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Home My WebLink AboutZ-23547FOP~M NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO Z-23547 Date MARCH 14, 1995 THIS CERTIFIES that the buildin~ Location of Property 35260 MAIN ROAD Rouse No. County Tax Map NO. 1000 Section 97 Subdivision ONE FAMILY DWELLING CUTCHOGUE, N.Y. Street Slock 2 Lot Filed Map No. Lot No. Ramlet 4 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23547 dated MARCH 14, 1995 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 FAMIL~ DWELLING WITH ACCESSORY GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED AN'fORE J. & ROSEMARy T. W~SOCKI N/A N/A *PLEASE SEE ATTA~D INSPECTION~ ~~ Building Inspec/or Rev. 1/81 LOCATION: SUBDIVISION NAME OF O~R (s) BUILDING DEPARTMENT TOWN OF SOUTUOLU DOUSING CODE INSPECTION REPORT 35260 MAIN ROAD CUTCHOGUE, N.Y. (number & street) HAP NO. ANTONE J. & ROSEPd~RY T. WYSOCKI (municipality) LOT(s) OCCUPANCY SINGLE FAHILY OI~TER (type) (owner-tenant) ADMITTED BY: ANTONE J. WYSOCKI, JR. ACCOHPANIED BY: SAI~ KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-Y~-2-4 SOURCE OF RE~.UEST: ANTONE & ROSEMARY WYSOCKI DATE: HARCH 2, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION BRICK TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOHESTIC HOTWATER TYPE BEAT OIL OI~t~R: IST FLR. 4 ONE NEAR ENCLOSED YES WOOD FRAME { STORIES CELLAR FULL CRAWL SPACE 2ND FLR. 2 3RD FLR. TOILET ROOH (s) UTILITY ROOH BECK, TYPE PATIO FIREPLACE GARAGE TYPE BEATER OIL AIRCONDITIONING WARH AIR HOTWATER YES 2 ~ EXITS 2 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~I]4MING POOL OTHER: I CAR WOOD FRAi~ STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. . BOUFrS / ][N~YECTED BY DATE OF INSPECTION TIME START 9:45 NARCH 7, 1995 END 10:10 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 MAR 3 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. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~jf~ ~ .1995 ....... New Construction ........... Old Or Pre-existing Building.~..1,-J/~.};PrY. ffame house and detached Main Road ~bPg~ garage Location o£ Property ....... , ................................ House No. Street Haml~ Pr e~,, Antone ~...~p~j.~/.. ap~ Onwer or Owners of op ~ .............................. County Tax Map No 1000, Section. 097.'9? .Block.02-00 .Lot.. Subdivision ..................... Filed Map ............ Lot .................. Permit No ................ Date Of Permit ............ .. .. Applicant .......................... . .. Health Dept. Approval .......................... Underwriters App~ ........................ / Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cer~c~te.?/ ..... -, L.*., :. ..... ...... ) ......... ' ~PLIC~T ' ri-- CONSENT TO INSPECTION Antone J. Wysocki Jr. and R0se~nary T. Wys0cki , 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 Main Road, Cutchogue · which is shown and deslfnated on the Suffolk County tax map as District 1000, Section097.00 , Block 02.00 , Lot 004.000. That the undersigned (h~s) (have) filed, 'or caused to be filed, an applica- tion in'th~ Southold Town ]~ullcling lnsp~-~ or£~oo ~o~ +~, fr~l~,vin~: ~ '~/2 story ,~,r,ame house and detached garage ~' That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described properts, 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, omdinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspeetlons, 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 o[ the laws, ordinances, rules or regulations of the Town of Southold. '~ (signatur e;f · ~ ~rint name) MAR (si~znatur~) ..... 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