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Home My WebLink AboutZ-23298FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C~RTIFICATE OF OCUu~ANCY No Z-2329E Date OCTOBER 20, 1994 THIS CERTIFIES that the building. Location of Propert~ 57635 MAIN ROAD House NO. County Tax Map No. 1000 Section 63 Subdivision ONE FAMILY DWELLING SOUTBOLD, N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23298 dated O~TOBER 20, 1994 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 ALICE WOKOSKY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 N/A N/A *PLEASE SEE ATTACHED INSPECTION WEPORT. LOCATION: SUBDIVISION NAME OP OWNER (s) BUILDING DEPARTMENT TOWN OF SOUT~OLD HOUSING CODE INSPECTION REPORT 57635 MAIN ROAD SOUYUOLD, NEW'YORK (number & street) ALICE ~OKOSKY MAP NO. (municipality) LOT(s) OCCUPANCY SINGLE FAMILY DWELLING (type) (owner-tenant) ADMITTED BY: CAROL CASE ACCOMPANIE6 BY: SALVE KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-63-3-23 SOURCE OF REQUEST: KENNETH P. WOKOSRY DATE: OCT. 17, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME ~ STORIES 2 ~ EXITS FOUNDATION BRICK CELLAR PART. CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) NONE UTILITY ROOM NONE PORCH TYPE SIDE COVENED BECK, TYPE NONE pATIO C~NT NEAR BREEZEWAY NONE FIREPLACE NONE GARAGE NONE DOMESTIC HOTWATER YES TYPE HEATER AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES 3 OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: Ex'r~NSIONS EXISTINg PRIOR TO 1957 INSPECTED B~j~2 ~O~iS_~~. DATE OF INSPECTION OCT. 20, 1994 TIME START 9:30 END 9:55 NIOIF J' I~. & I~1. ~. -'/2.30.30, SUR VE Y FOR CAROL J CASE A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 65 - 05 - 25 SCALE 1"= 40' OCT. 17, 1994 t~ffON AY~ VAL~ FOR TNIS Af~4Y AI~ COY~$ TI~ffOF ONLY F S~D ~MP OR OOPES r~R THE ~J~E~ $E~L ~F ~ $~d/EYOR~ ~ ~ ~ ~ / ~ ONiC ~ SU~~~_- ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~y P. O. BOX 909'~~ ~~~. ~~ MAIN ROAD ~-~~rm ~ ~ ~ ~ SOUTHOLD, N.Y. 11971 z19618 94 - 330 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOITN }DkLL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. Bo · 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 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 i. 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date .... .~c~ New Construction ......... ~. Old Or Pre-existing Buildin~ ................. Location of Property ............................................................. House No. Street Hamlet Onwer or Owners of Property..~..e_~..~..~. ~ . [.~..~.~..~.~?.~..~g...~,.~r..~. j..~............~,~ .~..~o~. . .g..% County Tax Map No 1000, Section .......... Block ................ Lot ...................... Subdivision Filed Map Lot . .~ i{ealth Dept. Approval........... ..... ........ . . Underwriters Approval ...................... ... i~lanning Board Approval ................. .. . .... lequest for: Temporary Certificate ........ ... Final Certiaate ........... STATE OF NEW YORK COUNTY OF SUFFOLK ss.: KENNETH WOKOSKY, being duly sworn, deposes and says: 1) That he resides at Church Lane, Box 361, Aquebogue, New York, 11931. 2) That he is the Executor of the Estate of Alice M. wokosky, late of the Town of Southold, County of Suffolk and State of New York, who died on January 7, 1994, having been appointed Executor by the Suffolk County Surrogate's Court on January 28, 1994 under File No. 87 P 94. 3) That he is the son of Alice M. Wokosky and the late Stanley Wokosky, who died on or about March 11, 1957, a resident of the Town of Southold, County of Suffolk and State of New York. 4) That Stanley Wokosky and Alice M. Wokosky were the owners of and resided in a house located on the North side of N.Y.S. Route 25 in Southold, New York, which premises is now known as 57635 Main Road. 5) That as the son of Stanley and Alice M. Wokosky, he was raised in the premises referred to in Paragraph 4, supra, and knows that the northerly areas of the house which are listed on the Town of Southold Property Record Card as 12' x 10' and 14' x 17' foot extensions were in fact built prior to 1957. Indeed, the most northerly such area served as the family kitchen while he was a youth. 6) That he makes this affidavit at the request of the Town of Southold Building Department knowing that it will be relied upon in the issuance of a "pre-existing" Certificate of Occupancy covering the premises referred to in Paragraph 4, supra. Kenneth Wokosky c3 Sworn to before me this 20th ~y of October, 1994 Notary Public [DWARD JOHN BOYD 5th i'~O~ARY PUBLIC, State of New ~oi'k No. 0376625, Suffolk Comlly CONSENT 'FO INSPECTION ¢~...~ ~ &~o~q )~,~o~, . the undersigned. Ox~mer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Toxin orSouthotaloeatedat D7~5-~ ~~ q~ . which is shox~ and designated on the Suffolk County tax map as District 1000. Section G~ . Block o~ . Lot [~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector's Office for the follow,g: 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 xwith 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 regmlations of the Town of Southold. · z ~ (s~gnature) ~ (print name) (signature) (print name)