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Home My WebLink AboutZ-22357FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22357 Date MAY 25~ 1993 THIS CERTIFIES that the building. Location of Property 2705 MARRATOOKA ROAD House No. Street County Tax Map No. 1000 Section 123 Block 2 Subdivision Filed Map No. ONE FAMILY DWR. LLING MATTITUCK~ N.Y. Hamlet Lot 25 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-22357 dated MAY 25~ 1993 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 TWO CAR GARAGE * The certificate is issued to HENRY SEIFERT (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHR.~ INSPECTION REPORT. Rev. 1/81 dihg Inspector LOCATION: BUILDING DEPARTMENT TOI4N OF SOUTHOLD HODSING CODE INSPECTION REPORT 2705NARRAT00KAROAD NATTITUCK, N.Y. (number & street) SUBDIVISION NA~E OF Ob~ER (s) HENRY SEIFERT MAP NO. (municipality LOT (s) OCCUPANCY A- i RES. (type) ADMi'I-I'EO BY:. Hr. Seifertts brother KEY AVAILABLE ' SOURCE OF REQUEST: RUSSELL J. SEIFERT (o~ner-tenant) ACCOI~PANIED BY: SAIig SUFF. CO. TAX NAP NO. 1000-123T02-25 DATE:MAY 12, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DONESTIC HOT~ATER TYPE HEAT OIL OTIfliR: WOOD FRAI4E CEI4ENT BLOCK IST FLR. I FULL YES 2ND FLR. TOILET ROOM (s) ONE DECK, TYPE FIREPLACE NONE TYPE HEATER ELECTRIC blAl~ AIR XX ~ STORIES ONE # EXITS 3 CELLAR FULL CRAI~L SPAC~ 3RD FLR. UTILITY RODM PATIO, TYPE CONCRETE REAR OF HOUSE GARAGE AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF cONST. 2 CAR WOOD FRANK' STORAGE, TYPE CONST. S~IIiNING POOL , GUEST,.TYPE CONST. OTHER: WISHING HELL VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP #4322Z-CO Z-3738, & BP ~7916 co Z-2223 FOR ADDITION DATE ON INSPECTION lqAY 24, 1993 TINE START 9:10 END 9:25 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN H~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This apPlication must be filled in by typewriter OR ink and submitted to the building inspectbr 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 b~ilding, mul.tiple 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: i. Accurate s~ve~ o~f property showing all property lines, streets, building and ~U~-a~atural or-t~og~aphic features. 2. A properly completed applicaqi~n and a consent to inspect signed by the applicant. If a Certificate o~O--~cupancy 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. Certificate of Occupancy on Pre-existing Building__-.$1OO.O~_ Copy of Certificate of Occupancy - $5.00 ~er 5 years - $10.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Location of Property.]~?~.~.. ............. ~~..;P~.''''''''''.~.Z'~ ' House No. Street Hamlet Onwer or Owners of Property .... /.~.~.~..~-.~ .... ............................ County Tax Map No i000, Section ..... /~ ..... Block .... ~ .......... Lot..~..~...~ ............ Subdivision .................... ~ ............... Filed Xap~7~f~/~$%~.Lot...~...~.. ............. Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate. ,.lad Submitted: ................ ~ ~Z~ ,~ ..... ,V. 0 6 °,.¢'7' ~. - lo00 -/23-Z '- ZE .) 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 2 7~ f ]r/~f__~/~/~ A~4 ~'~2 ~ ~ , which is shox~ and designated on the Suffolk County tax map as District 1000, Section /~ , Block ~ , Lot ~. 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 aferesaid application, including inspections to determine that said premises comply with ali 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: (signature) (print name)