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Home My WebLink AboutZ-15309FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15309 Date February 27, 1987 's One family dwelling & detached 2 car THIS CERTIFIES that the building .... */66 ~1' '~ g f h'g'~ ............................... 750 Old Harbor Lane New Suffolk Location of Property ............................................................... House No. Street Ham/et 117 5 8 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a private one-family dwelling built prior to confonns substantially to the ~atirmxf~xl~u~Mi~gxl~tml{xl~2~ol~l~f~xt~il~tt>qt~xtt~ti~XoTfig~xga'~g'aTM CERTIFICATE OF 0CCUPAN~Y ....A?.r.i.1..2.3.,..1.9.5.7 .... pursuant to which l~fl~l~l~m~R No ....... -.I.5.3.0.9. ......... dated........February ...... 27,. .... 198...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 ......... ONE FAMILY DWELLING & DETACHED 2 CAR WOOD GARAGE VINCENT R. WIECZOREK & ELEANOR WIECZOREK The certificate is issued to ........................................................... (owner, I'KeXe~ ~[ of the aforesaid building. Suffolk County Department of Health Approval .... N..o..r.e.c..o .r.d.....P.r.e. 7 .e .x.i.s..t .i .n.g. ......... UNDERWRITERS CERTIFICATE NO. NO record Pre-existing N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 Location Subdivision BUILDING DEPART]~NT TO%~T OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 750 Old Harbor Lane New Suffolk, New York (number & streeT) (Municipality) Map No. Lot(s) Name of Owner(s).,. VINCENT WIECZOREK & ELEANOR WIECZOREK Occupancy A~mitted by: R-1 (.type) Mr. Wiec zorek OWNER (owner-tenan~ Accompanied by: SAME Key available Suffolk Co. Tax No. 117-5-8 Source of request Mr. Wieczorek Date 2/26/87 D~,'fELLIMG: Type of construction wood FRAMED Foundation Tile & cement floor Cellar Total rooms, 1st. F1 7 2nd. F1 partial #stories ONE Crawl space Rest 5rd. F1 Bathroom(s) Porch, type Breezewa~ Type Heat Oil fired Fireplace(s) ! Domestic hotwater Other ! Toilet room(s) ! Deck, type Wood Patio, type Garage Utility room 'Warm Air Hotwater x No. Exits 2 Airconditioning YES Type heater GAS ACCESSORY STRUCTURES: Garage, type const. 2 car wood Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Location Descrimtion NO VIOLATIONS Housing Code, Chapter 45 N.Y. Stat¢~niform~Fire Prevention & Buiimin~ Coae j Art. J Sec. This pre-CO includes building permit #7604Z for an addition ~0/]5/74 Remarks: CO issued Z-7025 CURTIS W. HORTON Time start 4:30 end 5:00 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted t~ 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 p~"operty 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: 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 .~/~.~ ~...~.. 5.Updated C.O. $ 50.00 Date ..... New C on s t r uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Owner or Owners of Property · - .~,~~'-~ ~. · ~..~. · 4;;~ .... County Tax Map No. 1000 Section .../../'7 ...... Block .... ~ ....... Lot., ~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval .... ~ .................. Underwriters Approval ........................ Planning Board Approval .....~....~ ........ Request for Temporar~Certificate ..................... Final Certificate ...... ~ ............... Fee Submitted $..~.~..~'~(~' . .~/..~. ............... Construction on above described building.~nd permit meets all applica,ble code~ and regulations. App cant : ....................... Rev. 10-10-78 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 ~"0 0~--~0 ~Ca0~ ~ ~4A9 SO~c~'~L~ ~{ ~ ~ , which is shown and designated on the Suffolk County tax map as District 1000, Section ,l,{ 7 · Block f , 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 aforesaid 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 tn 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 Toxvn of Southold. (signature) ~x n (print name) (sianature) (print name)