~D FLR.: 0 UTILI~"f ROOM(S): REAR* PATIO TYPE: ~GE: LARGE 1 CAR A_IRCONDITIONING: XX ACCESSORY STRUCTURES: GAP~E, TYPE OF CONST.: SWIPING POOL: OTHER: STORAGE, ~YPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON INSPECTION: 12/16/02 TI~ START: 9:45 AM ]~qD: 10:15 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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. Bo 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 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Owner or Owners of Property: -~/~ ~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Street Block Filed Map. Applicant: Underwriters Approval: Final Certificate: Hamlet Lot Lot: (check one) Fee Submitted: $ C o J c11,5..5 Ioo. © Cb Applicant Signature// 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE CONSENT TO INSPECTION Owner(s) Narfie(s) , the undersigned, do(es) hereby state: That the undersigned (~ (are) the owner(s) of the premises in the Town of Southold, located at _~_9 t~c]~c~r~ ~% 5.5-9 which is shown and designated on the Suffolk County Tax Map as District 1000, Section ~ I ., Block ~ _, Lot -5~ That the undersigned (has) !have) filed, or cause to be filed, an application in the Southold Town Building Inspector s Office for the following: occc:pc n<'u ora pre- (%x 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) (Print Name) sr~t e tr