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HomeMy WebLinkAboutZ-29261 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29261 Date: 02/11/03 THIS CERTIFIES that the building DWELLING Location of Property 360 OLD SALT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 0005 Lot 009.001 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- 29261 dated FEBRUARY 11, 2003 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 CARYL R KIENDL (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 INSPECTION REPORT. A hor' ed Si nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 360 OLD SALT RD MATTITUCK SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNHR (S): CARYL R KZENDL OCCUPANCY: SINGLE FAMILY DWELLING CARYL R KZENDL ADMITTHD BY: CARYL KZENDL ACCOMPANI® BY: SAME RSY AVAILABLH: SUFF. CO. TAR NAP NO.: 144.-5-9.1 SOURCH OF RHQUHST: OLSEN & OLSEN, ATTYS 2/3/03 DATE: 02/11/03 DWELLING: TYPH OF CONSTRUCTION: WOOD FRAME # STORMS: 2.0 # H%ITS: 2 FOUNDATION: CEMENT HLOCK CHLLAR: FULL CRANL SPACH: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 2.0 TOILSf ROOM(S): 0.0 DTILITY ROOM(S): PORCH TYPH: DHCR TYPH: PATIO TYPH: BRHHZHNAY: FIRHPLACS: ONE GARAGH: DONSSTIC HOTfU~THR: YES TYPH HHATHR: KEYSPAN AIRCONDITIONING: TYPH HHAT: KEYSPAN HARM AIR: HOTNATSR: STEAM OTfD3R: ACCESSORY STRUCTURES: - =^H, TYPB OF CONST.: 2 CAR WOOD FRAME STORAGH, TYPH CONST.: SNIMMZNG POOL: GUEST, TYPH CONST_: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. ( SEC. FRMaRRt: BP#50782-COI-4355 - ACCESSORY GARAGE INSPSCTHD BY: ` DATH ON INSPECTION: 02/10/03 GARY ISH TIMH START: 9:40 AM END: 10:10 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: A. 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 "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 4. Updated Certificate of Occupancy - $50.00 5. Temporary,•Certi-ficate of Occupancy -Residential $15.00, Commercial $15.00 Date. February 3, 2003 New Construction: Old or Pre-existing Building: % (check one) Location of Property: Old Salt Road Marr; r„rk House No. Street Hamlet Owner or Owners of Property: Caryl Richards Riendl Suffolk County Tax Map No 1000, Section 144 Block 5 Lot q _ ~ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / ,.(check one) Fee Submitted: $ 100.00 ~ OLSEN b OLSEN LIP ~ ~ 52495 MAIN ROIIp ' / PO BOX TOb (q~~~ r. 3 2 ~ ~ i~ A plicant Signature cap-i" 2>.~ ~ G~f CONSENT TO INSPECTION ' ^9 T,F7 ~-_..or nl con ~c ~rrnrnnF- for ~:~~1 Ri rhartl c. Ki Pnrll the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at old salt Road Mattituck which is shown and designated on the Suffolk County tax map as District X000, Section 144 ~ Block 5 Lot 9.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in"tho Southold Town ]iuitding lnspc:c~.,. or.r;~~ tam. rho fnlln~ving: 1~ro story residence 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 ali 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 pr secutions for vio- lations of the laws, ordinances, rules or regulations o the/'d'own of Southold. 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