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Home My WebLink AboutZ-26179FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCy No: Z- 26179 Date: 12/18/98 THIS CERTIFIES that the building DWELLING Location of Property 390 OYSTER PONDS LA ORIENT (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 024 Block 0001 Lot 002 Subdivision 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- 26179 dated DECEMBER 18, 1998 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 GARAGE & STORAGE SHED * The certificate is issued to BENNIE & ADELAIDE WYSOCKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. / Rev. 1/81 N/A N/A N/A Building ~pector BUILDING DEPARTMENT TOWN OF SOUTHOLD EOUSING CODE INSPECTION REPORT LOCATION: 390 oYSTER pONDS LA ORIENT SUBDIVISION: MAP NO.: -- LOT (S) -- N~ OF O~NER (S): BENNIE & ADELAIDE W¥SOCKI OCCUPANCY: SINGLE FAMILY BENNIE & ADELAIDE ~"f~OCEI ADMITTED BY: CHARLES THOMPSON ACCOMPANIED BY: SAME KEY AVAIL~LE: SUFF. CO. TAX MAP NO.: 24.-1-2 SOURCE OF REQUEST: CHARLES THOMPSON-12/22/gs DATE: 12/18/98 TYPE OF CONSTRUCTION: WQQD FP3U4E FOU~ATION: CEMENT BLOCK TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: 2 BATHROOM(S): ~,O TOILET ROOM(S): . . PORCH TYPE: ENCLOSED ~IDE & FRONT DECK TYPE: BREEZEWAY: FIREPLACE: DOF~STIC HOTWATER: OIL TYPE HEATER: QFP BOILER TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: BILCO EXIT # STORIES: 1.5 # EXITS: ~ CELLAR: P~LRT CRAWL SPACE: __ 3RD FLR. I O 0- ~ UTILITY ROOM(S): __ PATIO TYPE: GARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWIPING POOL: UTHER: ONE CAR - woQp STORAGE, TYPE CONST.: WOOD STORAGE GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE SEC. INSPECTED BY: DATE ON INSPECTIONI 12/16/98 TIME START: 12:50 P~ END: 1:05 TOWN IJ.~L ! O[!C ] ] ~ 11~ ;} 765-1802 This application must be filled in by t~ewriter OR ink and submitted to the building ~spector with the following: for new building or new use: 1. Final su~ey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of i% lead. 5. Co~ercial build,g, ~dustrial build,g, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buildi~. 6. Sub~t Plann~g Board ~prov~ of completed site plan requir~ents. For ~isting build~gs (prior to ~ril 9, 1957) non-confo~ing uses, or bulldogs and Ppr~ist~g" land uses: 1. Accurate su~ey of property sho~g ~1 property lines, streets, budding and unusu~ natural or topographic features. 2. A properly co~leted application ~d a consent to ~spect si~ed by the applicant. If a Cert~icate of Occup~cy is denied, the Building Inspector shall state the ~reasons therefor in~iting to the applicant. 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, 3.~Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existinK Buildine - $100.00 Copy of Certificate of Occupancy - I .25~. 4. Updated Certificate of Occupancy -.$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Construction ........... Old Or Pre-existing Building ........ tion of F roper,y... ............ ./- ......... House No. Street ~ml et ~wer or Owners of Property ..... ~7. . 2 .. ~Z~ ~ ?. ........ :,mty T= ~p No ~000, Sec,ion ..... ~.~. ...... Bloc~... ! ............ ~ot... ~.. ................ ibdivision ............................. ... . . .. Filed Map ......... . .. Lot ...................... --r~it Ho,.~......'..Date Of Permit../.L.l~.t~.~. ..... Applicant.....~%w.. ~,. -.alth Dept. Approval .......................... Underwriters Approval ......................... Lanning Board Approval ........................ ~.quest for: Temporary Certificate ........... Final Certicate .......... /~O Submitted: $ ............................. Appr..l~ ~ .',(~,~ '~- ~:. 3-$_s~ 7 ~ ...... ~-~ ............ CONSENT TO INSPECTION Owner(s)' N~me(s)- do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk of Southold located at County tax map as District 1000, Section o~ , Block I , Lot That the undersigned (has) (have) flled0 '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 all of the laws, ordinances, trules 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. ~' / ( s ign~a~f --- (print name)/