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Home My WebLink AboutZ-18055FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy No. Z 18055 THIS CERTIFIES that the building ONE FAMILY DWF. LLING Location of Property 1050 SMITH ROAD PECONIC ~l[~[~s~ ~]o: ........ 'S't/eer .............. Hamle~ County Tax Map No. 1000 Section ....9.8 ....... Block 03 .Lot 028 Subdivision... I..HP.I.A. IIJ..N.E.C.K...P.A.R.K. ......... Filed Map No ......... Lot No.2.1 ............ REQUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the :~, ~liigaXi~li~l~l~llllvll~ll[~ilrr~q~li~;~,~xcx~[lliii~l[[~~ CERTIFICATE OF OCCUPANCY ~ APRIL 9, 1957 pursuant to whichlll~li~a~ll~]l[li!~ .... .Z.l.8.0..5.5 ........... dated ..... lq/~¥..2.5. ,..1.9.8.9. ......... 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 ......... SEASONAL ONE FAMILY ~WELLING, ACCESSORY GARAGE AND GUEST HOUSE. The certificate is issued to JOHN J. WALSH AND ANNE G. WALSH ..................... ?o¥.'o) '~~) ...................... of the aforesaid building· Suffolk County Department of Health Approval .. . .N./.A ................... UNDERWRITERS CERTIFICATE NO. H/A PLUMBERS CERTIFICATION DATED: N/A · ~~. '.~..~..~.~: .................... Building Inspector Rev. Location BUILDI?:G DEP ?~qT2.LEHT -. TO:'~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1050 SMITH ROAD PECONIC ~numoer & s~rees) Subdivision blap No. (Munzclpa±i~y) Lot(s) Nmme of Owner(s) JOHN WALSH Occupancy RESIDENTIAL R40 (type) Ad.mitred by: ROBERT HENN o~mer (owner-x~x~x~) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No. 98-03-28 Source of request WRENN & SCHMID Date APRIL 18, 1989 D~,,~ELLIMG: Type of construction WOOD FRAME Foundation CEMENT BLOCK PIERS Cellar Total rooms, lat. F1 6 2nd. F1 -- Bathroom(s) I full Toilet room(s) Porch, type one on southsideDeck, type #stories ONE Crawl space ALL 3rd. F1 -- Breezeway --- Type Heat NONE Fireplace ( s ) · ONE Domestic hotwater Other Patio, type --- Garage --- Utility room 'Warm Air --- Hotwater No. ~cits 3 Airconditioning,--- PROPANE Type heater UNITROL ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other ] car Storage, type const. ---' Guest, type const. WOOD FRAME, 3 ROOM VIOLATIONS: Location Housing Code, Chaoter 45 N.Y. State Uniform Fire Prevention - & B~ldin~ Code Description I Art. I Sec. ALSO B.P.. {2487Z with C.O. #Z1975 for addition on existing dwe'lling. Remarks: HOUSE IN FAIR CONDITION CONSIDERING THE AGE. I~spected by: ~? ~ Date of I~sp. 5/24/89 GAR~FISH -Time start 9:30 end I0:00 -----'"~APP LICATION FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 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: 2..~,;c-r. stctcmc-~ v ov~-~- or.pruvJ~ewc~r as to~, oc~p,n~y amd ~ond'~,~,~ of bu'ldi, 3. Date of any housing code or safety inspection of buildings or premises, or other pe~inent informa- tion required to prepare a ce~ificate. C. Fees: Add~t$ons 825.00 ~O0~S $25.00A~A~[ON $25.00 1. Ce~ifica[~foccupancY New Dwelling $25.Q0, Accessory ,$]0.00 Business $50.00 3'C~-g¢~Zt~ficat~'~'°~UP~"~Y ......... %-'-~'Y~=O,~'~Ver 5 years 4.V~ca~t ~ C.O. S 20.00 5.U2~te~ C.O. ~ 50.00 Date .......................... NewC°nstruction ...... OId or Pre-existing Building ..~: ......... Vacant Land ............. Location of Property . 10.5.0. Sm~b. Rp.a,c], ......... ~Cpp..i.c. ............. ~.e.w..~..o.r.~. ....... House No. Street Ham/et Owner or Owners of Property . J.QI-I~. J....T~AL,S~. ~p.d, .~l~..C~,. ~.A.~ .IzI ...................... County Tax Map No. 1000 Section ...Q~).8...Q0. ..... Block...............03-00 Lot.02M...Q0O ....... Subdivision,` .~-~, .cji. r:/., .d. ,e~.l~., .~(]J¢.~. ........... Filed Map No. ,5;5.1. ...... Lot No.. ,2.1 .......... Permit No ........... Date of Permit .......... Applicant ...JQ[t~..J.,..W./~L.$ .H ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~ ................... Fee Submitted $..1,0 0..0.0.. ,~.~.~..':'/:.l.q t ...... Construction on above described building and per, it ~t~all applicable codes and regulations. Applicant ................................ Rev. 10-10-78 ~ 3° 5 ~'[ JOHN J. WALSH and ANNE G. WALS~I CONSENT TO INSPECTION 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 1050 Smit.h. Roadr Peconicr New York · which is sho~m and designated on the Suffolk County tax map as District 1000, Section 098.09 Block 03.00, Lot 028.0~0 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: Certificate of Occupancy on pre-existing dwelling 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the To~vn of Southold. Dated: April 17 , 19~13 ~1 (~J[gnatu e) JOHN Jo WAI,SH -- v--~si~nature) ~ ANNE G. WALSH (print name) N.79°37'1:'. - 156.95' %.,, ~) l- .~T'¥ N0 ~ ~: Z! ~ 5.79' S7r~.~ - . ~62.86 ' .. / ': Jo['~N- 'O.. WALS N P~CONIC. . 2'. ~/. ' No. ss~. - . - .',-': _.-. ,.. j:/.-: : ...:...... : .. ~-. '~t.'- ' -' - -- ~ ' ., '."~,?'4 ..... :-,:~ '-' : ~ .' " .. ' ' - 1 & '~' F'IPF., -%¸ · GUtM~ANT~ED To $~¢U~,.~T¥ Tt-r~.~' 4~ Gunma~r? Co. r~. v~~_