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Home My WebLink AboutZ-16328FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pre c.o. Certificate Of Occupancy No. z16328 Date October 23, 1987 THIS CERTIFIES that the building .. T..wg..q a..r..g.a.r..a.g.e., w..i .t.h.. d..w.e.l. 1. ~ .n.g..a..p .a.r.t.m..e .n.t. 1825 SMITH ROAD (PVT RD.) PECONIC Location of Property//~Os~ ~Jol ....................... ~}/e~t' ....................... County Tax Map No. 1000 Section . .9.8 ......... Block . ...4 ........... Lot .... 1.9.: ! ......... SubdivisionI..n.d.i.a.n...N.e.c.k...P.a.r.k. ............ Filed Map No..5 .5.1 ..... Lot No...N..p.a..r.t..o.f.. E RV. QUtREMENTS FOR ONE FAMILY DWELLI~¢ BUtLT BEFORE conforms substantially to the Certificate of occupancy .... .A.pf.i. 1. . .2.3. ,. . !.9.5.7. ~ pursuant to which ]~it~tgXlX~t No...Z.l. 6..3.2.8. ............ dated .O.c.t. ? .b.e.r.. 2. .3.,.. ! 9. .8.7 ......... 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 ......... 2 car garage with dwelling apartment 2nd floor (approved by Bd of ............................................................. a i~ ~ ~.a.r ~ ) .......... The certificate is issued to PATRICIA B. WALKER ..................... ?o¥,,~k, '~Sdyo~ '/i¢,~x ~ x .................. of the aforesaid building. Suffolk County DePartment of Health Approval ....P.r.e...e.x.i.s..t .i.n.g. ........................ UNDERWRITERS CERTIFICATE NO ............ P. r..e..e.x.i..s .t.i.n.g. ........................ PLUMBERS CERTIFICATION DATED: Pre existing UPDATE OF PRE C.O. #Z7727 June Z.B.A APPEAL 1559 6/15/72 20, 1977 Rev. 1/81 HOUSING CODE INSPECTION June 17, 1977 #1825 & 2025 Smith Road Peconic, N.Y. Sub. Div.: Indian Neck Park Tax Roil: Fred L. and Nell S. Arnold Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of the buildings on this prop- erty beginning at approximately 2:20 P.M. #1825 Smith Road is a two-story wood framed building. Ground floor is a two-car garage that contains an oil fired warm air fur- nace and electric water pump for domestic water system to building. Second floor has a kitchen, living room and dining room combined, bedroom, and full bathroom. #2025 Smith Road is a two-story wood framed dwelling con- structed on cement block piers with a partial cellar of red brick masonry. First floor contains an enclosed rear entry porch, kitchen, pantry, side entry vestibule, full bathroom, large room with fire- place used for dining and living room. Second floor has four bedrooms and a full bathroom. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: #1825 APARTMENT Sewage .System - no house trap, Article V, Section 52-51 C 1. #2025 ~eatinq - no central heating system, no heating equipment any room, Article V, Section 52-53 A 1. Cellar - floor excessive moisture, exterior entrance stairwell and door way not tight or suitable to prevent entrance of moisture, Article III, Section 52-31 A. Sewage S~s.tem - no house trap, Article V, Section 52-51 C 1. Inspection completed at approximately 2:50 P.M. RespectfUlly'submitted, Edward°Hindermann Building Inspector EH:med FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 New Dwelling $25.00, Accessory ~$10.00 Business $50.00 1. Certificate of occupancy 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00 .Vacant Land C.O. $ 20.00 ~.Uo~da~j~/~d~. C~.O. $ 50.00 Date ./?. .............. NewConstruction-''''~ ...... Old or Pre-existing Building /~ Vacant Land Locat,on of Prope ty ..................... ~)f~.//.... ~....~.4 (~.; ......... ./~'..-~'.. House No, . Street ,~ Ham/et Owner or Owners of Property ..~...~ .... .~.~?.;..../~. County Tax Map No. 1000 Section .... ~.'~. ........ Block ¢/ Lot /~- / . Subdivisio,,Q, ................................. Filed Map No ........... Lot No .............. Perm'rt/~l~. ~ . Date of Permit .......... Applicant .................................. Health Dept. Approval ......... . .~/..'~. .......... Labor Dept. Approval ........ .-~../~.. ........... Underwriters Approval .......... ./~'../~. .......... Planning Board Approval ....... .'~"~".~.. .......... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~--~. ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10-78 f3--c d.d.z /(. 3AF STATE OF CONNECTICUT) ) COUNTY OF FAIRFIELD ) ss: Greenwich AFFIDAVIT The undersigned, being duly sworn, deposes and says as follows: I am the owner of the private one family dwelling located at Smith Road, Peconic, New York. Since the Certificate of Occupancy dated June 20, 1977 there has been no construction, structural alteration or renovation of said property. To the best of my knowledge, all electrical systems are operational. ~~ Eben T. Walker Subscribed and swgrn to before me this ~ day of , 19 ?. Notary Public