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Home My WebLink AboutZ-26215FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26215 Date: 01/14/99 THIS CERTIFIES that the building Location of Property 38705 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 085 Subdivision DWELLING PECONIC (STREET) (HAMLET) Block 0002 Lot 018.001 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- 26215 dated JANUARY 14, 1999 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 STRUCTURES * The certificate is issued to DONALD of the aforesaid building. & NATALIE WILCENSKI (OW~R) SUFFOLK COUNTY DEPARTMENT OF WEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A 12/09/98 N/A Bu~/ding In. ct or Rev. 1/81 -N-473824 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: NAM~ OF OWNER (S): DONALD OCCUPANCY: SINGLE FAMILY 38705 ~AIN RD EECONIC NAP NO.: __ & NATALIE WILCENSKI DONALD LOT (S) __ & NATALIE WILCENSKI ;~DNITYED BY: DONALD WILCENSK~ ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 85.-2-18.1 SOURCE OF P~EQUEST: DONALD J. WILC~NSKI - 4/23/98 DATE: 81/14/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: $ FOUNDATION: BLOCK CELLAR: 7/$ CRAWL SPACE: 1/8 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S}: -- PORCH TYPE: COVERED FRONT DECK TYPE: PATIO TYPE: D~STIC BOTWATER: YES TYPE EHATER: OIL AIRCONDITIONING: TYPE BEAT: OIL * WARM AIR: HOTWATHR: OTHER: *NOTWATER - RADIATOR GARAGE, TYPE OF CONST.: WOOD FP3~4E ~1 STORAGE, TYPE CONST.: WOOD F~3~48 & CONCRETE #2 SWIPING POOL: . GUEST, TYPE CONST.: WOOD FRAME #3 (L~%BOR CAMP) OTHER: SEE 8URUBY ATTACHED - ALL ACCESSORY STRUCTURES IN GOOD CONDITION. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~M FIP,~ PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION I ART. SEC. NOTE: THE WINDOWS MEET WITH A MINIMUM DIMENSION OF FINISHED FLOOR. THE NEW WINDOWS DO NOT M~ET THE MINIMUM AR~A OF FOUR SQUARE FEET, BUT DO PROVIDE MORE AREA THAT THE OLD SINGLE PAN~ WINDOWS WITH COMBINATION STORM. THE NEW REPLACEMENT DO NOT DEVIATE FURTHER FROM PROVISIONS OF SUBCHAETER B. (1231.1D) ~ #]2283-Z(I3Z-121,~(~ (~f~R.13L?G/) ~]?/tl~S2Z--CC(CI7672 <ALT) ~ #24426Z~-~5705 <z~C3CY') MICHAEL J. VERITY ~ TIME START: 10:05 END: 11:20 mo Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT, ~ OF SOUTHOLD This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fro~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - = .25¢~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 -1 ~ ~ate ..... ~('~'"~' ~'t'/' ~ ~ .................. New Construction ........... O d 0 Pre-existing Building.~.~ .... Loc.tion of P~operty...~.~2~.r. ..... ~...~ .................. ~,~ .............. House No. Street Hamlet .~.~ !.~.~.~;~ O~,~;~,~A,' Onwer or Owners of Property ................................. ..... .... .. · ~.~- ~ /g, / County Tax Map No i000, Section ............. Block ................ Lot ...................... Subdivision ............................... ... . . Filed Map ............ Lot ...................... Permit: No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ..................... . . . Request for: Temporary Certificate .......... .. Final Certicate.. J Fee Submitted: ........... .................................. (516) 734-6366 GROWERS OF CULTIVATED SOD Route 25, Peconlc, L.I., N.Y. 11958 800-649-4925 Fax (516) 765-0015 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 .. , ~.'"'~' -:'~ .:~,o,c~ ~ 473824 n ~.:~hM~!, , , ~ R.u!~l:, 25, PECCNEC, ~:' in the following location; ~ Basement ~ 1st FI, ~ 2nd Fl. O~/OLlt Sec~on Block Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IRECEPIACLE$ I SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET E R V I C OTHER APPARATUS: SNTi!-}E PRE!iISE8 :L VISUAL DEFECTS; ",~n electrical sJivc-y has been made Df the exposed e!ecnrical equipment in the l:rem]ses indicated." "No obvious unsatisia:tor'y <ondition was found. SABAT ELECTRIC 51~ ['AT LIC. #4204E GENERAL MANAGER Per i I This certificate must not be altered in any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials, COPY FOB BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: That the unders~ned (is~he of Southold located at , the undersigned, owner(s) of the premises in the Town , which is shown and de.~nated on the Suffolk County tax map as District 1000, Section ~S , l~lock c~ , Lot [9. I .~ That the undersigned (has)~-~v~ filed, or caused to be filed, an mpplica~ 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 ~11 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 Town of Southold. <